During the latter part of the 20th century the situation for people with intellectual disabilities in Sweden changed and developed. Clients have the right to participation and self-determination in society and in applied measures under the law of individual rights legislation; LSS. The purpose of this study is to describe and understand how team-leaders and managers in day-centres in a municipality works with participation and self-determination for clients, and what the professionals consider affects the client's possibility to self-determination and participation. The research questions intended to be answered are:? How does the team-leaders and managers work to enable self-determination and participation of the users in the public day-centres?? What does the team-leaders and managers describe and understand as enabling and limiting factors for the client?s possibility to self-determination and participation?The study is qualitative and interviews have been held with eight interviewees, which I contacted through snowball sampling.

Bakgrund: Relationen mellan sjuksköterska och patient har genomgått stora förändringar. Från att patienten tidigare sågs som ett objekt utan egna resurser, till att idag ses ur ett holistiskt perspektiv, som en individ med styrkor, tillgångar och som är expert på sin egen person. Begreppet patientdelaktighet uppmärksammades år 1978 av World Health Organization i  Alma-Ata deklarationen och har sedan dess fått större utrymme i vården. Patienters lagliga rätt till delaktighet i sin vård är idag omfattande och det är vårdpersonalens skyldighet att informera och involvera sina patienter. Patienter idag ställer allt högre krav på sjukvården och det är en utmaning för sjuksköterskor att kunna förhålla sig till dessa.Syfte: Syftet var att belysa faktorer som påverkar patienters delaktighet i sin vård.Metod: En litteraturstudie baserad på elva vetenskapliga artiklar analyserade med induktiv ansats.Resultat: Författarna fann elva underteman som påverkade patienters upplevelse av delaktighet i sin vård.

ObjectiveThe aim of this study was to explore nurses' experiences of informing relatives to critically ill patients in the intensive care unit (ICU).MethodThe study was descriptive with a qualitative approach. Nine nurses were interviewed. The study took place in a university hospital in the midst of Sweden. An interview guide was used, designed in consensus with the study questions. Data was analyzed via qualitative content analysis.FindingsMeeting and preparing relatives at the arrival at the ICU seemed valuable and led to safety and participation among relatives.

Background: Sleeping is a condition that is necessary for all people because the body isgiven time to recover. Studies have shown that patients found it difficult to sleep during thehospital stay and it turned out to be several factors that disturbed the sleep during the night.The nurse should note the patient?s need for sleep and take into account environmental andother sleep disturbances to be able to implement nursing interventions. Purpose: The purposeof this study was to elucidate the factors that interfere with patient?s sleep duringhospitalization and nursing care to promote the patient?s ability to sleep.

For a woman who has been diagnosed with breast cancer, there can be many negative things that effects her life. It is a great shock that changes her life and can include a sense of lost femininity and a decreased sexual desire which can be both physical and psychological. The basis of this literature review is from 17 scientific articles which evaluate the changes in cancer patient's body image and sexuality during their illness and treatment. This study illustrates patient's experience of the nursing and difficulties which obstructs the nurse from talking about sexuality whit the patient. The study also showed that the patient had a desire to discuss these sexuality issues with a nurse..

According to the curriculum Sweden?s elementary school is to educate students in subjects such as "Listening, debating and argumentation". I ask myself if this is actually something that every student is being provided with. The purpose of this study is to gain additional information about children?s participation in the classroom.

This is a qualitative study with the aim of getting better knowledge and understanding of how people with mental illness experience having access to a public communication channel. The study builds upon qualitative interviews with four participants of a radio project called Radio Totalnormal (RTN). RTN is a community radio station where people with mental illness do radio. The study focuses on how the respondents describe the participation in the project and how it has affected their self-image. The analysis uses the concept of empowerment and four social psychological concepts: social responsivity, asocial non-responsivity, abstract sociability and concrete sociability.

The purpose of this thesis is to investigate how students relates to and perceives the schoolswork with the value base. To answer my purpose has been two studies conducted. The first study aimed at finding out students' perceptions regarding the content and concretization of the value base and on their perceptions of participation and retention of this work. This study was conducted using a questionnaire survey.The second study has aimed to highlight the approach embodied by the schools' plans and treatment plans. This sudy has been conducted trough a review of policy documents available on the websites of education departments, municipalities and schools.

Postoperativ smärta är en smärta som är förväntad av både patient och sjuksköterska. Mötetmellan sjuksköterska och patient med postoperativ smärta innefattar sjuksköterskans kunskap och fördomar om smärta, samt patientens känsla av utlämnande och upplevelse av smärta. Syftet var att genom en litteraturstudie belysa viktiga faktorer i mötet mellan sjuksköterska och patient med postoperativ smärta. Därtill två frågeställningar; Vad är viktigt för sjuksköterskan i bemötandet av patienter med postoperativ smärta? Vad är viktigt för patienten med postoperativ smärta i mötet med sjuksköterskan? Metod Litteraturstudie med Graneheim och Lundmans analysmetod som verktyg.

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   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..

Abstract:Objective: This study aimed at describing the health concept in the Swedish follow up programme for cerebral palsy (CPUP), with main focus on how aspects of participation is expressed in the agenda of the programme. Design: Document analysis: The home-page of CPUP was searched for three types of written material; references to the nature and aim of the programme, protocols used for data collection and abstracts from articles and reports on the list of publications. Within these all expressions of health, with bio-psycho-social understanding of the concept, were extracted and condensed with manifest content analysis. The meaning units obtained were linked to the International Classification of Function, Disability and Health ? Child/Youth (ICF-CY).

The study aims to investigate student participation as a tool for democratic development in secondary school from a student perspective. Furthermore, students' perceptions of the school's work with student participation in formal and informal contexts are also investigated, with basis in the teaching structure. The results are based on interviews conducted with students who all attend the same class in their last year of high school. Subsequently, an analysis is made based mainly on three different theories: democracy, curricula and sociocultural theory. The result shows that students feel that they are able to practice student participation but the amount of influence they get differs between individuals depending on devotion and commitment.

This studie is an investigation about pupilassets workningforms and participation at school. The basis of the studie are two ITiS-projects, whose workningforms investegates with qualitative methods in form of observations and interviews whit pupils and teachers. This investigation will accomplish to find out how the pupils see their participation at school, and also to investigate what pupilassets workningforms mean to teachers and pupils. Conclusions from the investigation are that a more pupilassets workningforms doesn´t exist continuous in the teaching and that the pupils see their increased participation in the work with the ITiS-project as something temporarliy. Some suggestions to further investigation into this area are to be found in the end of the paper..

This thesis focuses on the problems involving immigrants and their voting behaviour in Sweden. We presuppose that immigrants vote in a far less extent than Swedish citizen according to general statistics. We try to explain and give solutions to this problem. To our help we use both integration theory focusing on multiculturalism and electoral participation theories.Starting off in these two theories, we have further analyzed a number of policies issued to solve the participation dilemma. The policies were issued in order to elevate the socio-economic standards, inform citizens and close the distance between voters and politicians.Our results show that what work best is long term ventures aiming at integrating immigrants to the Swedish society.