Background: There has been a process of de-institutionalisation and mental health care re-forms in Sweden. Social services are, according to the law, responsible for helping persons with mental illness to live a life like others and to participate in the community. The aim of the study was to describe the culture in one of the social services adult day care center for social relations and activities in Stockholm. The aim was also to focus on the importance of the adult day care center for recovery and empowerment from the participants´ perspective. Methods Observations in the adult day care center were combined with four interviews with regular participants.

As a patient you can find a lot of information concerning health and diseaseson the Internet. Purpose: The purpose of my study is to gain a betterunderstanding of how physicians relate to well-informed patientsfrom the point of doctor's changing role in meeting the patient related to theweb-based patient information. Today's patients are turning increasingly tothe Internet before they visit their doctor, this is due to the electronic healthinformation is available 24 hours a day, 7 days a week while the regulardoctor usually have several weeks of waiting. Problems that can arise with theWeb-based information is that the patient does not have a medical educationto know whether the information is appropriate or not. Method: To explorethese questions, I decided to use both qualitative semi-structured postalquestionnaires and telephone interviews in which the physicians preferreddifferently.

Bakgrund: Femton procent av alla möten inom vården upplevs som besvärliga av vårdpersonal. Besvärliga möten inom vården har stora följdverkningar, inte bara för patienten utan även för vårdpersonalen. De ?besvärliga? patienterna riskerar att få sämre vård och bemötas med mindre respekt än övriga patienter. Besvärliga patienter är inte någon väl definierad patientgrupp utan karaktäriseras av en mängd olika egenskaper och symptom.

Hälso- och sjukvården är idag under stor förändring, driven av kraven på en mer gynnsam ekonomi och en högre effektivitet, där personalen samtidigt ska kunna bemöta förväntningar från en alltmer upplyst patient. När man lyfter fram kvalitetsfrågor kan vårdens brister och fördelar upptäckas vilket kan leda till förbättringar och förändringar. Syftet med arbetet var att belysa problemområdet patienttillfredsställelse utifrån ett patientperspektiv. Genom att se vad som anses viktigt för patienten i en interpersonlig relation mellan sjuksköterska och patient kan blivande sjuksköterskor öka sin medvetenhet för problemområdet och utföra sitt arbete med en större professionalitet. En ökad patienttillfredsställelse kan leda till en ökad kvalitet på hälso- och sjukvården.

Children's Need In Focus (BBIC) is a processing and documentation system used in child welfare cases to investigate, plan and monitor interventions. The BBIC has had a breakthrough in Sweden and out of the country's 290 municipalities, there are 284 that use the system daily as a tool in cases involving children. The purpose of this study was to examine how social workers experience the BBIC as a working system and what strengths and weaknesses there are in the BBIC concept. We wanted our study to examine how the BBIC could possibly enhance the quality of childcare matters, but also how the BBIC could potentially increase children's participation in cases. We have performed qualitative interviews with eight social workers who work in four different municipalities where the BBIC is applied daily.

The purpose of this work was to investigate the adherence to basic hygiene routines among staff and to investigate if there is any difference between the adherences in diverse professions. The purpose was also to study how staff rates their own adherence to current guidelines. Data for the study were collected through observations and questionnaires. Altogether 35 people were observed and 15 answered the questionnaire. Maximum adherence was found in the category of "hand disinfection after patient contact" with a score of 96%.

Denna uppsats studerar universitetssjukhus implementering och användning av måttet KPP, kostnad per patient, inom den interna ekonomiska uppföljningen i somatisk slutenvård genom en intervju- och enkätundersökning.  Syftet är att se hur KPP bör implementeras och användas. Slutsatsen är att sjukhusens ledning inte fokuserats på den strategiska och operativa styrningen med hjälp av KPP, vilket försenat utbredningen av den interna användningen. KPP-måttet måste vara tillgängligt för alla nivåer inom sjukhuset och speciellt för verksamhetschefer med ansvar för vården av patienter; goda IT-system är också nödvändiga. Tiden sedan KPP införts har påverkat den interna användningen..

Being a patient in intensive care can be experienced terrifying. Studies have demonstrated the link between unpleasant memories of hospitalization in the ICU and the development of posttraumatic stress disorder, depression, anxiety, and perception of quality of life in its aftermath. Placed on a ventilator, the patient is exposed to multiple invasive procedures. The aim was to describe critical care patients' experience of being intubated or tracheostomated. Method: Literature review using conventional content analysis.

