Bakgrund: Det är viktigt att det finns kunskap om palliativ vård inom alla verksamheter då patienter i palliativ vård finns överallt inom vården. Finns inte kunskapen kan patientens behov lätt missas. Författarna till den här studien ville få en förståelse för vilka omvårdnadsbehov sjuksköterskor upplever att patienten har i det palliativa skedet.Syfte: Syftet var att undersöka vilka omvårdnadsbehov sjuksköterskor upplever att patienten har i det palliativa skedet och hur dessa behov kan tillgodoses.Metod: En kvalitativ intervjustudie genomfördes på ett sjukhus. Sju sjuksköterskor intervjuades och intervjumaterialet analyserades med manifest innehållsanalys.Resultat: Resultatet visade att sjuksköterskorna upplevde att patienten i palliativ vård har två övergripande omvårdnadsbehov. Dessa är psykosociala behov och omvårdnadsbehov.

Background:Malnutrition is a nursing issue that causes both physical and psychological suffering of those who are affected. In order to achieve care that is safe and has a good quality, it must be based on the assessment and actions of the state. District nurses play a central role in this work. Aim: The aim of this study was to describe the district nurses' work with identifying and addressing malnutrition in older people in nursing Home Care of the Community. Method: Six interviews with district nurses were conducted.

Forensic psychiatric care is a complex business. Patients who are cared for in forensic psychiatry are usually in need of care for a long time. The forensic care is a major intrusion into a person's life and the nurses and caregivers are the people who spend the most time with patients. They have a difficult mission providing a good and personalized care while patients are deprived of their liberty. Previous research demonstrates that patients experience forensic care as uncertain, insecure and punitive but that there are also glimpses of "good care".

Vården ska ges på den nivå som bäst är anpassad efter patientens individuella tillstånd. Patient väljer ibland att vända sig till akutsjukvården då vårdbehovet egentligen inte är akut utan bättre kan behandlas inom primärvården. Tidigare forskning påvisar att patienter föredrar att söka sig till akutsjukvården framför primärvården då den är mer lättillgänglig samt att den uppfattas som bättre. Att det är flera personer som är inblandade i beslutet att kontakta larmcentralen samt att det är ett svårt beslut framkommer också i tidigare studier. Syftet med föreliggande studie är att beskriva patientens beslut att ringa larmcentral i stället för att ta kontakt med primärvården.

Background: Delirium is a common condition among elderly patients who are being treated in a hospital environment. However, a large number of patients are wrongly diagnosed. The highest risk categories to develop delirium are elderly people and postoperative patients. By understanding the patients´ experiences the nurse can formulate the care to make it easier for the patient. Aim: The aim of the literature review was to illuminate elderly patients´ experiences of delirium in connection with a hospital visit.

Introduction:A good work environment and good resources among district nurses? and general nurses? are important in the provision of good nursing care. For patient security it is also very important that resources and time are used in an appropriate way. A lot of time is spent on non-core activity, for example administration takes more and more time, which can result in feelings of stress.Aim:The aim was to describe how district nurses? and nurses? in primary care perceived their work environment, how their worktime content was distributed and if there was some connection between perceived work environment and the distribution of work time.Methods:A mapping of the content of the work was made in two parts.

Background: Previous research has shown that the understanding and knowledge about the spiritual needs is not given high priority among nursing staff. During the latest years the body and its functions has controlled the healthcare and the spiritual needs has been placed in the background. All humans have spiritual needs that must be satisfied irrespective of religious background. Aim: The aim of this study was to in a caring perspective illustrate patients? spiritual and existential needs in palliative care.

Approximately one third of all patients in primary care have a psychosocial component to their illness that requires adequate professional treatment. However, primary care is insufficiently prepared for these patients. The aim of this case-study was to evaluate a pilot project in primary care offering psychotherapy as a treatment alternative. The data collected includes 1) data from 352 referred patients regarding demographics, diagnosis, treatment duration and pre- and post health status, 2) a patient-satisfaction questionnaire and 3) interviews with six therapists and five medical doctors. The treated patients improved significantly and showed a high degree of satisfaction.

