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.

Bakgrund: Venösa bensår är ett växande problem som orsakar smärta, begränsad rörlighet och minskad livskvalitet. Genom att främja egenvård till patienter med venösa bensår kan sårläkning förbättras. Egenvård är en hälso- och sjukvårdsåtgärd som legitimerad yrkesutövare har bedömt att personen kan utöva själv eller med hjälp av någon annan. Sjuksköterskors nyckelroll är att främja och optimera följsamhet av egenvård. Patientdelaktighet leder till att målen med vård och behandling uppfylls bättre.Syfte: Syftet med denna studie var att belysa distriktssköterskors erfarenheter av att främja egenvård hos patienter med venösa bensår.Metod: Data analyserades genom kvalitativ innehållsanalys med en induktiv ansats.

Background: When a child gets cancer it involves the whole family. The view of family focused care has change over the years. It has been shown that the family needs support to manage their life situation, when their child is ill. Aim: The aim of this study was to illustrate the family?s life situation, when a child gets cancer.

There are over 1,5 billion Muslims living on earth and the religion is one of the world´s most increasing. Sweden is a country with a cultural diversity where about 300 000 Muslims lived in 1999. Today, the requirement for knowledge about caring for Muslims and the need of culturally competent nursing care are increasing.The aim of this study was to define cultural factors which the nurse has to recognize to be able to give culturally competent care to the Muslim patient. The method that has been used was a The Sunrise Model, which illustrates Leininger´s theory of culture care diversity and universality, provides a theoretical framework for the study. The results are presented on the basis of Leininger´s three cultural factors; cultural values, beliefs and lifeways.

The aim of this study is to investigate how länsstyrelsen as a supervisory authority to private compulsory care-institutions works, to guarantee adequate institutional care of unprivileged children and youth with special problems.In order to reach this aim the following questions are to be answered:? Describe länsstyrelsen´s supervision of private compulsory care-institutions (HVB-hem)? How does the officials at the three chosen county administrative boards find about the responsibilityTo answer the questions of this bachelor thesis I have chosen to apply qualitative methods, by interviewing five supervisory authorities from länsstyrelsen, in three different county administrative boards in Sweden.The findings of the study show that officials sometimes find it hard to know the exact meaning and differences between accountability and to be accountable. It also shows that they tend to think that the relationship between länsstyrelsen and the private compulsory care institutions is complicated. Because the officials have two part relationships, they have on the one hand a consultative role and on the other hand the supervising role.Keywords: Länsstyrelsen, Hem för vård eller boende (HVB-hem), Ansvar, Ansvarsutkrävande, Socialtjänstlagen.

Vid palliativ vård av barn är det viktigt att besittakunskap inom både palliativ vård och barn då det är en komplex situation. Tidigare forskning har visat på svårigheter och kunskapsluckor inom den palliativa barnsjukvården. Syftet med studien var att belysa sjuksköterskors erfarenheter av att vårda barn i ett palliativt skede. En litteraturstudie genomfördes, där tio artiklar granskades, bearbetades och analyserades. Artiklarnas resultat kategoriserades i fyra grupper: erfarenhet av stöd och relation, erfarenhet av vårdorganisation, erfarenhet av den professionella rollen samt erfarenhet av förändring utav behandling.

Organisationer och personer runt om i världen blir alltmer beroende av olika former av IT-stöd. För att effektivisera arbetet skaffa sig organisationen nya system eller försöker förbättra det redan befintligt systemet. En användare kan reagera på olika sätt vid införandet av ett nytt system beroende på olika faktorer hos systemet eller personen. Jag studerade ett komplett Care-system som används inom äldreomsorgen. Ett Care-system kan bestå av en webbapplikation inklusive digitala och mobila verktyg.

Early extubation of cardiac surgery patients has become increasingly important. The assessment of the patient before an early extubation is crucial and the intensive care nurses (ICU nurses) in this estimation is there for very important.The aim of this study was to examine critical care nurses' knowledge of early extubation, and what view ICU nurse has about factors that affect the time to extubation of cardiac surgery patients.A quantitative approach with descriptive and comparative design was used. Selection was all ICU nurses at a thoracic intensive care unit who were clinically active in patient care.The study showed that ICU nurses had good knowledge of why an early extubation was essential. However, the knowledge about the unit?s extubation criteria was low.

