Bakgrund: Existentiellt lidande ?r ett tillst?nd som ofta uppkommer i samband med palliativ v?rd. Det ?r ett subjektivt lidande som upplevs p? olika s?tt beroende p? individens f?rflutna. Det ?r en del av sjuksk?terskans yrkesroll att uppm?rksamma och identifiera existentiella besv?r samt lindra lidande hos patienten.

Introduction: The population of Sweden has during the last century doubled. An increased live expectancy results in an older population and the share needing medical care increases. Demographic and political changes in developed counties have resulted in changed demands on the care of the elderly. The elderly are discharged from hospital earlier and this results a significant responsibility on the elderly themselves and their relatives. Often the relatives are engaged in the elderly?s health problems, care needs and the future consequences the current situation results in for the elderly and the domestic life.

The topic for this essay is tutoring for nurses. The study is about nurses who work in a nursing home for the elderly and who want to get tutoring and more education. Qualitative method was used and twelve nurses who worked in a nursing home were interviewed. The interviews were taped and written down. Then relevant quotes were picked out of the text and placed into eight different themes.

ABSTRACTProblems with high turnover in nursing has escalated during the last years both nationally and internationally. according to previous research job satisfaction and quality of care was connected to specific features of the hospital work environement. It was also recommended by Coomber & Barriball (2007) to analyze job satisfaction at ward level with qualitative interviews to get a deeper and more extended insight in which specific features are of importance.The aim of this study was to investigate and describe the experiance of job satisfaction in relation to quality of care from nurses perspective. This study was carried out at an orthopaedic ward with primary nursing as organizational context of care.Two focus group interviews were conducted, they comprised nine nurses with at least two years experiance of primary nursing. A qualitative content analysis with inductive approach was used in order to develop more detailed insights of potential factors influencing work satisfaction at ward level.

Bakgrund: I dagens samhälle pågår ständiga debatter om genus i olika kontexter, diskussionen om exempelvis löneskillnader, barnuppfostran och vårdande utifrån genus är närvarande i media, i såväl TV som tidningar och på internet. Studier har visat på att kvinnor och män uppfattar vårdande olika samt har olika preferenser för hur vårdandet skall utformas ? sjuksköterskor bör därför vara genusmedvetna i mötet med patienten för att kunna ge genuskänsligt vårdande utifrån en personcentrerad utgångspunkt.Syfte: Syftet med denna uppsats är att beskriva patienters uppfattningar av vårdande ? ur ett genusperspektiv.Metod: Detta arbete har genomförts som en litteraturöversikt och har baserats på 14 stycken vetenskapliga artiklar som har analyserats med en kvalitativ designmetod. Arbetet är förankrat med utgångspunkt i Katie Erikssons teori om vårdande.Resultat: Resultatet utgörs av tre teman; (a) Kvinnor och mäns förväntningar samt önskemål för vårdande, (b) När förväntningar och önskemål ej tillgodoses samt (c) När förväntningar och önskemål tillgodoses. Olikheter mellan könen gällande uppfattningar av vårdande framkom främst vid missnöje.

Purpose: From an activity-perspective examine the meaning of housing accessibility and older persons´ perception of participation. Method: Systematic literature review of articles searched in the databases, Medline, Pubmed, Ahmed, Cinahl, Scopus and Google Scholar. Search on individual keywords, and in various combinations of the words home environment, home modification, occupational therapy, aging, accessibility and participation. Nine scientific articles were examined. Results: The articles were published between 2005 and 2009.

Syftet var att studera hur den palliativa vården upplevs av sjuksköterskor vid användandet av Liverpool Care Pathway. Studien baserades på data från sex informanter på särskild boende/korttidsboende i en kommun i Dalarna. Studien har en kvalitativ design med innehållsanalys enligt Graneheim och Lundman.Analys av insamlad data resulterade i de tre kategorierna: Tydliga kriterier ger trygghet i vården, Omvårdnadsarbetet har utvecklats och tydligare information. Resultatet visade att tydliga kriterier vid användningen av Liverpool Care Pathway i den kommunala vården gav den palliativa patienten trygghet i omvårdnaden vid livets slut samt klara kriterier som gjorde att personalen tillämpade lika arbetsätt i den palliativa vården. Att stanna kvar i hemmet vid livet slut var en självklarhet för den palliativa patienten när Liverpool Care Pathway var infört i kommunen.

