Each year over 3000 children in Sweden lose a parent. The loss of a parent may cause some grave changes in a child?s life, leading to both mental and physical consequences. The purpose of this literature study is to examine the different ways in which health care personnel can better receive and relate to children whose parents are dying or have passed away.Data was collected through such sources as Pubmed, Academic Search Elite and Cinahl, which resulted in the inclusion of sixteen subsequent articles, ten of which were quantitative and six of which were qualitative. Thirteen of the said articles illustrate how children act in response to a dying or deceased parent and what measures were needed for them to move on with their lives.

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.

Society has an obligation to offer parents support of various types, an example of such a support is ?parent support?. The purpose of this study has been to describe midwives and child health care nurses conceptions of the need for early parent support. The definition of early parent support in this study is the first two weeks after delivery. Since the 1970:ies the Swedish delivery and ?BB? care has changed in that the time in hospital care after delivery has been reduced from in average six days, till an average of two days.

Syftet med denna studie var att beskriva patientens upplevelse av besöket på akutmottagningen samt vilka faktorer som påverkade upplevelsen. Syftet var även att beskriva vilka faktorer som möjliggör och hindrar sjuksköterskan att arbeta utifrån ett omvårdnadsperspektiv. Studien genomfördes som en systematisk litteraturstudie där 10 artiklar granskades och låg till grund för resultatet vilket visade att patientens upplevelse och faktorer som påverkade upplevelsen av besöket på akutmottagningen var sjuksköterskans omvårdnad, väntetider, akutmottagningens miljö samt vårdpersonalens information och kommunikation. För att sjuksköterskan skulle ha möjlighet att arbeta utifrån ett omvårdnadsperspektiv krävdes vissa kunskaper hos sjuksköterskan, bland annat att ha bred kunskap inte bara i omvårdnad utan även inom medicinska sjukdomar, för att bättre förstå patientens situation. Att vara emotionellt involverad, känna ansvar, ta egna initiativ, vara öppen och lyhörd, genuint intresserad och involverad av patienten och göra det där "lilla extra" gjorde att sjuksköterskan kunde arbeta utifrån ett omvårdnadsperspektiv.

Background: Almost every 20th child is borne premature in Sweden, before the parents are ready to care for a new family member. The parents need to cope with the stress and anxiety of having their newborn child in the neonatal ward and influenced by nursing care of neonatal staff grow their parental role.Purpose: The aim of this study was to illustrate experiences of parenthood within the care of premature at the neonatal ward.Method: A review where 18 articles between 2000 and 2005 were chosen and examined. The articles were analysed according to VIPS, which facilitates the practical use of the result.Result: The study reveals that parenthood is experienced as a time dependent process with three phases, primary, secondary and tertiary, where the parent?s needs and experiences changed character. The parents experienced that they developed from passive to active in the care of the premature child when the neonatal staff guided their participation, gave information/education and support.

Bakgrund: Lex Maria är ett avvikelsehanteringssystem vars mål är främjandet av patientsäkerheten. All hälso- och sjukvårdspersonal har anmälningsskyldighet enligt Lex Maria. I samband med Lex Maria-anmälan ska händelseanalys genomföras och nya åtgärder tillämpas. Syfte: Studiens syfte var att sammanställa Lex Maria-anmälningarna från fyra akutsjukhus i södra Sverige mellan åren 2009-2011 och betydelsen för patientsäkerheten. Metod: Studien har en kvantitativ metod med retrospektiv inriktning.

Research show evidence for benefits of breastfeeding and that infant-feeding-plans are supportive. Family-centered care is the theoretical framework. Family support is crucial for successful breastfeeding. It is important that society creates opportunities for mothers to breastfeed and contribute information and support by healthcare professionals. The aim of this study was to evaluate how the midwives and child healthcare nurses found that the newest breastfeeding strategy influenced their breastfeeding- and rearing support in the County of Jönköping.

Patients with mental illness experience dissatisfaction with their care due to lack of understanding and ignorance from the nurses. The nurses? approach might influence these patients' experience of their care. The purpose of the literature review was to describe nurses' approach in care of patients with mental illness. The literature review is based on an inductive approach and the result is based on 14 scientific papers, of which eight used a qualitative design and sex used a quantitative design.

Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

International trade in services has increased over the past 30 years as a result of progress in information and communication technology, increased focus on services from the manufacturing sector and the establishment of trade associations.The international market for healthcare services, also referred to as medical tourism, is growing more and more. Patients increasingly seeking treatment at other countries healthcare systems because of long queues within their own country or because it exists better prices for the same care abroad. However, this type of service exports occurs at a limited extent in Sweden.The purpose of this study is to highlight and analyze the conditions for Swedish service companies to export healthcare services. This, includes the challenges and opportunities that exist to expand the exports of these services.The approach for this study has been in the form of interviews with two market actors and written responses, from the same interview guide, with three market actors. These market participants are the so-called Care companies which export healthcare services in various counties, and the membership organization Swecare who work with export promotion activities for its members in the Swedish healthcare sector.

The elderly care is an area of great importance to women. Women are more often in need of elderly care; they work with the service and provide a majority of the informal service. Research shows that managers? work-related prerequisites are significantly different between the male dominated technical administration and the female dominated care and educational administration. Studies also show that what the highest managerial organisation gives priority to, often permeate the whole organisation.

According to The National Board of Health and Welfare, about 200 000 elderly persons get some help or support with eating or nutrition problems. This was approximately 2 percent of the population. Older people in sheltered accommodation in community care were not able to manage their own nutrition. The older people were dependent on the food that was offered to them, when and how the food was served. This was a specific responsibility for the nursing staff.

During the last 20 years, the Swedish health care system has faced major changes. One of them is the increasing pressure to generate economic profit due to private businesses entering the market. Health care units are forced to make some structural changes in order to become effective and efficient. As a result merger and acquisitions has become a part of the health care sector, and seems to be an increasing phenomenon. Mergers and acquisitions have mainly been studied in the industry.

AimThe aim with this essay was to find out what the personal in the primary care of Värmdö have for attitude to work with physical activity in prevention and treatment of diseases, how they work with the method today and how they think about working with the method in the future. Following questions were in focus of the study: How are they working in the primary care of Värmdö today with physical activity in prevention and treatment of diseases? What is the attitude to work with physical activity in prevention and treatment of diseases? And how do they want to work with physical activity in prevention and treatment of diseases in the future?MethodThe study includes all doctors, nurses and physiotherapists in Gustavsberg and Djurö primary care in Värmdö. To get answers on the question of issue was a questionnaire handed out. 82 % answered, which means that 45 of totally 55 employed in both primary care units answered the questinnaire.Results44 of 45 asked reported that they give verbal advice about physical activity to their patients today.

Bakgrund: Sjuksköterskors bemötande påverkar patienternas välmående och i slutändan hälsa. Påakutmottagningar där tempot är högt och besluten snabba är det extra viktigt att ha med sig tanken om detgoda bemötandet. HSL, Socialstyrelsen och ICN:s etiska kod för sjuksköterskor tar alla upp olika aspekter avbemötande. Bemötandet är lika viktigt som vården för patienterna, men idag är det klagomål på bemötandetsom står för flest anmälningar till patientombudsmannen. Syfte: Syftet med arbetet var att beskriva patientersförväntningar på sjuksköterskor på akutmottagningar samt att belysa i vilken mån sjuksköterskorna leverupp till dessa förväntningar idag.