Background: Poor perineal wound healing and infections after proctectomy surgery, affect a significant proportion of physical and psychological morbidities such as pain, leakage and abscesses. In its lengthening some of these symptoms will lead to extended periods of hospitalization. These kind of postoperative complications are also associated with delays in eventual chemotherapy treatment Aim: To describe the patients experiences of postoperative wound infection as well as communication and self-care support from the nurse specialist after proctectomy due to rectal cancer. Method: A qualitative content analysis was carried out from interviews. Results: Four main categories emerged; ?Coping with postoperative complications?, ?be independent?, ?feel safe?, and ?accept the situation?.

Background: HIV is a worldwide spread disease with many deaths. People with the disease have previously been met with attitudes, stigma and discrimination in various contexts. A caring relationship should be built on empathy, respect and communication, where the patient is not seen as their illness, but as a person. Today, there are laws that are there to protect the patient, however, there is a lack of knowledge about what is current. Health care workers knowledge in the 2000s has improved, but there is still a lack of knowledge.Aim: To illustrate how patients with HIV experience health care.Method: The literature review was conducted with twelve scientific articles of which two articles were quantitative and the other qualitative.Results: The results revealed three main themes; Different expressions of fear, Perceived negative attitudes and stigmatization, as well as The wish to be lovingly treated in health care.

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

SAMMANFATTNINGBakgrund: Enligt hälso- och sjukvårdslagen ska vården tillgodose patientens behov av trygghet, bygga på respekt för patienten, främja goda kontakter mellan patient och personal och tillgodose kontinuitet och säkerhet i vården. Forskning inom psykiatrisk vård har undersökt hur patienter uppfattar dessa områden. Denna forskning har resulterat i att Sverige har infört en nationell satsning för att mäta patienternas uppfattning om den vård de har fått. Syfte: Syftet är att undersöka patienters uppfattning om vården på en allmänpsykiatrisk heldygnsavdelning. Metod: En enkät bestående av frågor med skattningsskala eller fasta svarsalternativ gavs till 25 inneliggande patienter på en svensk heldygnsvårdsavdelning. Enkäten besvarades av 14 patienter vilket gav en svarsfrekvens på 56 %. Svaren har förts in i programvaran Exel och analyserats med utgångspunkt från kategorierna bemötande, information, personcentrerad vård, planering av vården, närstående och vårdmiljö. Resultat: Resultatet visar på att uppfattningen om hur man upplever vården på avdelningen varierar kraftigt.

Background One of the main demands on Swedish and global health care in general is to meet the patient?s need for safety. By general health care law this also comprises district nurses? field of responsibility. Although there are numerous studies describing the concept of safety and its different shapes, no research could be found exploring how safety is, or supposed to be, mediated by district nurses? in a Swedish context.

The aim of this study was to investigate whether there is a social-psychological relevance in allowing animals to be involved in therapy work. I have examined if the animals may contribute to effects on human relationships between caregivers and patients, and if the animals can contribute to helping patients to achieve better well-being. Through previous research and a quantitative interview I have received answers to the following questions: How are animals used in the treatment work? How do animals affect the relationship between caregiver-patient? In what ways do animals in treatment affect relationships between people? How do the professionals who work with animals believe that animals can affects the patient? I have interviewed people working in different kinds of treatment work using animals. The areas examined include work with animals at youth care, police, disability care, elderly care and school.

The emergency medical care in Sweden has been under persistent debate, due to factors such as long waiting hours, inefficient patient flow, and understaffed departments. In an effort to meet the critique and with a willingness to improve the problems, an increasing amount of emergency clinics are adopting theories and models within Lean. Positive outcomes are evident, there has been some criticism directed towards Lean. Among these is the argument that in order for Lean to be successful it needs to be used within standardized and foreseeable processes, and that it therefore only is applicable to those kind of processes found within industrial production. This prompted the question of whether Lean was a suitable strategy within emergency medical care, considering the large variation of patients and non-foreseeable processes that in fact share little resemblance to that of industrial production.