Background:An increasing number of patients with an oncology diagnose will be seen in the future. The oncology care is complex and in great need of nurses with a high level of competence. There is a lack of previous research in the specialist oncology nurses competence and therefore knowledge of their skills can reveal an understanding of their competence.Aim:The aim of the study was to describe the competence of the specialist oncology nurse.Method:Four oncology nurses and two directors of oncology care were interviewed. The interview text was analyzed using qualitative content analysis.Results:The result showed that the oncology nurses had developed six different competences within different areas. These competence areas were assertiveness, patient-centered care, ethical and moral-, pedagogical-, to lead and develop- and theoretical competence.

Background: In studies about Romani people?s health, it becomes clear that the Romani inseveral countries have a poor health and avoid seeking health care.Objective: The purpose of this study was to explore Romani men's experiences of treatmentin the Swedish health care.Method: A qualitative interview study was conducted with respondents about theirexperiences in individual interviews. Seven male Romanis were elected with a purposefulsample. A content analysis by systematic text condensation on the data obtained was made asdescribed by Granheim & Lundman (2004).Results: The summed up impressions of the responses was perceived to be good, however,many men believe that the information is inadequate. Staff at the emergency department inUppsala should listen more to patients.

The aim of this study was to examine young men born between 1990-1995 with anorectal malformations (ARM) whom have undergone the new PSARP-operation starting in 1990, and how they experience their psychosocial and sexual health. The study also examines how they cope with their life situation and what their experience is of the health care and how they were responded to through out the years. This study is a qualitative research and consists seven semi- structured interviews with young men between sixteen and twenty years old. The analyses of this material resulted in three themes around which the study centers: psychosocial health, sexual health and the medical establishment and the informants thoughts about the proposition of counseling for themselves and other individuals born with ARM. The study shows that these young men have a good psychosocial health and a likely reason for that is good parental relationships and close friendships.

The purpose of this article is to explore the technologies of government that are created within gender disorder assessments as an institution. I have done so by utilizing Norman Faircloughs discourse analysing instrument ?communicative action?, which focus on the social institution as relational.The material is strategically chosen by gathering texts from the Swedish state, the psychiatric clinics, NGO:s and by performing interviews with transsexual patients.When analysing the communication of the main agents, I have concluded that practices highly are a result of repeating text and speech inside the institution. The psychiatric assessments can also be seen as an illustration in changes in how citizens are governed in advanced liberal societies, where the role of the state has been gradually reduced in favour of other agents.I consider that the change illustrates an ?acting at a distance?-mentality where the patient is introduced to participate in the definition of the care in what I call ?negotiation as a technology?.

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.

Alzheimers sjukdom är mycket vanligt förekommande sett ur både ett internationellt och nationellt perspektiv. Ungefär 90 000 personer har diagnosen Alzheimers i Sverige. För att sjuksköterskan ska kunna ge god och adekvat vård behöver patientens upplevelse av sjukdomen uppmärksammas. Syftet med denna studie var att belysa patientens upplevelse av första fasen vid Alzheimers sjukdom. Studien genomfördes som en litteraturöversikt där tolv vetenskapliga artiklar bearbetades och analyserades för att sedan utgöra resultatet.

Nursing care of persons having dementia diseases affecting the frontal lobes, sets special demands on the staff, but the knowledge about how to best tailor nursing care is sparse. The aim of the study was to illuminate possibilities and difficulties in nursing care of persons having dementia diseases with frontal lobe dysfunction and was carried out as a descriptive, qualitative study, based on a review of medical records and interviews with nursing staff (n=10) that was analysed with qualitative content analysis. The difficulties were related to the patients lack of inhibition and judgement, anxiety, agitation, reduced ability to care for physical needs, egocentrism, imbalance between rest and activity, and depressed mood. The possibilities were seen in relation to the nursing staffs professional encounter, characterised by being distinct and consequent, being a step ahead, being flexible and catch the moment, being calm and create a positive atmosphere, being close and trusting and being and doing together. To receive continuous feedback and support was a prerequisite for the staffs? engagement.

Background: More focus has been placed towards autonomy when it comes to care and in special towards palliative care. The purpose with palliative care is to relieve and support at the end of the life. When the patient has difficulties to communicate to those around him due to his illness it is hard to preserve the patients right of self-determination. It is very important to consider the patient as autonomous during the course of the illness. Different alternatives have been developed to preserve the patient?s autonomy such as dedicate a deputy or plan the care of the patient in advance.

