Background: Living with stroke not only means coping with physical limitations, but a stroke also leads to other losses, which in various ways may change an individual?s life. A nurse can play a significant role in regards to consequences in the ordinary day of life for patients with stroke. Aim: The aim of this literature study was to describe patients? experiences living with stroke.

Haemophilia is an inherited disease which causes increased bleeding due to defect clotting factors VIII and/or IX. There are two forms of haemophilia, A and B, which both are X-linked and due to mutations of the genes of factor VIII and factor IX respectively. This study focuses on Haemophilia A and thereby factor VIII.The drugs that are available on the Swedish market today for patients with haemophilia A include Factor VIII(FVIII), which has been purified from human plasma and recombinant factor VIII(rFVIII). The main goal of this study is to gain a better understanding of the effects of treatment of haemophilia A with either purified plasma factor VIII or recombinant factor VIII on reducing or preventing bleeding and on side effects.  The study was designed as a literature review and searches were carried out in PubMed at the Linnaeus University library.  The criteria for selection of articles were: patients with haemophilia, treatment with plasma derived and/or recombinant factor VIII as well as clinical studies.

This thesis aims to further study the interpersonal risk taking within groups and thereby the importance of a climate promoting a reflective behavior. The increased demand in complexity and exposure towards teamwork leads to increased call for knowledge integration, which can be explained as the ability to integrate the collective knowledge within the group. We have therefor identified a need for better understanding what makes a group more effective. Key factors for self-estimated effective collaboration have been shown to be a group's reflective behavior and ability to coordinate the skills that each individual possesses. These factors are greatly affected by the psychological safety within the team.

Folkhälsovetenskapligt program.

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.

Background: Nursing staff use touch on a daily basis, often without reflecting over it. It is not only the touch itself that emerges, everyday nursing staff get involved in the meeting with patients. The use of touch can be divided in to different kinds of touch, due to its purpose these are instrumental- and expressive touch. Purpose: The purpose with the study was to illustrate what physical touch means for the meeting between patient and caregiver. Method: A literature review has been done, based on ten scientific articles and by these four domains emerged.

ABSTRACTIntroduction: Violence towards employees in the psychiatric ward is increasing at an alarming rate. Reports concerning the effect on the staff?s psychological health are disturbing. These workforces are those most affected by brutality and for ages it has been looked upon as a part of the psychiatric line of work. This viciousness is threatening the safety for both the personnel and the patients.

Risk management has become a key ingredient for businesses all over the world. High Reliability Organizations (HRO) has distinguished themselves as experts in this area. By continuously focusing on improving their ability to manage risks they?ve been able to successfully avoid catastrophes in environments where normal accidents can be expected due to complexity and risk factors.The aim of the thesis is to improve the risk management at Apotekens Service by applying theories from HRO and safety culture. In July 2009, following the re-regulation of the Swedish pharmacy market, Apotekens Service AB was appointed national pharmacy infrastructure supplier for the Swedish health care system.

Background: Encounters between patient and health care have been shortened and fragmented. Times when the patient is in the continuum of care is related to how well the patient feels confirmed in the meeting with his/her carers. Aim : The aim of this study is to highlight skills that nurses use to provide good care relationships with patients in the ambulance and emergency room. Method: A literature review was done. Search for articles was conducted in the databases Cinahl and Pubmed.

Background: Studies show that unsolved contact tracing of chlamydia increase in Uppsala County. Research shows that the meeting between patient and caregiver, when performing a contact tracing, may be crucial to the outcome of contact tracing. Objective: The aim of the study was to investigate how midwives describe the encounter with the patient during contact tracing in youth clinics in Uppsala County Council. Methods: A qualitative approach with semi- structured interviews was used to collect data. Nine midwives of varying age and work experience from seven different youth clinics in Uppsala County Council were interviewed.

Information ska ses som en integrerad del i god omvårdnad av den patient som befinner sig i det akuta skedet av en hjärtinfarkt och är en förutsättning för en god vård. Sjuksköterskans bemötande och kommunikation är en viktig del i omvårdnaden av patienten. Det är av betydelse att sjuksköterskan har en förmåga att förmedla kunskap, förståelse under de stressade förhållanden som ibland kan råda på en akutmottagning. På så sätt ges förutsättningar för att patienten att kunna vara delaktig och ha inflytande över sin egen vård och behandling. Syftet med studien är att belysa informationens betydelse för patienten i den akuta fasen av en hjärtinfarkt.

The health care formulation of the principle of autonomy can be expressed as follows; ?you shall not treat a patient without the informed consent of the patient, or his or her lawfulsurrogate, except in narrowly defined emergencies?. The principle of beneficence refers to a moral obligation to act for the benefit of others. In heath care, the good or benefit in question is the restoration of the health of the patient. In fulfilling this obligation of beneficence, the physician sometimes intentionally overrides the patient?s preferences or actions for the purpose of benefiting the patient.

ABSTRACTIntroduction: Violence towards employees in the psychiatric ward is increasing at an alarming rate. Reports concerning the effect on the staff?s psychological health are disturbing. These workforces are those most affected by brutality and for ages it has been looked upon as a part of the psychiatric line of work. This viciousness is threatening the safety for both the personnel and the patients.

Background: A health damage that has been specifically related to nursing is pressure ulcers. Pressure ulcers are a complication caused by disease, care and treatment and can result in great suffering for the patient. Pressure ulcers can affect people both physically and psychosocially and is experienced, by most patients, as a serious and unnecessary complication of care. Today there are hundreds of identified risk factors for pressure ulcers described that can be divided into patient and care-related risk factors. A successful pressure ulcer prevention and treatment is to reduce or eliminate the underlying causes for the development of pressure ulcers, prevent deterioration and to treat existing ulcers.

Inom intensivvården har utvecklingen av medicinteknisk utrustning de senaste tio åren gått mycket fort framåt och blivit allt mer avancerad. Utbildning och kompetensutveckling inom medicinsk teknik skaar en trygg och säker miljö för både patient och vårdpersonal och är ett led i patientsäkerhetsarbetet. Utbildning inom medicinsk teknik har sett olika ut genom åren och webbaserad utbildning är ett inlärningssätt. Syftet med examensarbetet var att beskriva intensivvårdssjuksköterskors uppfattningar av webbaserat utbildningsverktyg för medicinteknisk utrustning ur ett patientsäkerhetsperspektiv. Datainsamlingen skedde genom semistrukturerade intervjuer av åtta intensivvårdssjuksköterskor på ett sjukhus i Mellansverige.