Today is what you could call a golden age for technological development in health care. Technology is given a bigger role in healthcare and serves not only as a support for health professionals in their daily work but also as a tool for the patient. With the help of eHealth services, patients are becoming more involved in their own care. This improves patient?s knowledge about their health, which in turn contributes to higher motivation to perform self-care.

The aim of this study was to describe and understand parents? perspectives in aid assessment for children according to The Swedish Act (1993:387) concerning Support and Service for Persons with Certain Functional Impairments (Lag 1993:387 om stöd och service till vissa funktionshindrade, LSS). The study took place in the county of Kronoberg, Sweden, and was based on a total of nine qualitative interviews. Four interviews were made with parents? of children who has interventions according to LSS (1993:387) and five interviews were made with LSS case workers. In our study we saw that parents? perspectives often is the largest amount of information that case workers take into account when assessing aid and as a case worker you listen to the parents perspectives to capture the child?s and the family?s needs. It also came clear that the parents? perspective is not only about the child?s needs, but also includes the parent?s own needs and their family?s needs. The parents in the study felt that they made the decision about the choice of aid and considered themselves as the one who decides the family?s requirements. It turned out that treatment and understanding from the case workers was important for gaining access to the best help and making parents feel listened to. Parental responsibility was of great importance for the assessment, and it often led to disagreement between parents and case workers. During the study, we saw that power existed in the relationship between case workers and parents, but that it could be moved and changed during the time of aid assessment..

Background: Type 2 diabetes is a chronic disease that vigorously increases worldwide. The disease can affect the entire everyday life which usually results in major lifestyle change. The treatment consists largely of self care which the patient itself has great responsibility for. The nurses have an important role in supporting, guiding and teaching the patients. Since every patient is unique the nurse would benefit from an increased knowledge about the patients experiences of what promotes and prevents self care in type 2 diabetes. Aim: The aim was, from a patient perspective, describe the experience of what promotes and prevents a self care in type 2 diabetes. Methods: A literature review based on nine scientific articles gathered from the databases CINAHL plus with full text, PubMed and Medline.

Hjärt- och kärlsjukdomar är en stor sjukdomsgrupp och en av de största dödsorsakerna i världen. Att leva med livshotande sjukdom kan innebära känslomässiga och kroppsliga förändringar. Att inte längre kunna ta livet för givet och osäkerheten kring framtiden kan upplevas som skrämmande. Samtidigt som livshotande sjukdom kan bidra till en livslust att leva här och nu. Syftet med denna litteraturstudie var att beskriva individers upplevelser av att leva med livshotande hjärt- och kärlsjukdomar.

Humor har i omvårdnaden ingen erkänd roll som förhållningssättoch har sedan länge blivit förbisett. Humorns flerapositiva effekter för relationen mellan sjuksköterska och patientgör att detta är ett ämne som bör uppmärksammas ytterligare.Syftet med litteraturstudien var att belysa sjuksköterskansanvändande av humor i mötet med patienten för attstärka omvårdnadsrelationen. Studien genomfördes som enlitteraturstudie och är baserad på tio vetenskapliga artiklar.Resultatet visar att humor är betydelsefullt för att skapa ochunderhålla relationen mellan sjuksköterska och patient samtatt humorn alltid bör utgå från patientens upplevda situation.När humor används i omvårdnaden är det viktigt att sjuksköterskanhar i åtanke i vilket syfte humorn används så att hälsaoch livskvalitet främjas. Fortsatt forskning inom ämnetbör fokusera på att ta fram mer vetenskaplig evidens förhumorns effekt för relationen mellan sjuksköterska och patientoch även forskning på om humor kan användas merkonkret som omvårdnadsåtgärd behövs..

I have conducted a qualitative study were the aim was to understand how the freedom of choice act in eldercare is handled at a municipality level as well as a national level and the effects that can occur. The methods I have used for this study is a document analysis and semi-structed interviews.     I have conducted semi-structed interviews with three professionals in the eldercare organization in a large municipality in the south of Sweden, I have also conducted a phone interview with a representative from Socialstyrelsen. The professionals that I chose for my study was a chief of staff, an aid case worker and a person who worked in the municipality with the implementation of freedom of choice act.     The study shows that the work quality is expected to rise with the freedom of choice as a consequence of the customer and performer model and will give the caretakers a higher level of influence. The study also shows that the municipality will get a greater responsibility and the aid case workers will get extended tasks though they will have to inform the caretakers regarding the options and they will also be mediate between the caretaker and the performers. However the study also show concerns regarding rough traders whose aim is to make money and does not have the same rehabilitation agenda.     There are also concerns for those who can´t chose for them self though they will not be able to be a part of the freedom of choice act in the same way and that is something the municipality needs to work out a system for.

