Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

The release of Maja Lundgrens Myggor och tigrar in 2007 caused a large debate that mostly focused on whether the book should be seen as a true reproduction of reality or a work of fiction and if the author had made the right choice in writing about friends, family and famous Swedish persons in her book. About one year later Lars Norén published En dramatikers dagbok in which he also shares details about other people´s lives and, by placing the book in the genre of a diary, claims that it represents reality. The critics were easier on him, and more positive over all in their judgment of En dramatikers dagbok, and many were upset about how different the two authors and their books were received. Tofind out why controversial works are apprehended as controversial I have chosen to analyze Maja Lundgrens Myggor och Tigrar and Lars Noréns En dramatikers dagbok, independent of, as well as compared to, each other. While leaning on reception theory andtheories about different ways of reading as well as the autobiography as a genre I have asked myself the following questions:Which factors have led critics as well as the public opinion to speak about Maja Lundgrens Myggor och tigrar and Lars Noréns En dramatikers dagbok as controversial?What do the two books have in common and what separates them?How does the debate differ regarding the two books and what is the cause for that difference in reception?My essay shows that when reading an autobiography or a diary most people cannot separate the book from the author and the life that the book is a reflection of.

Background: Research shows that the nurse?s presence has a great significance for the relationship between patient and nurse. By this, the nurse can gain a greater understanding for the patient?s situation and thus have an opportunity to influence the patient?s health processes.Problem: Today?s focus on the technology and lack of time in healthcare can create a stress which can make it more difficult for the nurse to prove presence to the patient.Aim: To describe patients? experiences of the nurse?s presence in healthcare.Method: A qualitative approach, where Evans descriptive synthesis has been used. Eleven previously published qualitative, caring science, articles has been used in the synthesis.Results: The synthesis revealed two themes.

Every day in medical care the nurse and the patient meet, they are not just represented as the care giver and the care taker, but also as two unique individuals. The meeting is a very important part in caring and few studies have been made on this topic from the patient.s perspective. The purpose of this study was to describe the patient.s perspective on the meeting with the nurse. The study is a literature review, where articles have been reviewed, encoded, and then categorized. The result builds on our four main categories, confirmed as a unique indidual, the meaning of the information according to the patient, the humanistic side of the nurse, and the importance of humor in the meeting.

I mitten av 1990-talet närmare bestämt 1996 gjordes en film kallad Diary of a Camper. Filmen handlade om en person som satt och lurpassade på sina fiender i ett datorspel. Det som var speciellt med denna film var inte handlingen eller något fantastiskt kameraarbete. Nej det som var speciellt var det faktum att filmen spelades in i ett datorspel. Denna film anses vara startskottet för machinimakulturen som idag omfattar flera tusen utövare världen över.Det var personerna bakom Diary of a camper som myntade uttrycket machinima som är en sammanslagning av de engelska orden ?machine? och ?animation? alltså maskin och animation.

Background: Borderline personality disorder is a psychiatric diagnosis that one to two percent of the population and at least every fourth patient that have received treatment at a psychiatric clinic has been diagnosed with. BPD is most common in women between teenage and early adulthood. Purpose: The aim of this literature study was to emphasize the nursing care of patients diagnosed with BPD within different perspectives. Method: A literature study was conducted to get a deeper understanding for the nursing care of patients with BPD. The search for pertinent articles, answering to the aim of the study, was done in different databases.

Background: There are many possible reasons why a patient gets a stoma and in every case it?s of importance for the nurse to adjust nursing care, information and patient education from individual presuppositions. Problem: Patient education regarding stoma self-care is an important part of the nurse?s work within stoma care. The patient is depending on the guidance of the nurse and therefore it is relevant to illuminate the importance of education regarding gaining ability to perform self-care.

A literature study abot the patient´s experience of the meeting with the nurse.

