Sweden has one of the best elderly cares in Europe and the Swedish care work is also one of the best in terms of quality, compared to other European countries. In recent years, higher demands have been set on the care work and the number of privatizations of public services has increased. In 2009 a new law came into force, the Act on System of Choice (LOV) which increased individual?s right to a greater participation and a free choice in the selection of health and social care providers. This paper aims to highlight the impact of the law, system of choice.

HIV/AIDS is a chronic disease that has increased and will continue to increase. Most health care workers will one way or another come into contact with it. The purpose of this literature review was to describe factors contributing to nurses' attitudes towards patients with HIV/AIDS. Sixteen articles were analyzed and quality assessed. The results revealed gaps in knowledge among nurses.

Bakgrund: Cancer är en sjukdom som drabbar 48 600 personer i Sverige. Av dessa väljer 50-70 % att vårdas palliativt i sitt hem. De patienter som vårdas palliativt har behov av en bra symtomlindring och god kommunikation med vårdpersonal. Syfte: Syftet med studien var att undersöka vilka behov patienter med cancer har som vårdas palliativt i hemmet. Metod: Metoden som använts var en litteraturstudie.

Background: Long-term stress can lead to reduced health among nurses which can result in impaired quality of care. Stress in nurses' work needs to be studied in order to prevent stress and impaired quality of care. Aim: The aim of this study was to describe nurses' experience of occupational stress and factors that contribute to occupational stress. Method: The method used was a literature review. Results: The analysis resulted in five themes which describe nurses' experiences of occupational stress and factors that contribute to occupational stress.

In this paper the authors are focusing on people that work in psychiatric acute care. How do they identify the individual that is in most need of acute care? How do they judge in this kind of cases?    The foundation in this study is in the qualitative method. The material to this study has been collected by doing qualitative interviews with six people in different professions and positions in psychiatric acute care.   The material that we collected from these six qualitative interviews has been analysed with help from Sherif?s and Hovland?s (1961) Social judgement theory.

 Intensivvårdsjuksköterskan möter i sitt dagliga arbete många patienter som behandlas i respirator. Långvarig respiratorbehandling innebär ofta ökade risker för komplikationer. Med anledningen av detta är det viktigt att minska tiden i respirator med effektiv urträning. Att tränas ur respiratorn är en individuell process och bör därför anpassas efter patientens förmåga. Syftet med examensarbetet var att beskriva intensivvårdssjuksköterskors erfarenheter av tracheostomerade patienters urträning ur respirator.

The aim of this study was to describe the meaning of individual care according to Newborn Individualized Developmental Care and Assessment programs (NIDCAP) to the early born child. The care around the early born child has shown a big importance. NIDCAP incorporates many care aspects that give structure for an individual tailored care. A fast care planning within three days and night after the birth according to NIDCAP has a positive effect for the cognitive development. The early child has showed that the surroundings environment has an important role for their development.

Bakgrund: Kommunikation med patienter som vårdas med respirator är en stor del av omvårdnaden för intensivvårdssjuksköterskan. Otillräcklig kommunikation mellan sjuksköterska och patient kan leda till otrygghet och stress hos patienten. Syfte: Studiens syfte är att beskriva hur intensivvårdssjuksköterskor kommunicerar med patienter som vårdas med respirator, vilka möjligheter och hinder som finns samt om sjuksköterskans erfarenhet har betydelse.Metod: En kvantitativ ansats valdes och data till pilotstudien insamlades med hjälp av en enkät. Resultat: Sjuksköterskorna i studien ansåg inte att det är svårt att kommunicera med patienter som vårdas med respirator. Större delen av sjuksköterskorna använde sig av kroppsspråk, ögonkontakt och beröring som kommunikationsmetoder.

Bakgrund: Lag om psykiatrisk tvångsvård innebär att sjukvården har rätt att ta bort självbestämmanderätten från en individ om denne lider av en allvarlig psykisk störning. Restriktioner och tvångsåtgärder som tvångsmedicinering, avskiljning och fastspänning kan förekomma. Syfte: Syftet är att belysa hur patienter upplever tvångsåtgärder inom psykiatrisk vård. Metod: En allmän litteraturstudie baserad på 12 vetenskapliga artiklar med kvalitativ ansats. Antonovskys Känsla av sammahang har använts som teoretisk referensram.

Purpose: Our aim is to get an insight on how home care workers experience, handle and looks upon their work. We also want to form an opinion of how home care workers experience the relationship to the clients they meet.Questions: How does home care workers experience their daily work with their clients? Home care workers daily meet many different sorts of clients with different needs, how do they handle this? What kind of support does home care workers get in their work?Method: A qualitative design with semistructured interviews.Conclusion: The most central conclusion from all of our interviews were: that home care service workers has a very stressful and demanding occupation, that the work has a low status, that the personnel has a big responsibility for the wellbeing of other people and that they often find their work satisfying and fun. To have someone to talk to and exchange ideas with was also mentioned by the informants as a vital part of feeling support in their work. From the Antonovskys theory, a sense of coherence, and Goffmans views of the society, we also find that the larger part of our informants feel a high sense of coherence and that when they have to adjust to their different caretakers they play different roles..

Telephone counselling has been around for more than forty years and remains a widely accepted communication support, both in the primary care and the outpa-tient departments of our hospitals. In many cases, this form of communication might be the only way in which the patient will have contact with the health ser-vices, primarily the nurse. In this study, the authors have chosen the word com-munication support as a generic name for the various technology tools, which are already present or in the future, might be an important link between the patient and the nurse. The aim of this study was to examine which communication sup-port that is available and patients´ perceptions of those and the patients´ percep-tions. Our patients can sometimes be affected by their illness, which means that their perception might be influenced and the advices or the prescriptions given by telephone will not be correctly perceived.

           AbstractAims: To explore whether and in that case how nurses question women in the psychiatric care about violence in close relationships and how nurses respond to women who have been exposed to domestic violence.Method: A qualitative descriptive interview study with twelve nurses from four psychiatric wards was carried out in Uppsala. Informants were chosen from a convenient selection. The interviews with semi-structured interview questions were recorded on tape, transcribed and analyzed with content analysis.Results: There is no routine to ask all female patients if they are victims of violence. It happens only in cases where the suspicion arises or is confirmed. It is individually whether and how the nurse asks the woman if she is subjected to violence in a close relationship, depending on patient and nurse.

The aim of the present literature review was to describe and evaluate the effects and experiences within the complementary approaches such as aromatherapy, tactile massage and acupuncture amongst palliative care patients. Search through Medline (through Pub Med) database and additional manual search was conducted. In total 16 articles fulfilled the inclusion criteria and were reviewed. The result was presented under respectively category: aromatherapy, tactile massage and acupuncture. Physical and psychological effects as well as experiences from the treatments were also documented under the different complementary approaches.

Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

AbstractThe aim: The aim of the study was to describe what women are most satisfied with in maternity care and if women´s childbirth experiences can be described by means of the QPP-I, who contains 32 statements related to maternity care. Design: The study is part of a national cross-sectional study which lasted for two weeks in Sweden in 2007. This paper analyzes one of the two questions with open answers, which reads: "What was the best with maternity care??. Results: The results showed that out of a total of 735 responses 717 could be placed in the existing instrument QPP-I.