Bakgrund: Lungcancer är den femte vanligaste cancerformen i Sverige, med dålig prognos och leder ofta till döden. Då bot inte längre är möjligt blir palliativ vård aktuellt. Detta betyder att patienten bör vara fri från smärta och plågsamma symtom, att man varken påskyndar eller skjuter upp döden och att döendet ska ses som en normal process. Syfte: Syftet var att beskriva patienters upplevelser av att leva med lungcancer i den palliativa fasen. Metod: Studien genomfördes som en litteraturstudie (overview), baserad på empiriska studier inom det valda ämnet.

Syfte: Studiens syfte var att undersöka vad patienterna har för upplevelser av sjukvården, samt vilka förbättringar de föreslår.Metod: Undersökningsgruppen bestod av 50 patienter som svarat på de öppna frågorna i en nationell patientenkät. Svaren analyserades med kvalitativ innehållsanalys.Resultat: Analysen av materialet resulterade i fem kategorier och elva underkategorier. De fem kategorierna bestod av: bemötande, sjukhusmaten, vårdmiljön under sjukhusvistelsen, in- och utskrivning samt väntetider under vårdtiden och samarbete mellan professioner. Patienter som vårdades inom slutenvården ansåg att det bemötande de erhöll i huvudsak varit gott, men att det förekom vissa negativa attityder som bör förändras till det bättre. Förbättringar av måltider och sjukhusmiljön önskades, dessa områden upplevdes otillfredsställande.

Bakgrund: Patienter och närstående som befinner sig på en akutmottagning har ofta gått igenom en första kritiska bedömning, där miljön kan vara rörig och patienterna ibland är svårt sjuka. Arbetsbelastningen på sjuksköterskan har de senaste åren ökat, med ett ökat patienttryck och högre krav på medicinsk-teknisk kompetens. Sjuksköterskan måste inneha kunskaper inom såväl omvårdnad som medicin, för att patienter och närstående ska uppleva den första kontakten som positiv.Syfte: Att beskriva patienters och närståendes upplevelser av omvårdnad på en akutmottagning. Metod: Författarna har gjort en litteraturöversikt där 14 vetenskapliga artiklar har studerats, analyserats och använts i resultatet. Åtta av artiklarna var kvalitativa, sex av dem var kvantitativa.

Humor har i omvårdnaden ingen erkänd roll som förhållningssättoch har sedan länge blivit förbisett. Humorns flerapositiva effekter för relationen mellan sjuksköterska och patientgör att detta är ett ämne som bör uppmärksammas ytterligare.Syftet med litteraturstudien var att belysa sjuksköterskansanvändande av humor i mötet med patienten för attstärka omvårdnadsrelationen. Studien genomfördes som enlitteraturstudie och är baserad på tio vetenskapliga artiklar.Resultatet visar att humor är betydelsefullt för att skapa ochunderhålla relationen mellan sjuksköterska och patient samtatt humorn alltid bör utgå från patientens upplevda situation.När humor används i omvårdnaden är det viktigt att sjuksköterskanhar i åtanke i vilket syfte humorn används så att hälsaoch livskvalitet främjas. Fortsatt forskning inom ämnetbör fokusera på att ta fram mer vetenskaplig evidens förhumorns effekt för relationen mellan sjuksköterska och patientoch även forskning på om humor kan användas merkonkret som omvårdnadsåtgärd behövs..

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Background: The goal of psychiatric nursing interventions is to enhance people?s ability tocope with feelings of futility, to get control of their lives and to learn coping strategies inorder to manage their mental illness and its consequences. Specialist nurses in psychiatric carecoordinate and direct nursing care based on evidence-based knowledge.Aim: The aim of this study was to investigate what kind of nursing acts specialist nurses usein the psychiatric inpatient unit and investigate how they perceive their professional role.Method: The design used was a descriptive qualitative interview study. Nine specialist nursesworking in psychiatric inpatient units were interviewed. Six of the participants were womenand three were men aged 28-53 years.