The purpose of this paper is to determine the established law and make researches into non-institutional compulsory care (?mellantvång?) paragraph 22 The Care of Young Persons (Special Provisions) Act (from now on called LVU) and examine whether the administration of the law is in harmony with the best interests of the child.This paper combines two methods : traditional judicial method and a social science method. In the juridical part the sources of law have been studied and in the social sciences part semi-structured interviews have been conducted with five respondents. The theoretical framework consists of ideas and theories about the best interests of the child, a concept which is one of the UN Convention on the Rights of the Child's core principles.This study shows that the legislator has identified a problem and an existing need and found a solution to this by introducing a non-institutional compulsory care, paragraph 22 LVU. The problem is that Social Services do not make use of the restraint.

Bakgrund: Sexualitet är inte per automatik synonymt med samlag, förmåga till orgasm eller summan av individens erotiska liv. Begreppet utvidgas i denna litteraturstudie till att innefatta människans kärlekssökande, hur känslolivet tar sig i uttryck samt hur sexualitet uttrycks via beröring. Då en människa drabbas av sjukdom eller skada påverkas hens upplevelse av hälsa och välbefinnande. Palliativ vård bygger på ett förhållningssätt som förbättrar patienternas och deras familjers livskvalitet genom att förebygga och lindra både fysiskt och psykiskt lidande. Syfte: Att belysa hur sexualitet berörs inom palliativ vård sett utifrån patienternas perspektiv.

Med hänvisning till hur fine dining restauranger i Sverige idag läggs ned alternativt byter koncept föreföll det relevant att undersöka vilka betydelsefulla faktorer som avgör huruvida ett fine dining koncept blir konkurrenskraftigt. Med hänvisning till detta formulerades syftet att identifiera betydelsefulla faktorer som bidrar till ett konkurrenskraftigt fine dining koncept. Med kvalitativ ansats och ett induktivt förhållningssätt har vi undersökt detta problem med hjälp av semistrukturerade intervjuer. Studien har under hela processen utgått från FAMMs fem aspekter, rummet, mötet, produkten, atmosfären samt styrsystemet och modellen har använts för att analysera insamlad empiri samt strukturera resultatet. Studien har påvisat flertalet faktorer som bidrar till ett konkurrenskraftigt fine dining koncept.

The aim of the thesis is to present a study of what works well and what does not work so well in today?s use of computers in primary care with a special focus on the use of computers in the management of referrals for consultation. In May 2009 a module for electronic consultation referrals was introduced in the computer system Cosmic at the University Hospital in Uppsala. Previously, the primary care units had to use two different systems for management of referrals. Referrals sent internally within primary care have been sent electronically while referrals to the University Hospital or other external units were sent on paper.

The aim with my study is to highlight, illuminate and examine the social and maternal health care motivational work of pregnant women with a risk or abuse of alcohol and / or drugs, and what actions can be considered for these women. In addition, the aim is to explore how social services and maternity care might interact in this type of case. The aim is to convey the subjective experience of each of the interviewees. For the purposes of this study, I have chosen to use the qualitative research method. I have interviewed social workers in individual and family care, and midwives.

The public health care sector has come under increasing pressure to cut down costs, maximize productivity and satisfy patients' needs during the 1990s and onwards. As a way of "getting more for less" quality management has been introduced. Originating in the private manufacturing industry, quality management has a strong focus on productivity and efficiency, aspects which are measured in quantitative terms. However, there are strong concerns that quality management is a means of speeding up the marketization of public health care by introducing core values much different from the ethic and medical norms that traditionally underpin health care organizations.This essay focuses on how quality management has been introduced to, and transformed by, public health care. A theoretical framework based on new institutionalism is constructed, and translation theories are used as a way of illustrating how the medical institutional environment, in fact, changes the concept of quality management.

Bakgrund: Övervikt och fetma är en global epidemi. Fetma kan orsakas av arv, miljö och beteendemässiga faktorer. Övervikt kanleda till flera följdsjukdomar. Viktminskning kan ge ökad livskvalité pch psykiskt välbefinnande. Ur ett hälsoekonomiskt perspektiv är det av vikt att det hälsofrämjande arbetet startar tidigt i barndomen.

Background: Good communication is very important for the safety of patients in emergency situations. Few studies have been conducted regarding communication among health care staff. The aim of the present study was to investigate anesthetist nurses experience of communication among health care staff during a situation of emergency in a hospital ward.Methods: The study is explorative and based on interviews with six anesthetist nurses. A qualitative content analysis was used as an analyses model.Result: The six anesthetist nurses experienced structured communication as of great importance during an emergency situation. Three main categories appeared from the material: i) the importance of the organization ii) communication structure and communication patterns and iii) education and experience with nine subcategories.