Background: When a child ends up in a hospital the whole family will be affected. The family?s situation can be turned upside down and the daily life can be affected. The nurse needs to have a holistic approach when caring for the child and the rest of the family. For the nurse to be able to provide personalized information and care, they need a relationship with the child and family.

Studies show that older is an increased proportion patients in hospital and that it is a patient group that can be difficult to communicate with because of older patients' often multiple disease picture. Relatives to the patient can be help for caregivers in the communication and the care of the patient. The aim with the study was to examine relative's experience of participation, meeting/support, accessibility and information on a geriatrics rehabilitation care unit. The study had a descriptive design and was designed as a questionnaire study. It was implemented on one geriatrics rehabilitation care unit on the countryside in central Sweden, belong to Uppsala University hospital.

Death can be seen as a sensitive subject and can by that be difficult for many people to talk about. Working as a nurse can imply caring for severe ill and dying patients, which can be regarded as a task that makes great demands. The aim of the present literature review is to illustrate nurses' experiences of problems in association with the care of dying patients to be aware of these. Nine scientific articles were analysed and the result showed that the problems the nurses experienced could be related to four different categories: problems related to organisa-tion/resources, to the nurse herself, to the patient and to family members. The literature review also illustrates consequences of these problems for nurses, and which components that could simplify the nursing care of dying patients..

Postoperativ smärta fortsätter att vara ett stort och svåridentifierat problem. Omfattningen av okontrollerad smärta hos patienterna har inte förändrats märkbart de senaste decennierna. Sjuksköterskor tenderar att underskatta patientens smärta. Syftet med denna studie är att undersöka olika faktorer som påverkar sjuksköterskans sätt att bedöma postoperativ smärta. För att uppnå vårt syfte valdes litteraturstudie som metod.

Sweden became a member of the European Union in 1995. Consequently Sweden became obligated to implement the Working Time Directive 2003/88/EC (formerly termed 93/104/EC). At that time Sweden considered that their legislation already gave their employees as high level of protection as the directive prescribed. Instead they decided upon an adjustment of the collective agreements concerning working time. A particular EC-restriction was incorporated in the Working Hours Act (SFS 1982:673).

The aim with this study is to examine and analyze how the employees at two residential care homes for unaccompanied refugee children work with the children during their pending decision for asylum in Sweden. The purpose is to gain insight into the employees? daily work with the target audience and how they handle decisions with the children. The method to collect data is to carry 6 interviews with the employees at the residential care home. The interviews were semi-structured with purpose of letting the interviewee lead the content of the interview.

Sjuksköterskan har en viktig roll, vad gäller den postoperativa smärtbehandlingen och ansvarar för att smärtbehandlingen överensstämmer med patientens önskemål och behov. Kirurgiska ingrepp kan leda till långvarig postoperativ smärta som orsakar patienten förlängd vårdtid och begränsar individen i vardagen. Syftet med litteratur-studien var att belysa faktorer av betydelse vid smärtbedömning och dokumentation i samband med postoperativ smärtbehandling. Analys av 14 vetenskapliga artiklar sammanställdes. I resultatet framkom två kategorier: utbildning och erfarenhet, smärtskattning och dokumentation.

Sammanfattning.Bakgrund:Crush syndrome eller traumatisk rahbdomyolys är vanligt vid större naturkatastrofer som tex jordbävningar. Det kan också uppkomma när personer utsätts för tryck mot musklerna vid tex stroke, intoxikationer, byggnadsras, industriolyckor. Inom ambulanssjukvården i Sverige har vi inte någon behandlingsplan för detta tillstånd och därför kan det finnas en risk att dessa patienter inte får rätt omvårdnad.Syfte:Studiens syfte var att belysa ambulanssjuksköterskans omvårdnad vid risk för Crush syndrome.Metod:En litteraturstudie gjordes för att granska redan publicerat forskningsmaterial. Sökningarna gjordes i databaserna Cinahl och Pubmed. Fem artiklar inkluderades och innehållet analyserades med manifest innehållsanalys.Resultat:De patienter som riskerar att få Crush syndrom har följande symtom: skada på muskelmassa, förlängd kompression, komprimerad lokal cirkulation, puls >120 och onormal urinfärg.

The main question of this study is about how reorganizations influence on the mental social working environment for chiefs in municipal care. We want to find out how chiefs experience their mental social working environment in a reorganization. The method we used was a qualitative method. We interviewed eight chiefs in municipal care. The interview was done in two different municipalities, where we interviewed four in each municipality.

