Background: Many cancer patients who get bone metastases live longer thanks to the successful research and development of medicines during recent years. Many studies show general health benefits from physical activity. For patients with bone metastases the possibility of physical activity perhaps should limit? Nurses at oncological units are often in lifelong contact with this group of patients. It´s therefore important to have knowledge about the bone metastases and how it influence the patient´s possibility of performing physical activity in order to support and encourage the patient to safely physical activity.Aim: To describe the patient´s possibility of physical activity with metastases to the bone.Method: A literature study.Results: The extension of the bone metastases shall be verified through X-ray.

This study is about care managers, who process in the care of the elderly, regarding to needs, rules, regulations, guidelines and their freedom of space. The purpose with this study is to understand how the care managers process out of the basis from the needs of the elderly, the municipal guidelines in relation to the caremanagers freedom of space.The study has a qualitative approach and is based on semistructured interviews with five different care managers.To analyze our interview material we have use the street-level bureaucrat theory by Lipsky and Johansson and the theoretical idea empowerment. Before we started our research about care managers we had an understanding in that the organization had an influence in the judgment of the needs of the elderly. Now we have an understanding in that the relative to the elderly is the one who wants to affect the care manager during the judgment of needs in what effort to make. Our study indicates that it exist insecurity regarding to the municipal guidelines, which was surprising. We thought that the guideline was something positive and a help full tool for the care managers.The result in our research points out that the guidelines makes insecurity instead of comfort.Our study shows that the care managers are contradictory regarding to their freedom of space. In the other hand they consider that their freedom of space is positive, but on the other hand when the municipal guidelines don´t work, they become worried and insecure.It´s the none working municipal guidelines who gives the care managers a huge freedom of space. Which leads to that the care managers is afraid of doing misjudgments. Our result don´t distinguish from other studies made in this subject area. .

What affect if an incident is reported?- an interview study with nursesABSTRACTEveryday in health care, there are incidents which can harm patients. However, reporting these incidents is not always a positive experience. The number of incident reports which are documented are a lot fewer than the number of incidents that actually occur. The purpose of the present study was to describe factors that affect nurses? decisions on whether to report an incident or not.

Background: Research shows that the nurse?s presence has a great significance for the relationship between patient and nurse. By this, the nurse can gain a greater understanding for the patient?s situation and thus have an opportunity to influence the patient?s health processes.Problem: Today?s focus on the technology and lack of time in healthcare can create a stress which can make it more difficult for the nurse to prove presence to the patient.Aim: To describe patients? experiences of the nurse?s presence in healthcare.Method: A qualitative approach, where Evans descriptive synthesis has been used. Eleven previously published qualitative, caring science, articles has been used in the synthesis.Results: The synthesis revealed two themes.

 The purpose of this study was to investigate registered nurses experiences about giving support to relatives to patients within palliative home care. This study was descriptive with qualitative approach. The data collection was made in the form of semi structured qualitative interviews which took place in a Swedish city of medium size, in an area for palliative homecare. Six registrated nurses were interviewed which all gave informed consent. The study suffered no losses and permission from the director of the concerned department had been given prior to the start of this study.

Death can be seen as a sensitive subject and can by that be difficult for many people to talk about. Working as a nurse can imply caring for severe ill and dying patients, which can be regarded as a task that makes great demands. The aim of the present literature review is to illustrate nurses' experiences of problems in association with the care of dying patients to be aware of these. Nine scientific articles were analysed and the result showed that the problems the nurses experienced could be related to four different categories: problems related to organisa-tion/resources, to the nurse herself, to the patient and to family members. The literature review also illustrates consequences of these problems for nurses, and which components that could simplify the nursing care of dying patients..

