Vårt syfte är att undersöka om och hur budgetens roll skiljer sig åt mellan en offentlig och en privat hälso- och sjukvårdsorganisationer. Vi har baserat vår uppsats och våra slutsatser på intervjuer, som vi gjort på Blekingesjukhuset i Karlskrona och S:t Görans sjukhus i Stockholm. Vi har gjort intervjuer på fyra till fem olika nivåer i båda organisationerna, för att få ett djup i vår undersökning. Vi har kommit fram till att det finns stora skillnader mellan det offentliga sjukhuset och det privata sjukhuset. Den största skillnaden fann vi vara budgetuppföljningen, men att det inte finns någon större skillnad mellan sjukhusen på lägre nivå, däremot på högre nivåer kan vi urskilja relativt stora skillnader.

Background: Mental illness is a growing public health problem which can cause significant disabilities and lead to poor quality of life. As primary care nurses often are the first to encounter these patients they need knowledge to be able to respond appropriately to this group.Aim: The aim was to describe how the sufferer of mental illness experiences the introduction to primary care. Method: The literature review was based on the results of 11 scientific articles which were analyzed with the inspiration of a metasynthesis method.Results: Four categories emerged: the experience of being treated like a human being, the importance of a therapeutic space, the experience of time and availability as well as the importance of competent personnel and the importance of continuity. Patients described different aspects deemed important when encountering nursing staff. Conclusion: Patients experienced that they received good care when they felt listened to and seen as individuals with their own thoughts and feelings.

The purpose with this essay is to investigate which factors that are decisive for nurses? propensity for incident reporting. The study uses a descriptive cross-section design. Included are nurses that works at a care unit and who have worked as a nurse for > 1than one year. The survey was sent out to all nurses embraced by the criteria within a subdivision at a hospital in the middle of Sweden.

The number of elderly in society is increasing and therefore the number of people with dementia. They continue to live in their homes longer, which also increases the responsibility of district nurses. The purpose of this study was to describe the experiences of district nurses to care for and have responsibility for the care of people with dementia in home care. The method chosen was a qualitative interview study. The method chosen was a qualitative interview study and content analysis was used for data processing.

Background: The relationship between advanced age, presence of illness and impaired functioning is well known. A large proportion of the elderly population has an extensive need of care and service and therefore need help from municipal care. Aging is a transition in life and also affects the person's identity and self image, making the person particularly vulnerable and challenging everyday safety. It is therefore of importance to gain knowledge about which factors at individual and organizational level that support a person-centered nursing care for the elderly so that caring responsibilities and staffing of nursing personnel may be scheduled based on need. Aim: This study aimed at describing dependency and care needs of elderly persons living in ordinary housing, sheltered housing and nursing homes.

Background: There has been a process of de-institutionalisation and mental health care re-forms in Sweden. Social services are, according to the law, responsible for helping persons with mental illness to live a life like others and to participate in the community. The aim of the study was to describe the culture in one of the social services adult day care center for social relations and activities in Stockholm. The aim was also to focus on the importance of the adult day care center for recovery and empowerment from the participants´ perspective. Methods Observations in the adult day care center were combined with four interviews with regular participants.

AbstractThis essay investigates what knowledge members of staff in day care centres for grown up people with disabilities have about Alternative and Augmentative Communication, AAC (in Swedish, Alterantiv och Kompletterande Kommunikation, AKK). Day care centres are working places for people with disabilities who do not have the possibility, caused of their disability, to work in ordinary works in the open market.To communicate with other people is a human right for all people even if you have a disability, even if you don?t have a spoken language or if you, because of your disability, have difficulties to understand a spoken language. When you don?t have a spoken language you need different ways to be able to communicate, make choices and take part in activities in the community.

Bakgrund: I dagens samhälle pågår ständiga debatter om genus i olika kontexter, diskussionen om exempelvis löneskillnader, barnuppfostran och vårdande utifrån genus är närvarande i media, i såväl TV som tidningar och på internet. Studier har visat på att kvinnor och män uppfattar vårdande olika samt har olika preferenser för hur vårdandet skall utformas ? sjuksköterskor bör därför vara genusmedvetna i mötet med patienten för att kunna ge genuskänsligt vårdande utifrån en personcentrerad utgångspunkt.Syfte: Syftet med denna uppsats är att beskriva patienters uppfattningar av vårdande ? ur ett genusperspektiv.Metod: Detta arbete har genomförts som en litteraturöversikt och har baserats på 14 stycken vetenskapliga artiklar som har analyserats med en kvalitativ designmetod. Arbetet är förankrat med utgångspunkt i Katie Erikssons teori om vårdande.Resultat: Resultatet utgörs av tre teman; (a) Kvinnor och mäns förväntningar samt önskemål för vårdande, (b) När förväntningar och önskemål ej tillgodoses samt (c) När förväntningar och önskemål tillgodoses. Olikheter mellan könen gällande uppfattningar av vårdande framkom främst vid missnöje.

