The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

The purpose of this study was to examine in which way personnel who work with LVM approach their client?s integrity, autonomy and their participation in decision making. We used a semistructured interview when we interviewed three social workers, one placement secretary and four care personnel who work at institutions for LVM. In the theoretical approach of this study we used the total institutions and the user influence by clients. The study has shown that personnel?s considerations to their client?s integrity, autonomy and participation in decisions are a convoluted problem.

The number of HIV- positive is increasing all over the world and it's very likely to meet these patients as a nurse. The interaction between the nurse and the patient is characterized by experience and knowledge and at the same time the nurse is expected to act professionally. The purpose of this literature review is to investigate the nurse's complex of problems regarding the treatment of the HIV- positive patient by exploring the attitudes against HIV among nurses and how the nurse can maintain the integrity of the HIV- positive patient. Antonovsky's salutoqenic model, sense of coherence, has been used as theoretical frame. From 14 articles five topics have been found that influence the nurse's attitudes against HIV-positive patients.

Background: Patients with borderline personality disorder represent a large group in healthcare who are struggling with painful emotions in life. Caring should be based on strengthening health processes by focusing on the patients, but research made by the patient's perspective has shown that this population rather felt that their health processes was counteracted, than promoted. The patients felt that the nurses displayed a negative attitude towards them. Attitudes are defined as a system of values, emotions and actions towards others. Aim: the purpose of this study was to highlight the attitudes and experiences of nurses towards caring for people with borderline personality disorder  Methods: A study on the literature based on nine scientific papers was performed. The articles have been analyzed, systematically coded and compiled into a new unit. Results: This study shows that nurses have an overall negative attitude towards patients with borderline personality disorder.

This thesis aims to describe the differences and similarities between a male dominated sector and a female dominated sector based on gender mainstreaming documentation as well as through interviews with people working within the sectors. The sectors that were chosen in this study were the fire department and the nursing and care administration of Växjö municipality. Both of the administrations? genders mainstreaming documents were subjected to content analysis in order to describe differences and similarities between the administrations. The analysis found that there were differences in approaches between the administrations were the nursing and care administration had aims of achieving a specified amount of men working within the administration, which the fire department didn?t have.

Background: In today's Swedish health care, it is required that the various professionals must work together in teams to safer care. Several professionals with various skills expected working together in the traumateam at the care of the traumapatient. At the same time, research shows that substandard teamwork leads to avoidable errors in care. One way to improve teamwork is to practice. Purpose: The purpose of this study is to shed light on the experiences of the traumateam exercises that exercise participants feel has been favorable for the patient at the initial care of trauma patients.

Background For patients in need for psychiatric care who refuse treatment, coercive care might be necessary due to The Law of Psychiatric Compulsory Care, LPT. The purpose of this law is to make sure the patient later on will be able to increase autonomy. The most frequent patients in coercive care suffer from psychosis, heavy depression or having high risk of committing suicide. One of the most important tasks in the nurse profession is to increase patients? autonomy.

Studiens syfte har varit att se vad sjuksköterskan i sin omvårdnad kan göra för att stödja barn i åldrarna tre till tolv år som är anhöriga till svårt sjuka föräldrar samt i samband med förälderns bortgång. Studien har genomförts som en litteraturstudie. Det har inte direkt forskats så mycket om sjuksköterskans roll vid bemötande av barn som är anhöriga till en svårt sjuk förälder. Den forskning som finns om barn fokuseras till stor del på situationer då det är barnet som är sjukt och föräldrarna är anhöriga. Vissa forskare har dock intresserat sig för stöd av anhöriga i stort.

No accidents or injuries should occur because of our public health care. It should be a place with high security and good quality in order to avoid this type of accidents. This is a tough situation when the public health care organization should have as good quality as possible despite savings. It is difficult for middle managers to improve patient safety in the absence of money.The purpose of this study is to explain the work with patient safety that middle manager perform during saving times. The perspective we will look into is how they work with patient safety as an ongoing change.

The aim of this study has been to create an understanding for the situation of an often forgotten group in foster care, the carers? own children. Our main focus has been the experience this group has of foster care, their experience of participation in caring for the foster children and their possible need of support and help. Our chosen method has been qualitative interviews with six adult children of foster carers, two men and four women. The theory used in this study has been Sense of Coherence.Our interviewees gave mainly a positive description of being part of a foster family even though they could give examples of difficult situation and of loss.

The purpose of this study was to illustrate the effects of music in pre-, peri-, and postoperative care. This study is a systematic literature study based on 22 scientific articles with quantitative methods. Music is an alternative treatment used in nursing care. Nurses could as a complement to routine pre-, peri-, and postoperative nursing have music interventions in mind, because an operation involves anxiety, fear and pain for many patients. The result of the study shows that music can reduce patients? anxiety, pain and improving their wellbeing and recovery.

Background: Many Swedish inhabitants origin from different countries with different cultures that may show pain in other ways than Swedes. The Swedish law stress that nursing care should be done individually according to the patient's capabilities and needs. Aim and Method: The aim of this study was to describe nurses´ experiences of encounters with patients from other cultures with pain, and also their next of kin. Qualitative interviews were carried out with seven nurses. The interviews were analysed with the starting point in Giger and Davidhizars Transcultural Assessment Model and the six phenomena: communication, space, social organisation, time, environmental control and biological diversity.

Background: Sweden is one of many countries which have a long history of immigration during the past decades. Each yearSweden receives numerous immigrants from different parts of the world, which has madeSweden to a multi-culture country.Aim: The aim was to describe nurses? experiences of encounters with patients from different cultures.Method: A literature-based study based on qualitative research, nine scientific articles were performed.Result: The analysis of the data resulted in four themes such as; insufficient communication, family members as a link to the patient, unfamiliar situation, and attentive to the patients? vulnerability with seven subthemes.Conclusion: For a well functioning encounter between nurse and patient from different cultures, a prerequisite is that the nurses establish a relationship based on good communication with the patient and relatives. This can prevent inequality, suffering based on lack of nursing, violation and misunderstandings..

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.

The aim of this study was to investigate nurse?s experience of working from the philosophy of palliative care in end of life at home. The study had a qualitative design. Semi-structured interviews were performed with nine nurses working in advanced palliative home care. The analysis of the material revealed four categories and two subcategories.