Background: Every year 56 million people die around the world and it is estimated that 60% of these people are in need of palliative care. It has been shown that patients in the palliative care experienced their situation as uncertain. When life no longer was certain, the patients tried to live their life day by day and make the best of it. Problem: When patients were diagnosed with an incurable disease the future became unsure, because their life would come to an end. Therefore patients with a palliative diagnosis could be in need of experiencing feelings of security.

Patienter i livets slutskede behöver få en trygg sista tid och vårdas på bästa sätt. Som sjuksköterska är det viktigt att göra den sista tiden som patienten har kvar så meningsfull som möjligt. Palliativ vård syftar till att förbättra livskvaliteten för patienter och familjer där döden nalkas. Målet för den palliativa vården baseras på fyra hörnstenar; symtomkontroll, teamarbete, kommunikation och relation samt stöd till närstående. Förutsättningen för en god palliativ vård är en fungerande och bra kommunikation mellan personal, patient och närstående.

In the early 1990?s more and more companies of the Swedish public sector were exposed to competition, and this started the debate on how such actions might affect the business and even society.The first chapter examines how the public sector and especially health care, is financed and managed. We also explore what it means to be exposed to competition and find that there are many different ways of exposing the public sector to competition. The study examines dental care as an example of a market with both publicly and privately owned companies. The purpose of this paper is to explore how publicly and privately owned health care companies view their relationship with their consumers.

SAMMANFATTNINGBakgrund: När människan åldras så förändras inte bara kroppens utseende utan också dessnutritionsbehov. Äldre personer som är i kontakt med vården upplever att de inte får denhjälp de behöver med att anpassa nutritionsvården till sina individuella behov ochförutsättningar. När nutritionsvården inte kan anpassas till patienternas individuella behovså föreligger det risk för försämrad hälsa och ett ökat lidande. Patienterna upplever inte attsjuksköterskorna uppmärksammar deras upplevelser av nutritionsvården. Syfte: Syftet meddetta examensarbete är att beskriva sjuksköterskors upplevelser av att tillgodose äldresnäringsbehov.

This paper examines how companies in a transparent industry work to satisfy the customer in an extended way, to offer value added products that in the end enables the customer to be loyal to the company. We have studied the insurance industry in Sweden and have focused on five different insurance companies. Four of them, Folksam, Länsförsäkringar, Trygg-Hansa and Dina Försäkringar, where we have focused on Ölands Försäkringar which is part of the Dina Försäkringar group, are some of the largest insurance companies in Sweden. The fourth company is Swedbank which is a bank that has started to offer insurances.Our results demonstrate that it is important for the company to see the customer not only in a profitability aspect; the company has to find out what the customer gets in return. In that case the possibility for the customer to change company decreases and the chance that the customer becomes loyal increases.

Den palliativa vården syftar till att lindra fysiskt och psykiskt lidande och bevara den svårt sjuke patientens livskvalité under livets sista dagar. Sjuksköterskans kommunikation påverkar såväl patientens delaktighet och välbefinnande såväl som vårdrelationen dem emellan. En förtroendefull relation kan bidra till ökat välbefinnande för patienten i palliativ vård. För att främja delaktighet så måste sjuksköterskan kommunicera med patient och anhöriga. Den sociala kompetensen har stor betydelse och etablerandet av relationer ses som betydelsefullt, likaså förmågan att visa medkänsla samt att vara vänlig och trovärdig.

