My aim is to find out about teachers? perceptions of methods concerning learning and assessment of oral proficiencies. My questions are: What perceptions are there among teachers concerning assessment of oral proficiencies? How do teachers describe their ways of promoting and assessing oral proficiency? In order to answer my questions and obtain data I have accomplished two focus groups interviews with seven language teachers. The result shows that teachers are concerned with several factors regarding assessment of oral proficiency.

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..

Aim: To describe nurses' experiences providing end of life care to patients. Method Descriptive literature study, 15 articles were included. The search was made in PubMed, CINAHL and by manual search. The articles were reviewed, analyzed and summarized. Results: For newly graduated nurses? experience in end of life care proved to be something new, developing, difficult to manage and frightening, but expected in the profession.

SAMMANFATTNINGBakgrund: Fo?r att patientsa?kerheten ska kunna garanteras vid en utskrivning fra?n slutenva?rden till kommunen a?r det viktigt att ra?tt information ges mellan instanserna. Det finns dock problem med kommunikationen vilket kan fa? olyckliga konsekvenser.Syfte: Att beskriva en patients utskrivning, fra?n slutenva?rd till kommunal omsorg, ur kommunsjuksko?terskors perspektiv.Metod: En kvalitativ metod med en explorativ design har anva?nts fo?r att besvara studiens syfte. Grundutbildande och specialistutbildade sjuksko?terskor fra?n fyra olika kommuner intervjuades till studien.

The aim of this study was to increase the knowledge about and deepen our understanding for people who are treated with dialysis in aspects of quality of life and coping strategies. The research questions were: How does the scientific literature describe quality of life and coping strategies from people?s perspective who are treated with dialysis? How does dialysis affect patients and their lives? How/what can the nurses do for people who are treated with dialysis to keep or improve their quality of life. The result is based on eight scientific articles and after interpretation of the result we found six themes that describes how patients have to restructure their lives to a new normal life, how they adapt to a life with dialysis treatment, how dialysis affect their physical condition, witch meaning does the family and others have, how they keep their self-esteem in relation to the dependence of dialysis treatment and which factors are associated with a long life with dialysis..

When a person arrives at the emergency ward at the Uppsala University Hospital with his or her symptoms he or she explains the problems and then a priority process starts. The staff evaluate at which emergency level the patient is located in a model called Triage. The Triage model helps to decide the priority need and is based upon templates which point out in which of the 5 categories a patient is to be placed, to eliminate any future risk regarding his or her health. A lower triage level means lower priority but implies better health when the evaluation takes place. To obtain optimal effect of the Triage model the evaluation of symptoms must be reproducible so that patients with the same symptoms are placed at the same triage level regardless of whom among the staff conducts the evaluation. The purpose of the study was to see if the resources are allocated based on priority level of the patients.

Introduction: Balance between the essential nutritive substances is important for aperson to maintain health. The surgical patient can be stricken with conditions, whichhave a negative impact on this balance and can lead to malnutrition. Working as a nurseit is important to identify patients that are malnourished or is in the risk zone ofmalnourishment since 30 % of all patients in hospitals are malnourished.Aim: The aim of this study was to examine the compliance to the guidelines fornutritional assessment and parenteral nutrition on a surgical ward. Also whether thenutritional treatment/-support was reported to the next caregivers if the patient wasmalnourished or was in the risk zone of malnourishment at the time of discharge.Method: 80 patients enrolled on the ward in the beginning of year 2011 were included.Audit of patient records was made according to the hospital guidelines for nutrition andparenteral nutrition and followed a study specific protocol.Results: The examination of the case records showed that the guidelines for nutritionwere partly complied with. Nutritional treatment/-support was reported to the nextcaregivers when needed.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

In this thesis, I discuss the impact Swedish national culture may have on Swedish diplomats. This is a qualitative study and I have used theories from studies of international negotiations to compare the oppositional results of those scientists with my interview material. With the help of my interview material from seven Swedish diplomats and five foreign diplomats I have compared their perceptions of Swedish culture, Swedish diplomats and their thoughts about the existence of an international diplomatic culture with well known sceientists of international negotiations. My main question is whether there is an international diplomatic subculture, without any national impact, or not. The mission is to base the thesis with earlier science and then compare and contrast with my interview material.

The purposes of litteratur review were to describe patients experiences of living with HIV/AIDS and and their expectations when in contact with care/healthcare. As theoretical frame has Antonovsky, A (1991) salutogenic model, sense of coherence been used. After analyzing the content of the litterature it resulted in 5 categories of experiences and 3 categories regarding expectations. The categories that regards experiences were, to feel frustration and dependance, to switch between hope and despair and suicidal thoughts, to be able to cope with the changing self and to feel social support. The categories that regards expectations were, to feel proffessionalism/competence, to get caring treatment and feeling secure, to feel engagement/individuality in caring.

ABSTRACTThe aim of the observation study was to examine the dental hygienists working tasks and the time they used carrying them out. Four dental hygienists where observed during four days each. The total time the dental hygienists used with patients during sixteen fulltime days come to a sum of 89 hours of the possible 111 hours. Twelve hours was late cancels and time when patients didn?t come to their appointment and ten hours were used for meetings.

The aim of this study was to describe home care personnel and their experiences in palliative care. The design was qualitative and data were collected through interviews. Five home care personnel were interviewed, all women, whom have experience of palliative home care.The material was then analysed with qualitative content analysis and eight main categories, derived from experiences of home care personnel, were identified: relationship, safety, quality of care, a better end-of-life, routine, information, knowledge and competence, and work environment. The result showed that all participants of this study identified themselves as family members of the patients whom they had cared for during a long period of time. Additionally, the participants were emotionally touched when the patient died.The majority experienced that the patients do receive good care in their homes.

Kritiskt sjuka patienter riskerar att utveckla malnutrition och ska erhålla nutritionsstöd i form av enteral nutrition (EN) och parenteral nutrition (PN). Trots att flödesscheman för EN används på många intensivvårdsavdelningar får patienter sällan 100 % av ordinerat kaloribehov. Syftet med denna studie var att utvärdera införandet av flödesschema för enteral nutrition på en neurokirurgisk intensivvårdsavdelning (NIVA). Som metod valdes en retrospektiv, kvantitativ studie. En granskning av journaldata från förgruppen (n =28), fem månader innan införandet av flödesschemat och data ifrån eftergruppen (n =20), fem månader efter införandet av flödesschemat har gjorts.

Aim: To investigate if physical exercise in combination with coaching will reduce pain and improve knee function in patients with mild to moderate osteoarthritis in the knee compared to physical exercise alone.Method: The study consisted of 42 patients who were randomized to either an intervention group or a control group. Both groups followed a standardized training program at home, but the intervention group received additional support with regard to the aim of their training, as well as extra coaching during the training period of ten weeks. A Visual Analog Scale (VAS) was used to evaluate the patients? pain. A 10 metre walking test, the Index of Muscle Function (IMF) and the Knee injury and Osteoarthritis Outcome Score (KOOS) were also used to evaluate knee function.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.