This report is a market research for the company 4 Body and Mind, a start-up company that works with personal training online. They wanted to know if the market for elderly care could be interesting for them to enter. This report is hence a research of the market for health and welfare technology in elderly care within the public sector in Sweden. A general fact is that the world's population is getting older. This combined with rapid growth of individuals in the age 65+ changes the demands on the elderly care in Sweden?s municipalities.

This is a project in Entrepreneurship and Creativity on masters? degree. The purpose was to verify whether the Swedish retail trade within the beauty care business was ready for an in-troduction of colour cosmetics. Through the qualitative research grounded theory, I made several phone interviews with independence retail traders within the Swedish beauty care business. The selection of respondents is based on statistical facts and geographic coverage of Swedish beauty care shops.

Bakgrund. Många patienter oroar sig inför kirurgiska ingrepp. Ett av orosmomenten är smärtan efter operationen. Smärtpåverkade patienter utsätts för ett lidande. Detta lidande bryter patientens naturliga förhållningssätt till den levda världen.

The purpose of this study has been to describe and analyze how former foster children experienced foster care which have been filled with maltreatment and neglect and how this has influenced their adult life when it comes to health, education and relationships. We also wanted to study how the former foster children coped with their placement. Furthermore we wanted to study whether there has been any turningpoints during their growth. Finally we wanted to describe how the former foster children experienced the authorities control. To make the purpose of this study complete we chose to use qualitative interviews with six former foster children as our research method.

In our paper we chose to study care management in the old age care. According to the law for the social services the needs of elderly should govern the assistance they are granted. But research has shown that municipal guidelines govern the assistance and that the elderly have to adjust their needs to them. Thus there is a discrepancy between law and practice. The aim of this study was to understand how care managers relate to municipal guidelines, laws and the requests of elderly when the application for assistance is established.

Background:The concept of transition means a change in a person's life where he or she is forced to adapt. There are different phases in life that results in different adaptations. In this essay, transition is described as the physical and mental journey between the home and an elder care facility. The Aim was to describe elderly people's experiences of transition when moving from their previous home into an elder care facility. The Method used was a literature review.

Heart failure is the most common reason to hospitalization among persons over 65 years old. Self-care is an important part in the treatment of heart failure, but poor information and knowledge limits the ability of self-care and increases the risk of admission to hospital.The aim of the study was to investigate what information patients with heart failure describes that they receive from health care personal, how information is perceived, who provides the information, and on what occasions it is given. The aim was also to investigate whether patients' perception of knowledge about heart failure increased after hospitalization.The study is cross-sectional study with a descriptive design. A consecutive selection was used. A questionnaire was filled in by 28 participants.The study has shown that patients with heart failure largely experience information about heart failure inadequate.

AbstractOur purpose for making this study is to study the implementation, the use of and the effects of Lean within our case objects.  We chose to make this thesis by case studies. The three themes mentioned above is also the main research questions that we aim to find an answer to by this study. We have chosen to do a cross section analysis where we conducted structured interviews to find answers to these questions. The theoretical reference frame consists partly of traditional theoreticians within Lean but also more recent research within the subject as well as theory specifically for Lean within the Health Care sector.The result of this study shows in all our case studies that the Management has been supporting the implementation, but that the implementation process proceeds faster if also the professionals are involved in the process.  To succeed with the implementation there is a great need for good reasons and strives that can benefit the professionals. By the use of Lean our case studies have evaluated its processes, with the main intentions being to reduce waste activities and to create flows with ?pull systems?.

The purpose of this paper is to perform an in-depth analysis of how New Public Management reforms have impacted management practises in two publicly financed elderly care providers in Sweden. The paper studies one public and one private elderly care provider and analyses to what extent they have implemented New Public Management methods. The results are based on interviews with several persons within the two organisations and analysed using the seven New Public Management doctrines as described by Christopher Hood (1991; 1995). The major finding in the thesis is that the level of exposure towards New Public Management reforms differs between the two studied organisations where the private provider is exposed to the reforms to a greater extent than the public. The paper concludes that the main reasons for the low extent of exposure in the public provider could be attributed to the lack of measurable standards performance as well as the proximity to the political leadership..