During the last 20 years, the Swedish health care system has faced major changes. One of them is the increasing pressure to generate economic profit due to private businesses entering the market. Health care units are forced to make some structural changes in order to become effective and efficient. As a result merger and acquisitions has become a part of the health care sector, and seems to be an increasing phenomenon. Mergers and acquisitions have mainly been studied in the industry.

Research show evidence for benefits of breastfeeding and that infant-feeding-plans are supportive. Family-centered care is the theoretical framework. Family support is crucial for successful breastfeeding. It is important that society creates opportunities for mothers to breastfeed and contribute information and support by healthcare professionals. The aim of this study was to evaluate how the midwives and child healthcare nurses found that the newest breastfeeding strategy influenced their breastfeeding- and rearing support in the County of Jönköping.

Bakgrund: Hur vet vi som sjuksköterskor vad som menas när det talas om palliativ? Världen utvecklas och så gör även begreppen i den. Genom att studera ord får forskaren reda på den egentliga betydelsen och den allmänna definitionen. Syfte: Att klargöra och definiera begreppet palliativ. Metod: Begreppsanalysmodell av Walker och Avant (1995). Studien är byggd på vetenskapliga artiklar, ordböcker och lexikon. Resultat: Ur den lexikala och litterära analysen växte studiens kärna fram, attributen. För att begreppet palliativ skall kunna infrias krävs det obotlig sjukdom, tillfällig hjälp, lindring och stöd.

The aim with the literature study was to describe how persons with dementia and health care workers in the geriatric care experiences soft massage and to describe the derived effects for persons with dementia. Scientific articles were sampled from the databases: Medline (Pub Med), Cinahl and Psyc INFO. The main results of the study are presented in three parts: how persons with dementia experiences soft massage, health care workers experiences of giving soft massage and the health care workers descriptions on derived effects on persons with dementia. The results showed that persons with dementia experienced a positive reaction to soft massage and the health care workers did no longer feel helpless in their care service towards persons with dementia. The studies showed that soft massage decreased agitation, wandering, pain and sleeplessness.

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.

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.

Background: Delirium is a serious condition that often affects hospitalized elder. The condition can be described as an overstrain of the brain which results in a disturbed consciousness. Elder people are particularly vulnerable since many of the risk factors develops with old age. The treatment aims to find and treat the underlying cause. Purpose: The purpose of this literature review was to illuminate factors beneficial for the nursing care of hospitalized elder with delirium.

A peripherally inserted central catheter (PICC line) is a catheter that is inserted through a peripheral vein in the arm and then on to a central vein in the chest. It is used to give injections and infusions and to take blood samples of patients who need treatment for longer periods.The aim of this study was to investigate nurses' perceived knowledge of the care and use of PICC line in wards where PICC line does not occur daily. The aim was also to investigate if the nurses expressed a need and wished for more knowledge to be able to use PICC line, and if PICC line is not used investigate the cause of that.The study was of a descriptive design with quantitative approach. An online survey was answered by 40 nurses from five wards at a university hospital in central Sweden.A large number of the nurses who responded to the survey reported that they lacked knowledge of the care and use of PICC line. Despite this, three-quarters of the nurses usually use PICC line at the infusion / injection / blood tests on patients with PICC line, if they are cared for in their ward.

The purpose of this study was to understand what the care recipients considering as care quality in their long-term eldercare. Our intention has been to contribute a bit to the development of the care work. Previous studies show that user surveys are carried out regularly but there is very few studies that are based on care recipients own opinions and experiences. The main questions in the study have been to examine what is considered as good elder care from a user perspective. Even to understand the characteristics of a good meeting with the care staff and also examine how the elder care in Nybro municipality can improve.

Our purpose was to study how care managers in practice evaluate needs in eldercare. A specific focus was set on elderly persons' sex, an area where former research show that decisions vary considerably. Were the care managers influenced in their decision making by the elderly person's sex? If so, in what ways? Were there variations in the definition of eldercare needs between the four chosen municipalities. And, finally, how did the care managers handle set criteria and priorities in their evaluation of such needs?The study was based on literature as well as interviews with eight care managers, chosen from four Scanian municipalities.We arrived at the conclusion that there is no specific difference in how the care managers evaluate eldercare needs in relation to sex..

During recent years the professional role of librarians has changed considerably. Development in the areas of information technology and the Internet has had a strong impact on libraries. Today?s visitors are in greater need of librarian support for information seeking and other services. This has led to a shift towards the development of a more complex pedagogical role for librarians.

ObjectiveThe aim of this study was to explore nurses' experiences of informing relatives to critically ill patients in the intensive care unit (ICU).MethodThe study was descriptive with a qualitative approach. Nine nurses were interviewed. The study took place in a university hospital in the midst of Sweden. An interview guide was used, designed in consensus with the study questions. Data was analyzed via qualitative content analysis.FindingsMeeting and preparing relatives at the arrival at the ICU seemed valuable and led to safety and participation among relatives.

Although school librarians have an important role to play in high schools helping teachers and students during their education, Swedish school librarians are often considered to end up left out by teachers and head principals due to school librarians vague and unclear professional role in the school. The aim of this thesis is to attempt to study school librarians own apprehensions of their particular professional role in a high school context, and how their professional role is believed to be apprehended by teachers and head principals. The results are based on interviews made with eight school librarians working in different high school libraries in Gothenburg during April 2002. By using phenomenographic method various existing apprehensions of the specific phenomena that the professional role of the school librarian constitutes of are made clear. The aim of the method is not to study what the profession constitutes of, but rather how it is apprehended by the school librarians themselves.

The purpose of this paper is to illustrate how librarians andteachers work together and with the help of other researchtry to understand what influences this cooperation. The studyis based on the following questions:1. These two professional groups have differentprofessional identities and work in two differentprofessional cultures. How does this affect theircooperation?2.

Background: Home health care means that patients receive care in their home. Äldrevårdsenheten in Uppsala County treats people, over 65 years, in the patient's home and because of the fact that the quality of care from the patient´s perspective not have been studied previously, this study as part of the quality control of the business.Aim: The aim of this study was to investigate how patients, and family members, who receive care within the Äldrevårdsenheten in Uppsala County experiencing the care provided in the home.Method: Interview study with qualitative analysis.Results: Patients who are cared for within the Elderly Care Unit in Uppsala County Council has a positive experience of home care. Being cared for in the home creates a sense of security and calm in the patients rather than the stress and fear of long waits in the emergency department and planning advice from medical appointments . In contrast, perceived lack of physicians in home care and accessibility to health care staff.Conclusion: In general, patients in the Elderly Care Unit in Uppsala County Council very pleased with the opportunity to the treatment they received at home. However, there are some weaknesses that need improvement. .