AbstractThe purpose of this study was to describe the post-operative care during the three first days for patients who have undergone colorectal surgery according to ERAS care programs with a focus on the variables nutrition, elimination, activity, type of analgesia and the number of hospital days documented in the patient record and patient log books. ERAS means "Early Recovery After Surgery" and the purpose of the health care program is to accelerate recovery after colorectal surgery. The study had a descriptive design and a quantitative approach, in which 51 patient records were included. Log books and patient records were reviewed postoperatively. According to the log books estimated most of the patients, who had documented, that they ate and drank very good or good.

Hälso- och sjukvården är idag under stor förändring. Dagens sjuksköterska ställs inför kraven från den allt mer välinformerade patienten. Enligt lag har patienten rätt att vara delaktig i vården bland annat genom att läsa sin journal. Dagens sjuksköterska måste tillåta patienten att aktivt delta i sin vård. Som teoretisk utgångspunkt har Benners omvårdnads teori använts.

Bakgrund: Människors tillvaro baserar sig på relationer till andra och det är kommunikationen som utgör grunden för dessa relationer. Avsaknaden av ett gemensamts språk mellan sjuksköterska och patient upplevs som ett hinder för att ge vård av god kvalitet. På en akutmottagning träffar sjuksköterskorna, under en kort och intensiv period, ett stort antal patienter och gör en snabb bedömning och prioritering. För att det ska fungera måste sjuksköterskan förstå patientens kommunikation. Syfte: Syftet med studien är att beskriva sjuksköterskors kommunikation med patienter där ett gemensamt språk saknas, på en akutmottagning.

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.

Syfte: Att beskriva nyutexaminerade allmänsjuksköterskors upplevelser av att vårda patienter i livets slut. Metod: Författaren har genomfört en kvalitativ intervjustudie med beskrivande design. Undersökningsgruppen valdes ut genom bekvämlighetsurval och bestod av sju allmänsjuksköterskor som jobbat max två år som sjuksköterska. Det insamlade materialet analyserades utifrån en kvalitativ innehållsanalys. Resultat I analysen framkom sju kategorier. De intervjuade sjuksköterskorna beskrev en tillfredsställelse i arbetet med patienter i livets slut, vilket kunde dels bero på att de utvecklades i det jobb de gör, men det kunde också bero på att de fick uppskattning från patient och anhöriga. Trots arbetstillfredsställelsen som sjuksköterskorna beskrev kunde de även få en känsla av otillräcklighet i vårdandet av patienter i livets slut, vilket kunde vara en konsekvens av brist på tid och personal.

The intention of this study was to create an understanding of how multi-professional interaction could convert into inter-professional collaboration, which takes advantage of and acknowledges the individual professional identity. The intention was to understand the meaning of collaboration through the study of meetings between professionals who use different symbol systems. In particular, we wanted to study inter-professional interaction from a symbolic interactional perspective with a focus on Self, Identity, Symbols, Meaning and Professional community. The employed method was semi-structured interviews with ten questions. A convenience sample was used to identify working groups composed of different professions, such as teachers, social workers and therapy assistants.

Swedish studies have shown that more people than expected have problems with leg ulcers and that the yearly cost for treatment per patient is approximately 26 500kr. Since the elderly population is on the rise, there is a need to highlight this growing problem, to make sure that proper assessment tools are used and to improve the standard of care given to patients with leg ulcers. The aim was to show what a difference the nurse can make to patients with leg ulcers. With all types of wounds it is imperative to establish if there is any underlying reasons since certain illnesses can cause more wounds or delay the healing process. The doctor is responsible for making the diagnosis and to prescribe the correct treatment whereas the nurse?s responsibility is for the nursing care and its documentation.

The purpose of this study was to understand what the care recipients considering as care quality in their long-term eldercare. Our intention has been to contribute a bit to the development of the care work. Previous studies show that user surveys are carried out regularly but there is very few studies that are based on care recipients own opinions and experiences. The main questions in the study have been to examine what is considered as good elder care from a user perspective. Even to understand the characteristics of a good meeting with the care staff and also examine how the elder care in Nybro municipality can improve.