Att bli svårt sjuk eller skadad innebär, förutom det fysiska traumat, också att vi blir utelämnade till dem som skall vårda oss. För att patient och närstående skall uppleva trygghet i vårdsituationen är det viktigt att sjuksköterskan har förmåga att se och bekräfta patienten och de närstående i deras lidande. Syftet var att beskriva hur den vårdande relationen uppstår och kommer till uttryck mellan intensivvårdssjuksköterskan och patient/närstående. Syftet var också att belysa betydelsen av en vårdande relation. Studien genomfördes i form av en litteraturstudie, där 14 vetenskapliga artiklar granskades.

There are more and more elderly people and different diseases will affect them. How will the public care be able to face this need of care for the elderly? There are a lot that shows that there will be an increasing demand on the achievements of the relatives. How can this development be answered to? Shall the achievements be concentrated on giving support to the relatives, or will there be a concentration on nursing staff? The purpose of the study was to enlighten who elderly people will be nursed by if a disease affects them.

This study aims to find coping resources in two different paradigms of pastoral care using coping theory from the psychology of religion. The intention is to find coping resources that are functional coping strategies to help priests and chaplains in their work with pastoral care. The research questions are: What coping resources can be found in the pastoral clinical paradigm and the contextual paradigm? What are the differences and similarities? The method used is template analysis style where the theories form a framework for the material used to analyse in this study. The theories used for this study are religious coping theory and pastoral care theory.

The aim of the study was to describe how managers at the eldercare system especially in nursing homes work to ensure high quality care. For this purpose, a qualitative method was used in this study and four managers at nursing home have been interviewed. Previous studies have shown that managers in some cases are restricted in their actions and that this may slow down the improvement of the care. At the same time the managers describe their work as demanding and diverse. They have a significant staff responsibility, meaning that they have to ensure the quality of care.

Most of the stoma-operated persons must work themselves through difficult feelings. The task for the nurse is to deliver a care that promotes as much independence as possible. The aim of this literature review was to illuminate how the self-care agencies affect the well-being for the persons who are operated for stoma. A systematic literature study was done based on eleven scientific studies. Three categories, which describe how self-care agencies affect the physical, psychological and social well-being, are presented in the result.

BackgroundSexual health is affected by disease, dysfunction and disability but can also be experienced in spite of illness. To get a deeper knowledge of what the nurse does for the patients the background is written with the support of the holistic care and Katie Eriksson theoretical perspectives health and suffering.AimThe aim of this study is to describe the factors to why nurses do not prioritize patients' sexual health in the nursing care.MethodA literature review based on nine qualitative and quantitative studies focusing on the barriers perceived by the nurses to address sexual health.ResultThe result of this study showed that the barriers were many. Factors related to nurses unwillingness to talk to patients about sexuality and sexual health were difficulties in nurses' psychosocial work environment and lacking competence concerning sexual health. The fact that sexuality is a sensitive subject, factors related to the patient and that it was someone else's responsibility to raise the topic were other factors that made it difficult.ConclusionWe conclude that a stressed workplace where there is a lack of time and stress along with a poor education and uncertainty leads to no grasp of the subject and the problem slides between health professionals. Patients' sexual health remains untreated.

What affect if an incident is reported?- an interview study with nursesABSTRACTEveryday in health care, there are incidents which can harm patients. However, reporting these incidents is not always a positive experience. The number of incident reports which are documented are a lot fewer than the number of incidents that actually occur. The purpose of the present study was to describe factors that affect nurses? decisions on whether to report an incident or not.

Most of the stoma-operated persons must work themselves through difficult feelings. The task for the nurse is to deliver a care that promotes as much independence as possible. The aim of this literature review was to illuminate how the self-care agencies affect the well-being for the persons who are operated for stoma. A systematic literature study was done based on eleven scientific studies. Three categories, which describe how self-care agencies affect the physical, psychological and social well-being, are presented in the result.

Patients with mental illness experience dissatisfaction with their care due to lack of understanding and ignorance from the nurses. The nurses? approach might influence these patients' experience of their care. The purpose of the literature review was to describe nurses' approach in care of patients with mental illness. The literature review is based on an inductive approach and the result is based on 14 scientific papers, of which eight used a qualitative design and sex used a quantitative design.