Patienter som står inför ett operativt ingrepp upplever ofta oro och stress i den perioperativa miljön. Oro förbrukar stora mängder energi som kan ge sig uttryck i huvudvärk, irritabilitet, olust och vanmaktskänsla. Tidigare studier har dock visat att anestesisjuksköterskan har genom det goda mötet möjlighet att lindra patientens lidande i dessa situationer. Syftet med denna studie var att beskriva anestesisjuksköterskans lugnande förhållningssätt i mötet med vaken patient som visar tecken på oro. Åtta kvalitativa intervjuer genomfördes med anestesisjuksköterskor som har minst fem års erfarenhet av perioperativt vårdande.

Background: Homelessness is increasing, and health care is still difficult for many homeless people to achieve. If they get sick, it is both technically challenging to get a clinic they can go to, but also an economic problem because most of the homeless have no gainful employment. The fact that many homeless people experience bad attitudes of health care professionals is one reason why they don?t seek healthcare until an emergency arises. In the profession as a nurse, all people should be given equal treatment regardless of background.

The purpose of this study has been to analyze how managers within the elderly care who operate according to the Social Services Act work to support the assistant nurses with the social documentation. In order to achieve my purpose and to be able to answer the research questions, a qualitative approach was selected. My empirical material consists of seven interviews, four with assistant nurses and three with managers. Anthony Giddens? structuration theory in Månsson, (2003 s. 422) has been my theoretical starting-point and the concepts of practical and discursive consciousness have been used in the analysis.

Background: Most acts of violence in a psychiatric ward are directed towards the nursing staff. Aggressive behaviour often stems from feelings of frustration and powerlessness in patients while committed and therefore having limited liberties. To avoid an escalation of a hostile situation, it is important that the nursing staff applies the kind of encounter that will yield a positive outcome. Aim: The aim of this literary study is to elucidate the possible encounter the nursing staff can apply when encountering a hostile patient in psychiatric care. Method: The literary study is based on twelve scientific articles.

The aim of this study was to determine the self-perceived learning needs in patients with Coronary Heart Disease (CHD). CHD is the leading cause of death worldwide. Poor compliance is one of the causes of rehospitalisation. Patients suffering from CHD need education in order to manage their disease and prevent readmission to hospital. As hospital stays diminish the time available for patient education is limited.

Uncertainty is a well-known phenomenon that is recurring in biographies, imaginative literature and science, but is less studied in nursing science. The aim of this participatory action research project was to, in collaboration with nursing students; explore nursing activities for relieving patients? uncertainty. A qualitative approach was chosen with focus groups and the text was content analyzed. The students studied their third semester on a nursing program.

The purpose of the study was to describe how women with deliberate self-harm behaviour experience they have been treated when conducting health care. The study has a qualitative and descriptive approach and data was collected with snowball sampling. Data was analysed with content analysis and ended up in three theme ?Feeling of violation of integrity and autonomy?, ?health care staff don´t have the courage to step in and take responsibility? and ? Personal confirmation and validation of feelings?. The results showed that many women with deliberate self-harm behavior feel that they have been badly treated when they conducting health care.

The aim of the study was to describe what district nurses, who work with telephone- advice, document in patient record, to be able to develop their documentation. The Authors have examined 50 patient records. The examination tool is collected from ?Lokal anvisning för hälso- och sjukvården I Södra Älvsborg?. The audit areas was record keeping, review and planning, realization, individual nursing and the patients participation, information, education and agreement.

Abstract Title: Benefit from Competition ? An analysis of the consequences of Stopplagen for the Swedish health care market Author: Cecilia Halldelius Tutor: Carl Hampus Lyttkens Date: 2005-09-05 Purpose: The purpose of the thesis is to examine how the new legislation for the health care market, primarily the anti-profit-legislation, will affect the competition in the Swedish health care market. Method: The thesis is based on literary studies. By combining theories and empirics regarding the health care market, competition and profit, a deeper understanding of the aspects important for the chosen subject, is created. Combined with official reports and the new legislation, an analysis is formed.

ABSTRACTBackground: People with colorectal cancer undergoing rectum amputation get a permanent colostomy, which affects the social life. It may be valuable for health care what these people experience living with colostomy in order to provide the greatest possible support. Objective: The aim of this study is to describe how people who received a colostomy experience their daily lives and the support they have received from the health services.Method: Qualitative interview study with six people, with a descriptive phenomenological approach.Results: The analysis of the interviews about how it's like to live with a colostomy resulted in three themes: 1) Living with a colostomy gives an uncertainty that affect the social life, 2) Physical and psychological impact of getting a colostomy and 3) Support for health care and relatives.Conclusion: Subjects had a positive attitude towards life, which contributed to that they could adjust to living with a colostomy and feel a meaningfulness of life. The study shows that all the interviewed people overall were satisfied with the information provided by the healthcare personnel. It was good with both oral and written information and very appreciated with repeated information. One aspect that could be improved was the information given aboute the closure of anus during surgery and the following complications.

Det är en unik upplevelse att bli opererad med lokalanestesi och vara vaken under ett operativt ingrepp. Patienten överlämnas till vårdpersonalen och är beroende av deras omhändertagande och kunskap. Kontinuerlig information under ingreppet samt ett gott bemötande från personalen kring patienten är avstor vikt för att skapa en trygg miljö och ge god omvårdnad. Syftet med studien var att beskriva patienters upplevelse och känslor av den perioperativa omvårdnaden när de var vakna under ett operativt ingrepp. Fyra intervjuer med konsekutivt utvalda patienter som genomgått operationen på sjukhus i sydvästra Sverige inkluderades i studien.

ObjectiveThe aim of this study was to explore nurses' experiences of informing relatives to critically ill patients in the intensive care unit (ICU).MethodThe study was descriptive with a qualitative approach. Nine nurses were interviewed. The study took place in a university hospital in the midst of Sweden. An interview guide was used, designed in consensus with the study questions. Data was analyzed via qualitative content analysis.FindingsMeeting and preparing relatives at the arrival at the ICU seemed valuable and led to safety and participation among relatives.

BACKGROUND: Previous research shows that many nurses feel that patients with borderlinepersonality disorder (BPD) are more difficult to provide care to than patients with otherdiagnoses. Experiences of these meetings with BPD patients are often negative. With thisbackground, a literature study was made in order to elucidate the patients' perspective. AIM:Compiling knowledge of how patients diagnosed with BPD experience their treatment and themeeting with health care professionals. METHOD: Through the databases PsycINFO andPubMed, twelve qualitative articles were selected and summarized in a literature study.

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.

Benämningen patient är ett kollektivt begrepp, som sätter sjukdomen och dess behandling i fokus. Hälso-och sjukvården har haft svårt att förändra sitt traditionella perspektiv där patienten betraktas längst ner i den hierarkiska sjukvårdsorganisationen. För att förändra det traditionella perspektivet så har ett nytt synsätt utformats där begreppet "patient" byts ut till "person". Personcentrerad vård började införas inom äldre- och demensvården, men tankar finns om att det även ska införas inom specialistvården. Syftet med studien var att utifrån litteraturen beskriva vad som kännetecknar personcentrerad vård ur ettomvårdnadsperspektiv.