The aim of this study was to, using previously collected data from self-declared antisocial behaviour questionnaires, examine if the crime frequency has been different between adolescents that have either been referred to two different forms of open care in social service, child and youth psychiatric inpatient care or have been sent to Homes for Specialised Supervision. The criminality frequency and the most common crimes committed were compared between the study groups and further between genders in each particular study group. Statistical significance testing was used and the results of the survey revealed that juvenile delinquents that had committed severe criminal acts were represented in all four groups. The study group with adolescents in national care was the most different from other groups. These youths seemed to have had a lower crime frequency than the other groups with the exception assault and robbery.

With good knowledge about the disease and the treatment, the fear and worry of children and parents can be reduced. Children may be helped by painting to express their experiences. In order to have a good care, the care-personnel need to see and understand what the children need. It is important to live an as regular life as possible during the disease and its treatment. The aim of this study was to elucidate how children experience chemotherapy in conection with their cancer disease.

Bakgrund: När en person söker vård för sin diabetes typ II sker ett möte med sjuksköterskan. Mötet mellan patient och sjuksköterska utgör grunden för att en patient ska kunna skapa tillit och känna trygghet i samvaro med sjuksköterskan. Syfte: Syftet var att beskriva hur patienter med diabetes typ II upplever mötet med sjuksköterskan. Metod: En litteraturstudie som bygger på tio kvalitativa artiklar. Resultat: Genom analys hittades fem huvudkategorier: Att ta emot och förstå information, att ta emot stöd och bli motiverad, att våga känna tillit till sjuksköterskan, att vara delaktig i sin vård och att genom kommunikation skapa en relation med sjuksköterskan.

Middle managers in social care find themselves in a middle position. The middle management position involves demands from several interested parties. The demands affect and generate feelings both within themselves and within others and the middle managers have to deal with them all.The aim of this study was to investigate the social care middle manager?s personal experiences of emotions in work.We have completed interviews with four middle managers who are assigned to carry out social care. When doing the interviews we used an interview guide divided into different interview areas.

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

Studies have shown that stress is common in the nursing profession.Purpose: The aim was to investigate nurses' experience of stress in the work environment at the University Hospital in Uppsala and how nurses deal with this stress and whether the perceived stress experienced affect patient safety and in what way. Method: The study had a descriptive, qualitative design based on nine interviews. The selection criteria for the study was that participants were nurses and that they had worked at least one year within the profession and that they had experienced stress in their work environment. Data from the interviews was analyzed using the qualitative content analysis method by Graneheim and Lundman. Results: The analysis resulted in three categories: "Stress in the workplace?, "stress management" and "patient safety? and showed that all participants had experienced stress repeatedly in their workplaces.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Trough the contact with the HR (Human Resources) department of home care management in Halmstad municipality, emerged from the management a wish for a documentation for what should be included in leadership at middle management level in the future. People in middle management positions have a large impact on the operation staff and are also in charge of the individual corporate performance and its success. As we have previously been active in the management of multiple role configurations, including middle-management positions, we have some prior understanding of the complexity of this position. The study was conducted with the aim to investigate different aspects of what leadership for middle managers in home care management in Halmstad municipality may mean to them. With the help of different theories and models various aspects were analyzed due to the impact of leadership.Due to the studies purpose and questions, two focus groups was conducted and interviews with respondents from both the lower and superior positions in home care management in Halmstad municipality was done.

Bakgrund: Forskningen har visat att humor är ett socialt fenomen som kan ses som ett universellt språk. Den har visat sig påverka en rad faktorer positivt, däribland vårdmiljön, relationen mellan sjuksköterska och patient samt patientens hälsa. Humor är inte enbart positivt i en vårdkontext, däremot finns det tillfällen då den bör undvikas.Syfte: Syftet är att belysa användandet av humor i mötet mellan sjuksköterska och patient.Metod: Examensarbetet är en litteraturöversikt där tio vetenskapliga artiklar valts ut, skillnader och likheter har identifierats och slutligen sammanställts.Resultat: Resultatet består av tre huvudteman: Humorns inverkan på avdelningens vårdatmosfär, interaktion mellan sjuksköterska och patient samt humorns effekter. Under huvudtemat interaktion mellan sjuksköterska och patient hittades två underkategorier: kommunikation mellan sjuksköterska och patient samt förlorade tillfällen till humor. I huvudtemat humorns effekter hittades underkategorierna: humor som strategi samt humor som lindring.Diskussion: I resultatdiskussionen följer en diskussion där resultatet implementeras i Travelbees omvårdnadsteori, Human-to-Human Relationship Theory, men också hur ny forskning förhåller sig till resultatet.