Introduktion:Inför en kirurgisk operation spelar den preoperativa informationen till patienten en mycket viktig roll för att patienten skall känna sig trygg i en annars maktlös situation. Detta lägger stort ansvar på den person som genomför det preoperativa samtalet.Syfte:Syftet med detta kvalitetssäkringsarbete var att beskriva patienters upplevelser av den perioperativa processen samt upplevelser av den preoperativt givna informationen.Metod:Arbetet har en kvalitativ ansats där åtta patienter som opererats med colorektal kirurgi vid kirurgisk klinik ingick. Semistrukturerade intervjuer gjordes där alla intervjuer spelades in och transkriberades ordagrant. Insamlad data analyserades med kvalitativ innehållsanalys.Resultat:Analysen resulterade i fyra kategorier och nio subkategorier. Dessa redovisas dels i en tabell samt i en berättande text med citat från intervjuerna.

Syfte: Syftet med uppsatsen var att studera förekomst av postoperativt illamående (dag 0-3) hos patienter som genomgått en ortopedisk operation i narkos. Syftet var också att studera om kända riskfaktorer och typ av anestesiform kan relateras till uppkomsten av postoperativt illamående (dag 0-3).Metod: Studiens design var en prospektiv kvantitativ icke experimentell studie. Data samlades in genom en enkätundersökning bland ortopedpatienter som opererats under narkos och som uppfyllde inklusionskriterierna. Antalet svarande var 18 av 34 tillfrågade. Resultatet analyserades och sammanställdes deskriptivt i statistikprogrammet SPSS.Resultat: Resultatet visar att alla patienter som deltog i studien sövdes med en kombination av inhalationsanestesi och intravenös anestesi.

           AbstractAims: To explore whether and in that case how nurses question women in the psychiatric care about violence in close relationships and how nurses respond to women who have been exposed to domestic violence.Method: A qualitative descriptive interview study with twelve nurses from four psychiatric wards was carried out in Uppsala. Informants were chosen from a convenient selection. The interviews with semi-structured interview questions were recorded on tape, transcribed and analyzed with content analysis.Results: There is no routine to ask all female patients if they are victims of violence. It happens only in cases where the suspicion arises or is confirmed. It is individually whether and how the nurse asks the woman if she is subjected to violence in a close relationship, depending on patient and nurse.

Nursing care of persons having dementia diseases affecting the frontal lobes, sets special demands on the staff, but the knowledge about how to best tailor nursing care is sparse. The aim of the study was to illuminate possibilities and difficulties in nursing care of persons having dementia diseases with frontal lobe dysfunction and was carried out as a descriptive, qualitative study, based on a review of medical records and interviews with nursing staff (n=10) that was analysed with qualitative content analysis. The difficulties were related to the patients lack of inhibition and judgement, anxiety, agitation, reduced ability to care for physical needs, egocentrism, imbalance between rest and activity, and depressed mood. The possibilities were seen in relation to the nursing staffs professional encounter, characterised by being distinct and consequent, being a step ahead, being flexible and catch the moment, being calm and create a positive atmosphere, being close and trusting and being and doing together. To receive continuous feedback and support was a prerequisite for the staffs? engagement.

Aim: The aim of this study was to describe how immigrants have experienced nurse's attitude and how they would like nurse´s to care for them in the Swedish health care. Method: The authors have conducted an interview study with qualitative approach. The sampling method used was a convenience sample. The informants were recruited at a school after the authors received the principal's approval. Eight semi-structured interviews were performed with an interview guide for support.

Syftet med denna studie var att beskriva arbetsterapeuters erfarenheter av att genomföra hembesök tillsammans med äldre patienterna innan utskrivning från sjukhus. En kvalitativ metod valdes med semistukturerade intervjufrågor. Undersökningsgruppen bestod av nio arbetsterapeuter verksamma inom geriatrisk slutenvård i en storstadsregion i södra Sverige. Data analyserades utifrån en kvalitativ innehållsanalys. Analysen kom att resultera i fyra kategorier.

The main objective of this study is to divide a number of colorectal cancer cases into subgroups based on their molecular features using cluster analysis. The data used is supplied by a research group at Pathology, the Department of Medical Biosciences, Umeå University, and consists, after some preparation, of 455 observations which is a larger data set than many similar studies. The molecular variables that the clustering is based on are CIMP (CpG Island Methylator Phenotype), MSI (Micro Satellite Instability), BRAF- and KRAS-mutations. These are categorical variables and consequently the clustering method used is PAM (Partitioning Around Medoids) which is particularly useful with data on diverse variable level. The final analysis results in four subgroups that are represented by different combinations of attributes on the aforementioned variables.