Aim: The aim of this study was to investigate nurses? experiences of communicating with patients with immigrant backgrounds regarding language barriers, patient relations and use of interpreter. Method: Eight persons participated in this study. Four registered midwives were interviewed in a focus group and one clinical lecturer with a district nursing background, one midwife and two district nurses were individually interviewed about their experiences. The content was analysed using a qualitative content analysis.

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.

Inom intensivvård bedrivs omvårdnad i en högteknologisk miljö. Flera av patienterna är i behov av andningshjälp i form av ventilatorbehandling vilket medför att patienten är sederad och har en endotrachealtub i trachea. Patienten kan inte själv utföra sin munvård och blir därför beroende av intensivvårdsjuksköterskans hjälp. Syftet med studien var att belysa intensivvårdssjuksköterskans erfarenhet av munvård av intuberade intensivvårdspatienter. Studien utfördes med en fokusgruppsintervju och analyserades med en kvalitativ innehållsanalys.

Background: Health care is a strange place for the patient. To make this enviroment as good as possible, would the patient be well informed. The patient has right to know if it is a bad mews and often he/she needs caring after the information. Nurse´s basic responsibility is caring, for her/him it´s important to prevent the shock for the patient that can appear. Aim: Describe the nursing staff responses to the patient, using the patient´s perspective in relation to bad news. Method: A litterture review has been made with nine articles. Current research materials that meet the study´s purpose has been applied in databases and analyzed.

Background: Effective treatment of patients with type 2 diabetes needs a good communication between nurse and patient. This creats a good relation and leads to a more effective patient education. Aim: The aim with the literature study was to describe how nurses trough patient education can achieve self-care for patients with diabetes type 2. Methods: Literature studies with both qualitative and quantitative articles were examined. Findings: The articles that were chosen for the results were sorted in the two categories relation and communication.

The two most controversial ends of life decisions are those in which physicians help patients take their lives and when the physician deliberately and directly intervenes to end the patients? life upon his request. These are often referred to as voluntary euthanasia and physician assisted suicide. Voluntary euthanasia and physician assisted suicide have continued to be controversial public issues. This controversy has agitated the minds of great thinkers including ethicians, physicians, psychologists, moralists, philosophers even the patient himself.

Caring for children at hospital with palliative care needs arouses different reactions in nurses and depends on what prior knowledge and experience nurses have. To besides shift focus from to care children palliative to care curative is further a strain and an emotional changeover. The aim of this study was to illuminate nurse?sperceptions about caring for children at hospital with palliative care needs, and how they shift focus of care between children with palliative care needs and children with curative care needs. The study has a qualitative approach and data were collected with interviews from two focus groups.

Title: The nurse's dilemma in psychiatric inpatient care - a balancing act between good and evil Objective: To describe the nurse's experience of relieving patient suffering caused by coercive measures on a closed psychiatric ward . Frame of reference : The results are discussed in light of Eriksson´s theory of suffering and caring relationships Method: A qualitative analysis based on focus group discussions Results: The analysis resulted in six categories, to protect the patient , to involve the patient , not to lose control , to remain , to justify compulsion , and to be touched . The results showed that nurses had the experience of being able to relieve the suffering of patients caused by coercive measures. It was also found that the nurses had a tendency to justify coercive measures , the more experience they had of performing these . Conclusion: The results describe that nurses have the experience and knowledge of how to relieve patients' suffering caused by coercion but also their experiences of performing these .

Background: The patient meets nurses in the emergency department that provide both nursing and has medical skills. The care that the patients are receiving should be individually adjusted. The care is shaped by the individual meeting with the patient according to the nursing theorist Orlando. There are large variations between the number of patients in an emergency department and it sets high demands on the staff, both physically and mentally. When the emergency department is highly loaded there is a priority for medical care and psycho-social and aesthetic aspects will have to wait.

Title: The nurse's dilemma in psychiatric inpatient care - a balancing act between good and evil Objective: To describe the nurse's experience of relieving patient suffering caused by coercive measures on a closed psychiatric ward . Frame of reference : The results are discussed in light of Eriksson´s theory of suffering and caring relationships Method: A qualitative analysis based on focus group discussions Results: The analysis resulted in six categories, to protect the patient , to involve the patient , not to lose control , to remain , to justify compulsion , and to be touched . The results showed that nurses had the experience of being able to relieve the suffering of patients caused by coercive measures. It was also found that the nurses had a tendency to justify coercive measures , the more experience they had of performing these . Conclusion: The results describe that nurses have the experience and knowledge of how to relieve patients' suffering caused by coercion but also their experiences of performing these .

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.

In the year of 2009 the conditions for managing primary healthcare in the region of Västra Götalandchanged. The decision was taken by the regional assembly and resulted in that the citizens since thenhave had the opportunity to choose which health care provider they preferto stay with. Along with thisdecision a new market for private health careproviders was established, which resulted inincreasedcompetition between the providers.In order to manage the competition, the health care providers arenow forced to be more efficient in their operations andalso to beeven more focused on their patients.Backa Läkarhusgruppen is an example of a private healthcare provider in the region of Västra Götaland.In the same way it is also an example of anorganizationin need of analysing their operations to seehowit can be further optimized to meet patient needs and expectations.The aim of this study is to analyse Backa Läkarhusgruppen?s organization and its operationsin the hopeoffinding suggestions whichwill improve the patient flow.To allocate and solve the problems thatBacka Läkarhus suffer from,an approach inspired by Lean Healthcare is used throughout the report.Some of themost significant problems that were identified within the organization are:?The synchronization of demand and capacity is inadequate.?Absence of standardized routines.?Absence of present leadership.To be able to improve the patient flow Backa Läkarhus needs to handle these identified problem areas.By synchronizing the staffing level in relation to the trends in demand a reduction in the patient?swaiting times and throughput time will be possible. Creating clear responsibilities and routines for thestaff will contribute to a higher degree of patient focus and thus lead to a more efficient patient flow.

The aim of the study was to investigate nurses? perception about patients? participation in medicine treatment and how to make the patient participate. A qualitative method was used and six nurses were interviewed. The nurses? perceptions of patients? participation in medicine treatment were characterized especially by patients having good knowledge about their medicines.

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.

Documentation in electronic journals is perceived as time consuming and sometimes technically difficult to handle, but also leads to an improved quality of care. Objective: The purpose of this study was to investigate nurses' perceptions of documentation with a focus on timing, technique and quality of care and whether any differences in these perceptions were dependent on age. Method: Quantitative descriptive cross-sectional study in the survey form, 28 nurses at a university hospital in central Sweden participated in the study. Regression analysis was performed with Spearman's rank correlation coefficient. Results: Electronic documentation takes 30 to 60 minutes for most nurses and half of them considered it a reasonable time.