Author: Nancy Haglund & Liselotte IvarssonTitle: Care of older people in the future, about generations experiences and conceptions          [Translated title].Assessor: Jan Petersson This study examine generations in three different age?attitudes towards elderly care in the future. Today there is an ongoing debate in Sweden concerning the care of older people. The main focus in the debate is that there is cut down on personnel and resources in the care of the elderly. We have focused on the Kalmar region, since our intention is not to compare with other regions.

Aim: To find out what nurses at a hospital in central Sweden are experiencing as good care and what they believe is needed to achieve good care. To examine what barriers exist and how the work environment plays into good nursing care. Method: Descriptive and exploratory qualitative design with semi-structured interviews as the data collection method. Seven nurses, all women between the ages of 25 and 52 were interviewed at a hospital in central Sweden. An interview analysis model was used to analyze the results.

Background: For most children, being hospitalized is a whole new experience. The care should be safe and meet the children?s needs. In hospital care, children are a large group of patients. It?s important for them to be involved in decisions regarding their care and to get proper information.

Introduction: Our lifestyle habits affect our health and unhealthy habits are a contributing factor to disease. Health care is an arena that should work with health promotion. MI (motivational interviewing) is a method used in various forms of care to work with lifestyle. Aim: To map methods with intention to be used in Swedish primary care, to work with the lifestyle habits diet, physical activity, alcohol and tobacco. Method: This is a literature based study.

The proponents for conscience wants to get a clause that will allow the health professionals to due. scruples waive certain duties. Swedens decision makers has despite pressure from the Christian De-mocrats and the Sweden Democrats decided not to implement freedom of conscience in health care. The purpose of this paper is to investigate whether Sweden has the obligation to provide for freedom of conscience in health care. Furthermore, it must be examined, whose rights according to the law will go first, health professionals right to freedom of conscience or the patient right to equal treat-ment.

In the palliative care there are many close encounters between the care-taker and the care-giver. To be touched is foundational to every human being and the care-giver shows his presence to the care-taker, when he touch the care-taker. Touch is an important tool for the care-giver in the care for the care-taker. It becomes a natural way of communicating. The aim of this literature study was to describe which factors that are important, for the care-taker in the palliative care, to receive touch in the purpose of feeling well-being.

Background: Prediabetes is caused by relative insulin deficiency and insulin resistance in the body tissue which leads to abnormal blood glucose levels. Prediabetes can over time lead to type 2 diabetes mellitus. To prevent the onset of type 2 diabetes and its complications, it is important to identify early elevated blood glucose levels and thereby prediabetes.Objective: To describe nurses' knowledge and experience regarding the management of patients with prediabetes.Methods: Qualitative descriptive design with individual interviews. Three nurses, three community health nurses and three diabetes nurses were interviewed.Results: The result can be understood from the nurses' experiences of encountering patients with prediabetes. An overarching theme in the analysis was that the nurses are working or aspiring to work preventively.

 Syftet med denna studie var att undersöka hur stor del av ett dagarbetspass som sjuksköterskor på en medicinavdelning ägnar sig åt omvårdnad i relation till andra arbetsuppgifter samt sjuksköterskans uppfattning om den tid denne lägger ner på olika arbetsuppgifter. Metod som använts var observation av nio sjuksköterskor med avseende på tidsåtgång för sex fördefinierade arbetsuppgifter; administration, omvårdnad, läkemedelshantering, ansvarsområden, rond och rapport. Enkäter delades även ut till sjuksköterskorna på avdelningen gällande självskattning av tidsåtgång för arbetsuppgifterna samt instämmande till påståenden angående deras uppfattning om tiden räckte för de olika arbetsuppgifterna. Resultatet visar att sjuksköterskorna lägger ned mest tid på administration följt av omvårdnad, rond, läkemedelshantering, rapport och sist ansvarsområden. Omvårdnad utgjorde 21 % av den sammanlagda arbetstiden och de uppgav att de för närvarande inte har tillräckligt med tid för denna arbetsuppgift. .

Background: The number of older people is increasing in Sweden. The elderly patient often requires a more complex type of care, than younger patients. The concept of frailty is often used to describe individuals who have a high biological age and a decreased physiologic reserve which could be associated with acute illness and an increased vulnerability. Emergency medical care today is not suitable for elderly patients and adaptions for these elderly patients and the demands this places on the health care is necessary. Mölndal Hospital emergency department has around 42 000 visitors per year, many of the clients have a high age.

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

Palliative care is a care that focuses on providing end of life care but not to delay or hasten death. Despite training, nurses often show a lack of knowledge in attitude, ethics and healthcare issues of palliative care. The nurse in palliative care has a central role in caring of the dying patient and therefore a big responsibility. However, palliative care is a low priority in basic training. The aim of this study is to investigate the roles of nurses in palliative care and if there is a need for increased education in the subject.

According to the health care law and the national care guarantee, all individuals with mental illness have the right to good health care that is knowledge based as well as to rehabilitation where and when they need it. They also should be able to choose and have control over who is performing the care, including the design of these efforts. The purpose of this study is to investigate patients' experiences of general psychiatric emergency care and the cooperation between outpatient care, inpatient care and the municipality. This study is a descriptive cross-sectional study, conducted with a quantitative and qualitative method. The study is performed in collaboration with Akademiska Sjukhuset and is part of a larger quality improvement project.

Background: The majority of nurses experience work relatedstress, which can lead to a negative impact on patient care. Thestress can be handled by coping strategies. Aim: To illuminatecoping strategies among nurses experiencing work relatedstress. Method: The study has been accomplished as aliterature study, with a systematic review of scientific articles.Findings: Following coping strategies appeared: problemsolving, long-term strategies, passive strategies, leisurestrategies, social support and mental strategies. Conclusion:Awareness of coping strategies for dealing with work relatedstress, can lead to improvement in patient care..

AbstractThe purpose of this study was to describe the post-operative care during the three first days for patients who have undergone colorectal surgery according to ERAS care programs with a focus on the variables nutrition, elimination, activity, type of analgesia and the number of hospital days documented in the patient record and patient log books. ERAS means "Early Recovery After Surgery" and the purpose of the health care program is to accelerate recovery after colorectal surgery. The study had a descriptive design and a quantitative approach, in which 51 patient records were included. Log books and patient records were reviewed postoperatively. According to the log books estimated most of the patients, who had documented, that they ate and drank very good or good.

Background:Studies show that when nurses are experiencing problems in the care of non-Swedish speaking patients, it is often due to obstacles in the communication. Studies also show that a prerequisite for adequate care is that there is a basis for a direct communication. Nurses perceive interpreters as an important link to the patient when they do not share a mutual language, the nurses perceive interpreters as a bridge in the conversation.Aim:The purpose of the study is to describe nurses' experiences of the quality of assessments done with the help of an interpreter.Method:The study was conducted through interviews with ten nurses, working at psychiatric clinics. Qualitative content analysis was used for the analysis, which resulted in five categories.Results:The analysis resulted in one theme: "it´s the interpreter who tells me and have not the feeling that the patient has" and five categories: "shades of the language", "conversation structure", "the interpreter's competence", "interpreting implementing" and "the interpreter's gender and origin". The nurses experience working with interpreters as a challenge.