Preoperativ oro ?r vanligt f?rekommande hos patienter och leder till lidande. Det ?r n?got som ger l?ngre v?rdtider, s?mre ?terh?mtning och kr?ver mer av sjukv?rdens resurser. Preoperativ oro p?verkar ocks? m?ngden anestesi som beh?vs och m?ngden sm?rta patienter upplever efter operation.

Bakgrund: Kompetensf?rs?rjningen ?r en stor utmaning f?r den svenska sjukv?rden, i samtliga av landets regioner saknas specialistsjuksk?terskor och det ?r brist p? erfaren personal. Kompetensbristen kan utg?ra ett hot mot patients?kerheten. Trots att satsningar g?rs f?r att fler sjuksk?terskor ska specialistutbilda sig ?r det inte tillr?ckligt m?nga som g?r det. Syfte: Att unders?ka grundutbildade sjuksk?terskors inst?llning till att specialistutbilda sig inom kirurgisk v?rd. Metod: En fokusgruppsstudie med 16 grundutbildade sjuksk?terskor fr?n kirurgiska avdelningar p? ett universitetssjukhus i Sverige.

Bakgrund: Levertransplantation ?r idag den enda botande behandlingen f?r patienter med palliativa leversjukdomar. L?nga v?ntetider och f?r f? donatorer leder till l?nga v?ntelistor och minskad livskvalitet hos personer i behov av levertransplantation. Sjuksk?terskans arbete att fr?mja h?lsa och lindra lidande ska str?cka sig genom hela patientens liv.

Bakgrund: Patienter som f?r palliativ v?rd drabbas ofta av olika symtom som kan inneb?ra lidande och f?rs?mrad livskvalitet. Andn?d ?r ett symtom som ?r vanligt f?rekommande vid flera tillst?nd i palliativ v?rd och prevalensen ?r h?gre bland patienter med exempelvis lungcancer och kroniskt obstruktiv lungsjukdom (KOL). Andn?d kan upplevas mycket obehagligt och har ofta ett n?ra samband med ?ngest.

Bakgrund D?lig munh?lsa kan leda till b?de lokala infektioner och allvarliga sjukdomar s?som stroke och annan hj?rt-k?rlsjukdom. Tandborstning prioriteras ofta bort i v?rdmilj?er och det ?r sjuksk?terskans ansvar att v?rna om f?rebyggande ?tg?rder. Teorin om Missed Nursing Care fokuserar p? orsaken till uteblivna omv?rdnads?tg?rder.

Bakgrund: Hj?rt- och k?rlsjukdomar ?r en av den moderna tidens vanligaste sjukdomar som kostar m?nga m?nniskors liv. Vid misst?nkt akut hj?rtinfarkt ?r tiden till behandling kritisk d? d?dligheten ?kar med 7,5 % f?r varje 30 minuters f?rdr?jning tills ocklusionen ?r ?tg?rdad. D?rf?r ?r det av vikt att tidigt ta EKG (elektrokardiogram) d? det ofta via EKG-bilden g?r att se hur akut hj?rtinfarkten ?r vilket i sin tur kommer styra den fortsatta handl?ggningen av patienten.

Today patients are more aware of their rights regarding their own care. They are more informed, more engaged and have more and individual requirements, which leads to increased demands for information and participation increases. The Health Act sets out the patients´ right to participation. Participation increases patient satisfaction with care, promotes healing and increases adherence to health care advise. The patient doesn´t always experience participation in their own care to the extent they wish, which suggests that nurse?s does not always succeed in getting the patient involved.

Bakgrund: Uterustransplantationer utg?r en ny behandlingsmetod som ?nnu inte ?r etablerad inom h?lso- och sjukv?rden. Syftet med ingreppet ?r att ?ka livskvaliteten f?r kvinnor med livmoderfaktorsinfertilitet. Kvinnor som lider av ofrivillig barnl?shet upplever ofta sorg, psykisk stress och nedsatt sj?lvk?nsla relaterat till sin infertilitet.

Background: Every day patient´s get isolated in hospitals as a consequense of infection control purposes. Physical isolation can result in lack of human contact and a new unknown environment for the patient. Those two factors can easily cause stress within the patient and create anxiety for the future. Aim: The aim of the study was to describe patient´s experience of being nursed in an isolation room. Method: The method that was used was a literature research, where earlier research findings were read and put together.

Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.Aim: The aim of this study was to describe, from an ethical point of view, how the patient?s autonomy could preserved at palliative care.Method: A general literature study where 11 scientific articles have been analysed from a qualitative checklist whereof the result has been discussed based on the principles of ethics.

The aim of the study was to investigate the importance of the interaction between the physiotherapist and the patient. Semistructured interviews were carried out with three patients and one physiotherapist. A qualitative design with content analysis was used. The data analysis led to classification of four categories. These were communication, confidence, expectations and participation.

Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.

AbstractBackground: Relation means the relationship between two parts. By creating a good relation between nurse and patient you can conduce a better caring. Aim: The aim of the study was to illustrate the relation within palliative care from nurse- patient perspective. Method: The study is a literature review where ten articles were analysed with qualitative content analysis. Results: The findings showed that knowledge, communication, continuity, silence and availability were the most important thing for the nurse in the relationship.

Background: Patients with leg ulcer suffers often of woundpain. Healthcare professionals will strive after having knowledge and understanding for how woundpain influences the patient's quality of life. Aim: The aim is to elucidate the patient's experiences of pain at venous leg ulcer and the effects on their daily life. Method: The procedure has been a systematic literature overview with a systematic search in different databases. The search resulted in nine scientific articles.

Bakgrund: Inom h?lso- och sjukv?rden ?r det vanligt att m?ta migranter och det finns ofta spr?kbarri?rer som f?rsv?rar kommunikationen. F?r att bryta denna spr?kbarri?r kan tolkar anv?ndas, men att anv?nda tolkar i v?rdm?tet kan ocks? ha konsekvenser. Syfte: Syftet ?r att belysa migranters och sjuksk?terskors erfarenheter av tolkanv?ndning. Metod: En litteratur?versikt har genomf?rts som baseras p? 10 vetenskapliga artiklar, varav 8 anv?nder sig av kvalitativ metodik och 2 anv?nder sig av kvantitativ metodik. Resultat: Resultatet sammanfattades i 3 huvudteman och 6 subteman; huvudtemat ?Informella tolkar? med subtema ?Familjemedlemmar och anh?riga som tolkar? och ?V?rdpersonal som tolkar?, huvudtemat ?Professionella tolkar? med subtema ?Anv?ndning av professionella tolkar i den kliniska v?rden?, ?Erfarenheter av tolkanv?ndning inom h?lso- och sjukv?rden?, ?Egenskaper hos tolken som p?verkar tolksituationen? och ?Tolkens professionella kompetens? samt huvudtemat ?Organisatoriska faktorer som p?verkar tolkanv?ndningen?. Resultatet visar hur olika faktorer p?verkar tolkanv?ndningen. Slutsats: Anv?ndningen av tolkar inom h?lso- och sjukv?rden kan ha olika konsekvenser beroende p? vilket typ av tolk som anv?nds.