Bakgrund. Många patienter oroar sig inför kirurgiska ingrepp. Ett av orosmomenten är smärtan efter operationen. Smärtpåverkade patienter utsätts för ett lidande. Detta lidande bryter patientens naturliga förhållningssätt till den levda världen.

Undersökningens syfte var att beskriva äldre personers inflytande i relation till omsorgspersonalen kring måltidssituationen på ett särskilt boende. För att ta reda på detta genomfördes två observationsstudier vid måltidssituationen på ett särskilt boende. Vid samma äldreboende gjordes även fyra kvalitativa intervjuer med äldre personer. Mats Franzéns (2000) maktteori samt Per-Erik Liss (2004) definition av begreppet empowerment har använts vid analysen av det empiriska materialet. Resultatet av undersökningen visade att de äldre har ett mycket begränsat inflytande över måltidssituationen på äldreboendet.

Övervikt och fetma hos barn är ett växande problem i många delar av världen och innebär ett stort hot mot folkhälsan. Syftet med studien är att beskriva faktorer som inverkar i förebyggandet av övervikt och fetma hos barn.En litteratursökning utfördes i databasen Cinahl. Dessa sökningar gav elva artiklar vilket resultatet har baserats på. Studien har en deskriptiv design.De faktorer som har en förebyggande inverkan rörande övervikt och fetma hos barn var empowerment, sociala aspekter, föräldrarnas roll, kosten, träning och skärmtid. Att ge barnen bekräftelse och den kunskap som behövdes för att kunna vara medbestämmande i sin vård var av stor betydelse.

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

En procent av alla barn i Sverige föds extremt eller mycket för tidigt (före vecka 33). Dessa barn löper ökad risk för att drabbas av olika sjukdomar och funktionsnedsättningar. Föräldrar som upplever att få ett barn fött för tidigt möter många utmaningar både under barnets första kritiska tid, liksom senare. Forskning visar på ett särskilt behov av att stödja dessa föräldrar, så att de i sin tur klarar av att tillgodose sina barns behov.Syftet med studien var att få en förståelse för familjernas situation , liksom deras uppfattning av samhällets stöd till dem. En kvalitativ intervjustudie med elva föräldrar till extremt eller mycket för tidigt födda barn genomfördes.

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.

ABSTRACTBackground: The incidence of type 2 diabetes is increasing worldwide. Early intervention in form of medication, advice on self-management and lifestyle changes is necessary to avoid complications. Few Swedish studies are made on the diabetes nurse?s views on promotion of self- management.Purpose: To examine the diabetes specialist nurse?s experience of promoting self-management to patients with type 2 diabetes in primary care.  Method: A qualitative explorative study where eight diabetes nurses were interviewed. The interview guide consisted of semistructed questions concerning the promotion of self-management.Results: The diabetes nurse?s role in promoting patient self-management is significant, if resources are available in the form of adequate time for the patient and good team work.

Background: It is required that health care professionals continuously work with patient safety and quality improvements, and the skills of registered nurses are significant in this work. However, quality improvement also requires commitment and knowledge about how to improve health care and ensure patient safety. There is a lack of studies that highlights the importance of supportive functions for this work. Nurses in clinical settings can be utilized as facilitators that make things easier for other health care professionals who are engaged in quality improvement and patient safety. In order to gain understanding about the significance and needs of nurses with a role of facilitator, it is urgent to learn from their experiences of facilitating quality improvement in health care.Aim: The aim was to study nurses? experiences of facilitating quality improvement of nursing care, patient safety and multi-professional collaboration in health care.Method: Semi-structured qualitative interviews were performed with ten registered nurses who had experience of being in the role of facilitators.

Reumatoid artrit är den dominerande sjukdomen inom svensk reumatologi och i Sverige har cirka 0,5-0,75 % av den vuxna befolkningen denna sjukdom. Syftet: denna litteraturstudie belyser sjuksköterskans omvårdnadsroll och patientens upplevelse av sin sjukdom. Metoden: en litteraturstudie baserad på elva artiklar som uppfyllde kravet på vetenskaplighet. Resultat: sju subteman identifierades efter analysen av artiklarna utifrån delsyftena sjuksköterskans roll samt upplevelsen av att vara en reumatoid artrit patient. Resultatet visar att sjukdomen påverkar patienter fysiskt, psykiskt och psykosocialt.