Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

Fibromyalgia is a chronic pain disorder. It affects muscles and connective tissue. It's a very complex disorder that has no adequate treatment or cure. The research has progressed but there are still some questions to be answered. Quality of life for these patients is decreased and leads to suffering.

Stroke is a widespread disease in Sweden. Nurses play a central part for those who suffer from a stroke irrespective of where in the care chain they meet. To be able to meet the patients? need of care the nurse must understand his/her lifeworld. Each and every patient is unique and the experience of being struck by a stroke depends on personality and life situation.

Fibromyalgia is a chronic pain disorder. It affects muscles and connective tissue. It's a very complex disorder that has no adequate treatment or cure. The research has progressed but there are still some questions to be answered. Quality of life for these patients is decreased and leads to suffering.

Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

Introduction: The conversation is one of the main components of the nursing process in psychiatric care. The preunderstanding on this research field is described based on theoretical concepts that together form the basis for understanding the study; nurse's role in psychiatric care, communication and caring relationship, as well as theories of the caring conversation and person-centered care. Research on the caring conversation as a theory and how it is experienced by patients existed, however, no research from the nurse's perspective was found.Aim: The aim of the study was to describe nurses' experiences of the caring conversation with patients in psychiatric open care units.Method: Qualitative research interviews were conducted with six nurses working in outpatient psychiatric care in the west region in Sweden. The interviews were recorded, transcribed and then analyzed according to the qualitative content analysis as described by Graneheim and Lundman (2004).Results: Four categories with related subcategories were distinguished throughout the analysis: The caring conversation, The importance of the care plan, Limitations and Caring based on the patients narrative.Discussion: An uncertainty about what caring conversation is and what it should contain creates uncertainty in the nurse's work. This results in a need for training for the individual nurse and the further research to obtain evidence for the importance of conversation in caring work.

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.

BackgroundPeople with psychiatric problems, despite efforts in recent decades still experience vulnerability. Patients with borderline personality disorder (BPD), where self-harm is common, often live in difficult and complex social relationships because of their illness. Additional knowledge and studies about mental illness, self-harm, dialectical behaviour therapy (DBT) and the therapeutic alliance are needed.Purpose and MethodThis study aims to examine how staff perceive and describe: DBT as a treatment method; the therapeutic alliance and the importance it has for treatment. The study utilises a qualitative approach with a qualitative content analysis method and presents earlier research on DBT and the therapeutic alliance. The empirical material consists of focus group interviews comprising three DBT - teams.

Background: Nurses´daily has to face death and dying in their work with patients in a palliative state.  This means both emotionell and workrelated challenges. However nurses in this context are not experiencing more stress then others.Aim: The aim is to describe nurses´experiences of caring for patients in a palliative state.Method: A litterature review based on ten qualitative articles published between 2006- 2012. To collect data we used the databases Cinahl, PubMed, Nursing Allied Health Source and Medline. We worked with Fribergs (2006) model ?Contribute to evidensbased care with a base in analyses of qualitative science? in the analysis.Result: Four main themes were identified; The meaning of the nurses´ spirituality in the care, Why the nurse choose to work in this field, To be certain in the professional role and The meaning of the caring relationship.

As a patient you can find a lot of information concerning health and diseaseson the Internet. Purpose: The purpose of my study is to gain a betterunderstanding of how physicians relate to well-informed patientsfrom the point of doctor's changing role in meeting the patient related to theweb-based patient information. Today's patients are turning increasingly tothe Internet before they visit their doctor, this is due to the electronic healthinformation is available 24 hours a day, 7 days a week while the regulardoctor usually have several weeks of waiting. Problems that can arise with theWeb-based information is that the patient does not have a medical educationto know whether the information is appropriate or not. Method: To explorethese questions, I decided to use both qualitative semi-structured postalquestionnaires and telephone interviews in which the physicians preferreddifferently.

Elective joint surgery increases for every year and the operations are associated with postoperative pain. Postoperative pain is a well known phenomenon and pain physiology and analgesics are well known by caregivers, but the significance of the interaction between patient and caregiver is not illuminated. There are still patients experiencing unnecessary postoperative pain. Among patients in elective surgery, 25% runs a risk for underestimated pain. The aim of the study was to describe patient?s experiences of nursing interaction in the context of postoperative pain during hospitalisation after going through knee- or hiparthropasty.

The topic of this paper is tuberculosis, especially in regard to the sanitarium movement and the efforts that were made to cure, ease and stop the spreading of the disease. The sanitarium movement was established in the late 19th century before any effective cure for the disease had been found. At this time the only treatment for the patients were fresh air, rest and good food. The paper analyses the case books for some of the patients at the sanitarium Lugnet which was situated close to the Swedish town Växjö in order to see if the treatment of the patients differed depending on gender. The result of the inquiry suggests that there were no difference in the treatment of men and women..

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.

The aim of this paper was to illuminate the effect of mentalizationbased psychotherapy. The patients in the survey group were interviewed before and after treatment with regard to specific symptoms of borderline personality disorder and symptoms of other personality disorders with the semi structured interviews ZAN-BPD and SCID-II. Open interview questions that were worked up in a qualitative manner were as well put to the patients that had received the treatment program. A focus group interview with the staff working with the concept within the frame of the MBT-team of Psychiatry southwest in Stockholm was also carried out. The result shows on a group level between the pre and post measuring a reduction of specific borderline symptoms like impulsivity and cognitive symptoms.

The purpose of this study was to describe patients? experiences when living with a venous leg ulcer in physical, psychological and social perspectives. The articles used to describe this condition were found in the databases: PubMed and Cinahl. Ten articles were included in the result: five with a qualitative approach, two with a quantitative approach and three with both qualitative and quantitative approaches. The results were presented through three headings: physical, psychological and social.