SAMMANFATTNINGBegrepp som patientcentrerad vård och helhetssyn i vården verkar användas av olika yrkeskategorier, inom hälso- och sjukvård, vilket kan ur kvalitetssynpunkt kan resultera i oklarheter inom den kliniska verksamheten.Syfte: Syftet med studien var att ta reda på vilka likheter och skillnader begreppen patientcentrerad vård och helhetssyn i vården har i den vetenskapliga litteraturen. Begreppen söktes i databaserna CINAHL och PubMed.Metod: Den metod som används för att jämföra begreppen byggde på Segestens begreppsanalysmodell.Resultat: Det som främst skiljer begreppet helhetssyn i vården från patientcentrerad vård är den andliga dimensionens centrala roll. Resultatet visar även att ett patientcentrerat arbetssätt förbättrar ekonomiska resultat. Det är främst sjuksköterskor som använder sig av helhetssyn i vården. Patientcentrerad vård verkar användas främst av läkare men begreppet förekommer även bland sjuksköterskor.

The company Sound Precision has developed a new Line Array loudspeaker system (VHA-40). When using this system, their customers need computer aid to get the best possible sound-quality and control of sound levels for the whole audience. The aim of this thesis is to develop a truly useful sound quality simulator for the VHA-40. The system will help the sound engineers to position the loudspeakers for optimal sound by simulating loudspeaker configurations and visualizing the resulting sound quality and quantity. To solve this a human-centered design (HCD) approach is taken to implement a system that is truly useful for the users, meaning that they will use it more and hence deliver better sound for the audience.

The company Sound Precision has developed a new Line Array loudspeaker system (VHA-40). When using this system, their customers need computer aid to get the best possible sound-quality and control of sound levels for the whole audience. The aim of this thesis is to develop a truly useful sound quality simulator for the VHA-40. The system will help the sound engineers to position the loudspeakers for optimal sound by simulating loudspeaker configurations and visualizing the resulting sound quality and quantity. To solve this a human-centered design (HCD) approach is taken to implement a system that is truly useful for the users, meaning that they will use it more and hence deliver better sound for the audience.

Inom intensivvård bedrivs omvårdnad i en högteknologisk miljö. Flera av patienterna är i behov av andningshjälp i form av ventilatorbehandling vilket medför att patienten är sederad och har en endotrachealtub i trachea. Patienten kan inte själv utföra sin munvård och blir därför beroende av intensivvårdsjuksköterskans hjälp. Syftet med studien var att belysa intensivvårdssjuksköterskans erfarenhet av munvård av intuberade intensivvårdspatienter. Studien utfördes med en fokusgruppsintervju och analyserades med en kvalitativ innehållsanalys.

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.

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.

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.

The health care sector is one of the most information-intensive institutions in Sweden. Big investments in information technology have been made to ensure efficiency and quality within organisations in health care. This has led to high requirements in documentation and resulted in an increase in administration which gradually more often is done by nurses and doctors. A major problem is that it is difficult to gain access to the information recorded in all the different systems, which is their objective. This causes double documentation instead of being a support in follow-up performance.

BackgroundHandover occurs as a daily task for health care professionals in all levels of care. Handover between ambulance crew and emergency department staff stands for the first exchange of information about a patient?s condition. Different factors may impact the handover communication and make it vulnerable.AimThe aim is to highlight factors of importance at handover between the ambulance and emergency room.MethodA literature review of thirteen studies with qualitative and quantitative research approach. The purpose of this literature review was to provide an overview of the area.ResultsExperiences for health care professionals is that communication is important for patient handover between ambulance and emergency department.

Background: Children?s death is unexpected and unnatural irrespective of a long time of illness or a sudden death. Nurses working with palliative care of children experience a range of different emotions during the care. Palliative care is health promoting even though the purpose no longer is to cure. According to the nursing theorist Katie Eriksson health is possible to achieve even though the patient has got a deadly disease.

Aim: The aim of this qualitative interview study was to describe the nurse's professional role and the role as a patient during different time periods. Data were collected through semi-structured interviews, where respondents had a link to the nursing profession, either as a student, now working nurse or retired nurse. Method: The data were analyzed using a content analysis. Result: The older nurses believe that nurses today has a high status and is seen as a well-read and well informed person. Most respondents believe that collaboration between nurses and doctors has improved since past.

Objective: From the patient?s perspective describe communication difficulties, which can arise, and how they are handled in their contact with public health care and illustrate their needs of communication.Method: A study of literature was carried out to receive a background and an insight in previous research concerning the subject area. Twelve women with hearing loss was asked to complete a questionnaire, with open questions, regarding communication difficulties in health care situations.Sample: For the literature review, scientific papers were selected via the database, PubMed using relevant keywords. Seven were selected for closer review. For the survey study twelve women were asked to participate which ten of those responded.Results: The study of literature shows that communication difficulties occur in public health care between patients with hearing loss and the nursing staff.

Studies show that older is an increased proportion patients in hospital and that it is a patient group that can be difficult to communicate with because of older patients' often multiple disease picture. Relatives to the patient can be help for caregivers in the communication and the care of the patient. The aim with the study was to examine relative's experience of participation, meeting/support, accessibility and information on a geriatrics rehabilitation care unit. The study had a descriptive design and was designed as a questionnaire study. It was implemented on one geriatrics rehabilitation care unit on the countryside in central Sweden, belong to Uppsala University hospital.

Aim: The aim of this study was to describe intensive care nurses? experiences communicating with patients during mechanical ventilation.Methods/design: A qualitative interview study. Interviews where analyzed using descriptive content analysisSetting: Nine intensive care nurses from two different intensive care units were interviewed using a semi structured interview guide.Background: Past research has shown that patients during mechanical ventilation in the intensive care unit, feel very vulnerable and the helplessness of being unable to speak. These patients feels that they are completely dependent on the nurses and their competence. It has been shown to be very important that the patient feels included, acknowledged and respected.Results: The analyzed data resulted in a theme; through communication strive to preserve patients´ dignity and three main categories; create relationship to the patient, minimize patients´ vulnerability and don´t give up.

Background: A nurse who is working in the health care is expected to show the best side for other people. An emotional work demands a lot of the role of a nurse, when she has to deal with her feelings after the given situation to satisfy the patient.Aim: The purpose of the study is to seek understanding of what nurses perceive to be the essence of the emotional work in health care. The study also wants to understand what factors could affect the meeting both positively and negatively between nurse and patient in social interactionMethod: The study?s methodology is qualitative with phenomenological-hermeneutical approach to seek understanding of the six interviewed nurses lived experiences and the experiences of the emotional work.Results: The result has four main themes developed: Emotional management, to consider the patients existential needs, meeting the patient and to do something meaningful.Conclusion: The essence of the perceived emotional work for nurses is emotional transformation where the nurse changes her feelings by acting according to the situation in the meeting with the patient. It is important that nurses reflect in the work so they do not take their work home and become exhausted and burn out.Keywords: Emotional labour, emotional management, patient encounter, phenomenological-hermeneutical, existential needs, the essence, burn out.