The aim with this study is to through a research summary review experiences of growth and theparents caring ability among children who has grown up with parents having intellectual disabilites,and by empirical data illustrate how these persons today describe their childhood, their parentscaring ability and other cicumstances that have affected the growth. The results from the researchsummary are then to be compared with the results from the empirical data in purpose to reviewsimilarities and discrepancies.The study has a qualitative approach and it is based on foundings from earlier research andinterviews with four women whos mothers have intellectual disabilities.In the existing research of this issue there is a clear dichotomy between whether the researchershave focused on either the children or the parents. In both perspectives there are differentconceptions about whether a person with intellectual disabilities have the capacity to care for andraise a child, as there is about how the parents intellectual disaparment affects the child.The womens stories of the childhood are obviously unique, but they also have many experiencesin common, both among themselves as with what has been found in research. Children of parentswith intellectual disabilities have been classified as a risk group, wich has been shown by reversedroles for child and parent, lack of attachment to the parents and by insufficient care. Despite thedifficulties that the women have faced, they describe many parts of their lives in positive termstoday.There seems to be other influences in addition to the parents intellectual capacity that affect theesechildrens outcomes.

Bakgrund: Personcentrerad vård är ett arbetssätt som nu implementeras i vården. Arbetssättet syftar till att se hela patienten med ett holistiskt synsätt. Att arbeta personcentrerat betyder att patienten ges möjlighet att inkluderas i sin vård. Delaktighet är därmed ett centralt begrepp för arbetssättet. Att öka delaktigheten för patienter som lider av schizofreni är en utmaning för den psykiatriska vården då sjukdomsbilden gör att patienten har bristande sjukdomskänsla.

Abstract: Elite soccer in combination with education is a unique and demanding task. The path towards a glory career in sports takes hard mental and physical training. The objectives in this study are 6 elite focused high school students studying high school education programs in combination with football profile. They are 3 of each gender. The purpose of the study was to find out more about their perspective of motivation and what makes them keep going towards a career in football in beside their education.The study is of empiric hermeneutic survey used qualitative method and interviewing to collect data.

The aim of this literature study has been to investigate the general nurse's knowledge of diabetes type 1 and its complications. The questions were: What does the general nurse need to know about diabetes type 1? What does the general nurse know about diabetes type 1? To answer these questions, a literature study has been done of 8 scientific articles. The theoretical reference study on which the study has been based is Gustafsson's SAUK Model for affirmative nursing care. The result shows that the nurse lacks knowledge in the nursing care of diabetes patients and this reflects the fact that little research has been done on diabetes mellitus type 1 in recent years.

Alzheimer?s disease has increasing effects on the Swedish population. Now, about 90 000 swedes have been diagnosed with the disease. Many of these persons are cared for by someone close to them. The aim of this study is to increase understanding for the situation and experiences of the persons caring for their affected partner and to examine which support they are given by the public sector.

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.

Ronden på en kirurgisk akutvårdsavdelning är en central del i vårdprocessen för patient och personal. Ronden sker dagligen och mötet mellan patient, läkare, sjuksköterska och undersköterska sker på kort tid och det sker snabba beslut. Syftet var att undersöka patientens upplevelse av ronden på en kirurgisk akut vårdsavdelning. Med utgångspunkt från detta så valdes det en kvalitativ metod med fenomenologisk ansats och intervjuer som datainsamlings metod. Efter analys av totalt 11 patienters upplevelser av ronden kom det fram tre kategorier med tillhörande underkategorier i resultatet.

Industrilandskapet is an area in central Norrköping who has undergone major changes during the 1900s. The area has in recent decades gone from being an important industrial area into a place that today is focused on knowledge production and visit activities. This study focuses on how four selected businesses in Norrköping look at the change that Industrilandskapet has undergone. The four businesses all have in common that they use and care of Industrilandskapet in both marketing and as a working place. The businesses are in this study represented by four informants who were interviewed with semi-structured interviews.The results from the informants are analyzed by support of theoretical points.

The ever-changing modern health care environment places high demands on leadership skills. The purpose of this study was to describe the causes that effect leadership within the health care services carried out in a municipality. Data was collected by interviewing four health care managers, three registered nurses, eight enrolled nurses and one auxiliary nurse. A qualitative approach based on a content analysis method was conducted in the analysis of the interviews. Latent content deals with relationship aspects and interpretation of deeper underlying meaning of text.