Syftet med studien var att beskriva hur sjuksköterskor med invandrarbakgrund upplever främlingsfientligt bemötande från patient. Metoden vi har använt för insamling av data och analys är den deskriptiva fenomenologiska humanvetenskapliga metoden enligt Giorgi. Urvalet består av sju legitimerade sjuksköterskor med invandrarbakgrund som är verksamma inom region Skåne. Data har samlats in genom djupintervjuer. Resultat: Det centrala resultatet i studien beskriver att främlingsfientliga åsikter hos en patient kan ta sig uttryck på olika sätt och att informanterna varit allt från mycket ledsna till opåverkade av händelsen. Sex olika copingstrategier har identifierats. Det organisatoriska stödet efter händelsen anses av informanterna ha varit allt från mycket positivt till helt obefintligt.

Through a sociocultural perspectivethe purpose of this study is to investigate how preschool teachers look at quality development in preschool and how they perceive their participation in this development.I have used a qualitative method based on five interviews with preschool teachers from three different parts of Sweden. I used an interview guide with open questions. The interview answers were categorized in themes based on the responses which were most frequent. In the result I have been using an analysis based on these themes. The result showed that the preschool teachers consider that the leadership style affects their work.

Objective ? To study the requirement of nursing care of the equine patient during eye treatment with a lavage system together with a constant rate infusion pump. Procedures ? Three veterinary nurses at ATG: s Hästsjukhus in Skara were asked nine questions at individual interviews. Inclusion criteria for participation in the interview were that the nurse should have treated equines with and without the infusion pump to the lavage system, but also traditionally with eye drops. Results ? The equine had a higher well-being since it experienced less stress during eye treatment with the infusion pump compared to treatment given by hand through the lavage system. The treatment would be more effective with constant rate infusion and save costs for the owner.

Introduktion: Regionalt cancercenter (RCC) har i samarbete med Sveriges kommuner och landsting (SKL) beslutat att varje patient med en cancerdiagnos ska bli tilldelad en kontaktsjuksköterska.Syfte: Att undersöka hur väl implementeringen av kontaktsjuksköterskan har fungerat inom den onkologiska vården på Akademiska sjukhuset i Uppsala samt om de kontaktsjuksköterskor som finns arbetar i enlighet med SKL:s definition.Metod: Kvalitativ metod med semi-strukturerade intervjuer av åtta patienter med olika cancerdiagnos.Huvudresultat: Fem av de åtta deltagarna blev tilldelade en kontaktsjuksköterska eller motsvarande när de fick sin diagnos, antingen i direkt samband med diagnosen eller i ett senare skede. Resultaten tyder på att de patienter som ingår i någon slags forskningsstudie upplever sig ha en kontaktsjuksköterska som underlättar för dem och även deras behandling. Patienter som inte ingår i läkemedelsstudier upplever inte att kontaktsjuksköterskan har arbetat enligt SKL:s definition.Slutsats: Forskningssjuksköterskor är den personalkategori som arbetar närmast definitionen av kontaktsjuksköterska. Brister gällande sjukvårdens tillgänglighet, förmåga att ge fullgod information samt att erbjuda anhöriga stöd har uppmärksammats. Ytterligare forskning måste utföras för att resultaten ska kunna bekräftas.  .

Objectives: The purpose of the study was to examine if a pre- and post-operative difference could be seen in self-reported pain disability and self-efficacy among patients undergoing surgery as treatment for spinal disc herniation in order to improve process of rehabilitation.Method: A quantitative and descriptive design was used. 10 patients awaiting surgical treatment for spinal disc herniation were included at Akademiska sjukhuset (The Academic Hospital) in Uppsala. Participation was voluntary and the selection was made by convenience. Data was collected using The Pain Disability Index and Self-Efficacy Scale by which the patient would estimate how hindered they felt because of their pain in everyday activities and their self-efficacy to perform everyday activities. This was done the day before surgery and two weeks after surgery.

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.

The purpose of this study is to discuss the use of social media by the Swedish Police for democratic purposes. The idea of citizen empowerment is closely related to the development of new communication technologies such as social media. Yet many studies indicate that governmental institutions rarely make use of the assumed potentials of social media.In this study, the democratic potential of social media is derived from Habermas normative concept of deliberative participation. Operational definitions emphasize discursive equality, interactive reciprocity and external impact. The analytical framework is combined with qualitative text analysis to highlight the conditions of interaction between representatives of the Police and citizens.In conclusion: the democratic potential of social media, from a Habermasian point of view, is to a significant extent neglected at the expense of its strategic advantages.