Introduction: The conversation is one of the main components of the nursing process in psychiatric care. The preunderstanding on this research field is described based on theoretical concepts that together form the basis for understanding the study; nurse's role in psychiatric care, communication and caring relationship, as well as theories of the caring conversation and person-centered care. Research on the caring conversation as a theory and how it is experienced by patients existed, however, no research from the nurse's perspective was found.Aim: The aim of the study was to describe nurses' experiences of the caring conversation with patients in psychiatric open care units.Method: Qualitative research interviews were conducted with six nurses working in outpatient psychiatric care in the west region in Sweden. The interviews were recorded, transcribed and then analyzed according to the qualitative content analysis as described by Graneheim and Lundman (2004).Results: Four categories with related subcategories were distinguished throughout the analysis: The caring conversation, The importance of the care plan, Limitations and Caring based on the patients narrative.Discussion: An uncertainty about what caring conversation is and what it should contain creates uncertainty in the nurse's work. This results in a need for training for the individual nurse and the further research to obtain evidence for the importance of conversation in caring work.

The purpose of this article is to explore the technologies of government that are created within gender disorder assessments as an institution. I have done so by utilizing Norman Faircloughs discourse analysing instrument ?communicative action?, which focus on the social institution as relational.The material is strategically chosen by gathering texts from the Swedish state, the psychiatric clinics, NGO:s and by performing interviews with transsexual patients.When analysing the communication of the main agents, I have concluded that practices highly are a result of repeating text and speech inside the institution. The psychiatric assessments can also be seen as an illustration in changes in how citizens are governed in advanced liberal societies, where the role of the state has been gradually reduced in favour of other agents.I consider that the change illustrates an ?acting at a distance?-mentality where the patient is introduced to participate in the definition of the care in what I call ?negotiation as a technology?.

The purpose with the essay is to illuminate four former clients? personal stories about the meeting with the authority in the Swedish welfare system and the institutionalization theywent through. The questions being asked in the essay focus on communication, the relationship concerning power and the former clients attitude towards the institutionalization as a treatment. Four interviews were held with former clients who were institutionalized sometime between the ages of 15-25. The results were then analyzed by theories focusing on communication as a way to gain power and how social interaction may influence the individual attitudes towards authorities.

In the 1970s and 1980s, Sweden held about 15-20 certified health resorts that wanted to improve peoples? health with vegetarian food and alternative medicine. This essay aims to explore the popularity of health resorts through a patient?s perspective. What did the patients look for at the resort, which they could not find in the official health care? A basis for the analysis is Bonnie Blair O´Connor?s theory of Health Belief Systems.

Syftet med föreliggande studie var att beskriva vad personer med diabetes anser inverka på deras möjlighet och vilja att följa egenvårdsråd (patientperspektivet) och att beskriva omvård-nad som stöder följsamhet (sjukvårdsperspektivet). Studien har genomförts som en litteratur-studie. Det visade sig att alla krav för att hålla sjukdomen under kontroll innebär livsstilsför-ändringar, som kan vara så utmanande för patienten, att han kanske inte kan eller vill vidta dessa. Bristande kunskap om sjukdomen och om dess egenvårdskrav kan göra honom dåligt emotionellt anpassad till denna, det vill säga han har inte accepterat att han har sjukdomen och han vill inte låta dess egenvårdskrav inkräkta på det sociala livet. Detta ger honom för-sämrade möjligheter att hantera sjukdomen på ett bra sätt.

The aim is to describe the factors that influence nurses' assessment and measurement of pain in patients. Literature study based on 13 reviewed articles, searched in the Cinahl. Qualitative and quantitative articles were analyzed. Six themes were identified that can be seen as the factors that influence nurses' assessment and measurement. The themes were   pain education, nurses´ experience in the profession, nurses´ level of knowledge about pain relief, documentation about pain, nurse´s perspective on the patient, and pain measurement.

SammanfattningSyftet med studien var att beskriva och belysa vilka faktorer som är av betydelse i sjuksköterskans omvårdnad och möte med patient med en annan kulturell bakgrund än sjuksköterskans egen kultur. Utifrån detta syfte var det främst följande frågor som lyftes fram: Vilka faktorer kunde ha betydelse i mötet mellan vårdpersonal och patient med annan kulturell bakgrund än vårdpersonalen egen kultur? Hur kan vårdpersonalen bemöta en patient med en annan kulturell bakgrund än vårdpersonalen egen kultur, för att denne skall känna sig respekterad och trygg?Metoden bestod i att aktivt söka efter vetenskapliga artiklar i databasen Academic Search Elite. 25 artiklar valdes ut.Resultatet visade att det är svårt att utforma en modell eller en riktlinje som kan beskriva hur mötet med patienter med annan kulturell bakgrund bör ske. Det finns olika faktorer som är beroende av varandras samverkan och utgör varandras förutsättningar.