Being a patient in intensive care can be experienced terrifying. Studies have demonstrated the link between unpleasant memories of hospitalization in the ICU and the development of posttraumatic stress disorder, depression, anxiety, and perception of quality of life in its aftermath. Placed on a ventilator, the patient is exposed to multiple invasive procedures. The aim was to describe critical care patients' experience of being intubated or tracheostomated. Method: Literature review using conventional content analysis.

The discussion of the swedish treatment of offenders often revolves round the two contradictions punishment and care. Modern prison is described to be based on values such as humanity, care and respect, although the main task is to protect the society from criminals by keeping them locked up. This study focused on the role of the prison officer with the purpose of understanding how he sees his profesional role in an organisation influenced by punishment and care.Central questions are: How does the prison officer handle his role as caretaker in an organisation where he not only has the right to, but also is obliged to, controle and power his clients? How does the prison officer define his working role and does he find any dificulties in combining these?The research was realized during the months of April and May 2005 through qualitative interviews and conversations with prison officers working in a swedish prison. It also contained a minor fieldstudy in that same prison.The results showed that the principle conflict between punishment and care have an insignificant influence on the daily work of the prison officer.

SammanfattningBakgrund: Betydelsen av begreppet kultur kan variera. I det här arbetet används begreppet kultur för människor från ett gemensamt ursprung och/eller med gemensamma kulturella uppfattningar. Globaliseringen ökar i Sverige och i världen vilket leder till en stor blandning av människor från olika kulturer, detta ställer höga krav på sjuksköterskan. Att möta och vårda lidande och döende patienter med annan kulturell bakgrund än dem själva kan vara något av det svåraste en sjuksköterska kan ställas inför.Syfte: Syftet med denna studie är att beskriva sjuksköterskors upplevelser av att vårda patienter från olika kulturer inom den palliativa vården.Metod: Detta är en litteraturstudie där åtta vårdvetenskapliga tidskriftsartiklar valts ut efter en noggrann granskning av dess innehåll. Artiklarna har hittats i databaserna Cinahl, Pubmed och Medline.

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

The care for the elderly in the municipalities has recently seen the need for a formalized system for quality assurance. Under increasing demands for monetary efficiency while bound by law to retain acceptable standards in health care, there is need for efficient and at the same time quality-assured management. The municipalities often solve this puzzle by introducing systems and standards influenced by theory-clusters such as NPM (New Public Management), TQM (Total Quality Management) or other quality management theories.This essay focuses on how the public administration in the municipalities defines quality and designs and implements system for formalized quality assurance. Our basic view of organizations is institutionalist and our theoretical framework includes theories about quality, NPM and TQM..

Background: Health care is a strange place for the patient. To make this enviroment as good as possible, would the patient be well informed. The patient has right to know if it is a bad mews and often he/she needs caring after the information. Nurse´s basic responsibility is caring, for her/him it´s important to prevent the shock for the patient that can appear. Aim: Describe the nursing staff responses to the patient, using the patient´s perspective in relation to bad news. Method: A litterture review has been made with nine articles. Current research materials that meet the study´s purpose has been applied in databases and analyzed.

Bakgrund: Det blir allt vanligare att människor i livets slutskede väljer att vårdas och dö i sitt hem. Anhöriga har en betydande roll i vårdprocessen, då de har ansvar för den sjukes vård och livskvalitet. Den palliativa vården arbetar utifrån de fyra hörnstenarna; kommunikation, symptomlindring, teamarbete och anhörigstöd.Syfte: Syftet var att beskriva anhörigas upplevelser av att vårda den sjuke i hemmet i livets slutskede.Metod: Litteraturöversikten utfördes med andvändning av nio svenska vårdvetenskapliga studier med kvalitativ ansats och två med mixad metod. Studierna härrör från databaserna CINAHL Complete och PubMed, mellan åren 2000 och 2015.Resultat: I resultatet framkom det att anhöriga hade ett stort ansvar och en tung belastning som informella vårdgivare, samtidigt upplevde anhöriga en tillfredsställande känsla av att vårda patienten. Anhöriga upplevde brist på stöd från hälso- och sjukvården, då de inte fick tillräckligt med information, utbildning eller avlastning i tillvaron.