Background: The Swedish population is aging [1] and malnutrition is a common problem among elderly people [2]. A method called food registration is used to monitor the patients? nutritional intake, with the purpose of reducing the risk of patients deteriorating in nutritional status during hospitalisation. However, the current method is not satisfactory and many food registration lists are incomplete. [3-6] Thus, patients do not receive a qualitative nutritional care since the assessment of the patients? nutritional status is based on incomplete documentation.Purpose: The purpose of this master thesis is to increase the quality in the nutrition monitoring process in the geriatric units B72 and B74 at Karolinska University Hospital in Huddinge, Sweden.

Studiens syfte har varit att se vad sjuksköterskan i sin omvårdnad kan göra för att stödja barn i åldrarna tre till tolv år som är anhöriga till svårt sjuka föräldrar samt i samband med förälderns bortgång. Studien har genomförts som en litteraturstudie. Det har inte direkt forskats så mycket om sjuksköterskans roll vid bemötande av barn som är anhöriga till en svårt sjuk förälder. Den forskning som finns om barn fokuseras till stor del på situationer då det är barnet som är sjukt och föräldrarna är anhöriga. Vissa forskare har dock intresserat sig för stöd av anhöriga i stort.

Bakgrund: Hot och våld är vanligt förekommande inom psykiatrin. Hur sjuksköterskan bemöter en aggressiv eller våldsam patient kan vara avgörande för om mer aggression eller våld trappas upp. Konflikter som kan leda till att hot och våld uppstår sker oftast i interaktionen mellan sjuksköterska och patient. Därför behöver hon kunskaper om olika faktorer som har betydelse för bemötandet av hotfulla eller aggressiva patienter.Syfte: Syftet var att belysa faktorer som har betydelse för sjuksköterskans bemötande i hot- och våldssituationer inom psykiatrin.Metod: Studien genomfördes som en litteraturstudie och resultatet är baserades på elva vetenskapliga artiklar.Resultat: I resultatet framkom tre kategorier som hade betydelse för sjuksköterskans bemötande i hot- och våldssituationer. Dessa var sjuksköterskans kommunikationsförmåga, relation till patienten och personlighet.Diskussion: Våldsincidenter inom psykiatrin kan begränsas om sjuksköterskan har kunskap om vad hon förmedlar genom sin attityd, kommunikation och känslor.

Today, palliative care is performed in several different areas. When the curative treatment is no longer effective the objective of the palliative care is to promote the best possible quality of life for dying patients, through an active and overall treatment. In their work nurses see death and the dying. To highlight and to reach an understanding of the significance of their work, this literature study's objective is, using Carnevali´s thoughts about health as a theoretical framework, to describe different aspects of nurses' experiences of working with dying patients within palliative care. Furthermore the occurrence of stress and possible stress factors will be examined, as well as the nurses' access to support and to established coping strategies..

The aim of the study was to look at a particular work group of housing supporters, whomhave implemented two special working methods in their work. The methods have been implemented by two of the housing supporters that also have special education in the methodsSOC (Sense of Coherence) and solution focused brief therapy. The study is based on anethnographic observation and analysis of documents that are used in the implementation. To analyse the information that was given at the observation and in the document I´ve used a theory which illustrates the significance of developing professions so their knowledge become legitimate. I´ve also used a theory that illustrates the importance of implementation and how it´s done at its best.

SAMMANFATTNINGBakgrund: Delaktighet, vårdrelation och kommunikation är tre centrala begrepp inomhälso- och sjukvården. Detta med tanke på att det är tre faktorer som kan få patienten attpåverka dennes hälsoprocess samt att kunna trygghet. Syfte: Att belysa sjuksköterskansförutsättningar och hinder för att skapa delaktighet i vårdrelationen med patienter närsamma verbala språk inte talas. Metod: Studien utgår från sjuksköterskans perspektiv ochbaseras på en kvalitativ analys utifrån Evans (2002) litteraturstudie. Resultat: Det somansågs vara förutsättningar för delaktighet kunde vara tolkens närvaro för skapandet avdelaktighet i vårdrelationen.