Self- determination and autonomy of elderly people living in long- stay care homes is the forefront of discussion in the media and in society today. It examines the extent to which elderly people actually have the opportunity for self- determination and to what extent they have an impact and influence in their daily lives. A suitable way to look at how the quality of long ?stay care looks like is too look at the extent to which the user has self- determination. The aim of our study was to examine how self-determination appears in long- stay care homes. We also talk about in what way the officials perceive self- determination and how elderly identify and perceive their right to self- determination and the importance it has for the individual. The essay has been made with the help of interviews and surveys on a number of long-stay care homes in Skåne.

Background: The district nurse's competence description is comprehensive and sets high standards for a wide range of skills. The population's need for health care will rise according to life expectancy, lifestyle diseases and multi-morbidity increases. To graduate as a district nurse, 75 higher education credits are needed and after graduation, the district nurse must have developed both personal qualities and gained skills that makes it possible to work in primary care, child / school health care and home care. Aim: The aim of this study is to highlight the newly qualified district nurse experiences in developing professional identity and describe on how this development affects nursing.Method: In the pilot study a qualitative method with an inductive approach was used, and data collection was made by four semi-structured interviews. The interviews were analyzed using qualitative content analysis.

Background: Overweight in children is a growing problem around the world. Studies has shown that children suffering from overweight, are at a greater risk to remain overweight as adults as well. Child health care nurses have an important task by trying to motivate parents to better diet and exercise habits for their children. Previous research proves that overweight and obesity in children is a very complex problem which requires a good caring relationship between child health care nurses and parents.Purpose: The purpose of the study was to illuminate the experiences of child health care nurses of meeting parents of overweight children.Method: An inductive qualitative approach was used as method. The collection of data was conducted by using semi-structured interviews.

En god relation med barnmorskan kan öka den blivande mammans möjligheter till en positiv förlossningsupplevelse och minska risken för bl a medicinska ingrepp under förlossningen och postnatal depression. Ibland beskriver dock kvinnor förlossningar där de saknat inflytande och kroppslig integritet och särskilt tydligt kan detta bli hos invandrade kvinnor då såväl det kvinnliga könet som invandrarbakgrund är riskfaktorer för diskriminering inom hälso- och sjukvården. Med syftet att undersöka relationen dem emellan genomfördes kvalitativa intervjuer med invandrade kvinnor och förlossningsbarnmorskor. Intervjuerna analyserades utifrån en socialkonstruktionistisk förståelseram och resultaten indikerar att barnmorskorna utifrån felaktiga föreställningar om invandrade kvinnor kan beskära dessa på individualitet och inflytande och istället öka det egna handlingsutrymmet. I syfte att bättre möta det professionella uppdraget vilket inbegriper att understödja kvinnors inflytande över den egna vården bör barnmorskor i sin utbildning/fortbildning ges möjlighet att granska det negativa inflytande en essentialistisk förståelse av kön och ?ras?/etnicitet kan ha över vårdkvaliteten..

Syftet med denna uppsats är att genom patientjournaler undersöka hur mentalpatienter har behandlats vid Lunds hospital under åren 1879,1896 samt 1916. Det som undersökts är vilka personer som intogs för vård, vilka intagningsskälen var, vilken diagnos som tilldelades de intagna samt vilken behandling de sinnessjuka fick. Källmaterialet har bestått av patientjournaler från avgångna patienter och detta material finns på Arkivcentrum Syd i Lund. Metoden som jag använt mig av har gått ut på att gå igenom journalerna och undersöka vilka diagnoser som tilldelades de sjuka, hur långa vistelsetiderna var, kvinnornas ålder och civilstånd, vilka intagningsorsakerna var samt vilka behandlingar och mediciner som ordinerades. Resultaten av undersökningen räknades sedan ihop och sammanställdes i tabeller vilka ligger som bilagor i arbetet.

The intimate connection between autonomy and decision-making in applied health care, especially in various kinds of consent and refusal has taken center stage in medical ethics since the Salgo decision in 1957. Prior to that time, the physician?s supposedly moral duty to provide appropriate medical care typically surpassed the legal obligation to respect patient?s autonomy. The Salgo decision concluded that physicians have a legal duty to provide facts necessary for the patient to make an informed decision. "The doctor knows best" long ago was replaced with "The doctor proposes; the patient disposes." There is no legal obligation for the patient?s choice to be palatable to anyone, other than that patient himself/herself.

This study regards the Care of Young Persons Act, LVU, and the 2 § that focus on parent inability to care for their children. The assessment of parent ability to care for their children is performed by social workers in different municipalities. The law leaves room for interpretation concerning how to assess parent ability and therefore we found it interesting to study how social workers interpret 2 § LVU. The study?s aim was also to seek an understanding of how different categories, like gender, race, class and physical and psychical ability of the parents affect the assessment of their parenting ability, with a intersectional perspective.