Syfte: Studiens syfte var att undersöka samband mellan hur universitetsstudenter skattar sin fysiska aktivitetsnivå och hur de registrerar aktivitetsnivå med hjälp av dagbok samt att se om de kom upp i ACSM (American College of Sport Medicine) och WHO´s (World Health Organisation) rekommendationer.Metod: Studien hade en icke experimentell, deskriptiv och korrelerande design där 26 försökspersoner, två män och 24 kvinnor, rekryterades via anslag. De fick först svara på en enkät och därefter registrera sin aktivitet via en 7-dagars aktivitetsdagbok.Resultat: Studenterna ansåg inte att de hade en stillasittande livsstil och alla deltagare utom en ansåg sig komma upp till ACSM´s rekommendationer av fysisk aktivitet 30 minuter per dag av måttlig intensitet alla dagar i veckan. Trettiofem procent kom inte upp i WHO´s rekommendationer och av dessa överskattade 67% sin fysiska aktivitetsnivå. Sextiofem procent kom inte upp i ACSM´s rekommendationer och av dessa överskattade 94% sin aktivitetsnivå.Konklusion: Studenterna hade en låg fysisk aktivitetsnivå utifrån ACSM´s rekommendationer och majoriteten av de som inte levde upp till WHO och ACSM rekommendationer överskattade sin fysiska aktivitetsnivå. Det krävs dock mer omfattande studier för att dra några generella slutsatser då denna studie hade en skev könsfördelning och ett lågt antal deltagare.Keywords: Self-estimation, Perception, Activity diary, Physical Activity level, Overestimation. .

Previous research and patient complaints to the Swedish Patient Support Committee shows that there is a lack of substance in the patient-nurse relationship. This may suggest that it can be difficult for health care to live up to health-care law which requires it to be of good quality, based on dignity and respect and designed so that the patient is an active participant and can make their own decisions when it comes to their health care. For a better understanding of what a dignified patient-nurse relationship is, this study aims to clarify what the patient values as good patient-nurse relationship and describe how they have experienced the patient-nurse relationship during their stay at an emergency care department. The study is a descriptive cross-sectional study with a quantitative approach, where the population consisted of patients who were cared for at an emergency care department in the County of Västmanland, Sweden during 2007. The sample consisted of 93 patients which were asked to answer a questionnaire.

Swedish healthcare are in need of radical changes to meet the requirements from both the government and the patients to create organisational working methods that better support the patients through their healthcare processes. Digitalization of patient data has been going on for decades in order to increase participation and understanding among patients in their care processes. However, availability of information does not ensure understanding. Therefore, resources should be devoted to create conditions to enable participation. The purpose of this study is to explore how visualization of patient data in the patient?s journal can affect the consultation in the encounter between the doctor and the patient.

Magnetic resonance imaging (MRI) is a safe and painless diagnostic method. The patient may become concerned, suffer from anxiety and experience the examination as unpleasant. Detailed information and a good treatment can reduce anxiety and distress for the patient. The purpose of this study was to illuminate the patient?s experiences in connection to MRI, and to describe the patients needs for information and treatment.

Patients with heart failure have a high mortality and often readmits to hospital care, due to a lack of compliance in the treatment plan. Patient education on self-care provided by nurses is important in improving patient and clinical outcomes.The aim of this study was to describe effects of nurse led interventions of patient education for elderly patients with heart failure. Literature study based on nine quantitative scientific articles. The results shows that different nurse led interventions of patient education with patients with heart failure had positive effects on self-care management, quality of life, health related quality of life and hospital care. E-mail reminder to community nurses and telephone education shows to be the most effective patient education interventions.

Hos patient med inflammatory bowel diseases (IBD) har nutrition en central betydelse. Nutrition ska betraktas som en medicinsk behandling samtidigt som nutrition är ett av sjuksköterskans omvårdnadsansvar. Syftet var att belysa nutritionsbehovet hos patient med inflammatory bowel diseases. Resultatet baseras på 15 vetenskapliga artiklar. Resultatet visar att patient med IBD lider av malnutrition eller ligger i riskzon för att bli malnutrierad.

The perioperative nurse's primary responsibility is to care for the patient during the operation?s three phases; before, during and after. The communication between colleagues in the surgical department is increasing opportunities for safe care for the patient and a good dialogue with the patient can alleviate the concerns facing the unknown environment such as an operating theater. The pilot study was to investigate the surgical nurses' perceptions of conversations with the patient one year after graduation. To answer the pilot study's aim a qualitative interview study was chosen with a phenomenographic approach.