The purpose of this study was to examine the school counsellors and social service workers experience of how the child psychiatry manage their authority in the collaboration concerning children with mental health problems. The study was conducted using qualitative interviews with school counsellors, social service workers and one former employee of the Swedish child psychiatric care. Our results are divided into two themes: Collaboration and distribution of responsibility and Children who fall between the cracks. Examples of groups of children who according to our study are at risk of falling between the cracks are those who apart from mental issues have substance abuse issues or social issues, those whose parents are in a child custody dispute, children who are acting out and children with self-harm issues. The study also reveals that it's easier for children whose parents are active and knowledgeable to get help from the child psychiatric care and that it's a requirement for both parents and children to be highly motivated.There are established social hierarchs between agencies who partake in collaboration regarding children with mental illness.

The main purpose of the study was to analyse the well being of children placed in foster care for at least two years, in one sample municipality. An assessment was made of how the social service admistrated and took responsibility for these children in terms of schooling, physical and mental health. To further understand the situation of the children three areas of investigation were added concerning; teenage pregnancy, the mental health and mortality of the biological parents. To receive answers to those questions a qualitative interview method was used, with structured questions to social workers working with foster care. The author also studied journal notes and child investigations to receive a more comprehensive picture.

AbstractPain among patients in their final stage of life is a commonly occurring problem. Results fromthe Swedish Register of Palliative Care (SRPC) indicate that validated instruments forassessing pain are rarely used. Nurses' insufficient knowledge of pain and pain treatmentmethods may be a cause of maltreatment of patients who suffer from pain.The goal of this study was to determine whether training within the area of pain, painassessment and pain assessment instruments increases the use of validated pain assessmentinstruments utilized by nurses working in care homes for patients in the final stage of life inthe city of Uppsala.Method: A quantitative and quasi-experimental design was selected to perform the study.The intervention study that was used consisted of one training session where onequestionnaire was given before and one after the time of training. Register data were collectedfrom the SRPC given the question of pain assessment before and after the intervention.Results: The study showed that nurses more often used pain assessment instruments after thetraining session. The results also showed that nurses to a greater extent than before alternatedbetween the two validated pain assessment instruments that were introduced at the trainingsession.Conclusion: The results showed that when nurses at care homes are given training in the areaof pain and pain assessment they absorb and use the newly acquired knowledge in theirclinical work..

The overriding purpose of this graduate thesis is to evaluate if municipalities and county councils can deviate from the legislation of public procurement during procurement of customer choice agreements within the health and social care area. The intention of this Quasi-market is to provide the users with competition in terms of quality rather then the general principal rule of economic value.My conclusion results in a legal situation without rules of general procedure. So far the authorities make their own regulation in the field of customer choice agreements. The problem lies within the authorization of new contractors and their right to make an appeal against resolutions made by the authorities social care divisions.One solution is to legislate within the present law of public procurement. Another way to solve the problem is to create a lex specialis apart from the present public procurement regulation..

Syftet med denna systematiska litteraturstudie var att beskriva patienters upplevelse av livskvalitet samt sjuksköterskans omvårdnadsåtgärder i samband med cytostatikabehandling vid cancersjukdom. För att besvara studiens syfte har sökning efter artiklar (n=17) genomförts i databaserna Blackwell Synergy samt Elin@Dalarna. Följande sökord har använts i olika kombinationer; cancer, patients, experience, nurse care, quality of life, scale, instrument, chemotherapy och care. Resultatet visade att cytostatikabehandlingen hade både positiv och negativ inverkan på patienternas livskvalitet. Livskvaliteten ökade då symtom lindrades.

ABSTRACTBackground: People with colorectal cancer undergoing rectum amputation get a permanent colostomy, which affects the social life. It may be valuable for health care what these people experience living with colostomy in order to provide the greatest possible support. Objective: The aim of this study is to describe how people who received a colostomy experience their daily lives and the support they have received from the health services.Method: Qualitative interview study with six people, with a descriptive phenomenological approach.Results: The analysis of the interviews about how it's like to live with a colostomy resulted in three themes: 1) Living with a colostomy gives an uncertainty that affect the social life, 2) Physical and psychological impact of getting a colostomy and 3) Support for health care and relatives.Conclusion: Subjects had a positive attitude towards life, which contributed to that they could adjust to living with a colostomy and feel a meaningfulness of life. The study shows that all the interviewed people overall were satisfied with the information provided by the healthcare personnel. It was good with both oral and written information and very appreciated with repeated information. One aspect that could be improved was the information given aboute the closure of anus during surgery and the following complications.