Anestesisjuksköterskorna har traditionellt sett betraktats som företrädare för prehospitalakutsjukvård utan att för den skull vara utbildade för detta vårdområde.Anestesisjuksköterskornas utbildning skall förbereda till ett brett kompetensområde somkan innebära ett vårdarbete såväl inom den hospitala som inom den prehospitalaverksamheten. Det prehospitala vårdområdet är ett komplext område som kräverspecifik kompetens. Anestesisjuksköterskornas specialistfunktion kan dock blibristfällig i den prehospitala vården då den utövas mer eller mindre sporadiskt. Frågorsom väcks är om det ens är möjligt att upprätthålla detta specifika kompetensområde omdet går lång tid mellan de prehospitala uppdragen? Hur bra är anestesisjuksköterskorförberedda för den förändrade ambulanssjukvården med fokus på ett brettbedömningsansvar för prehospitalt verksamma sjuksköterskor.I denna studie beskrivs anestesisjuksköterskors uppfattningar av sin yrkesroll inomprehospital akutsjukvård.

ABSTRACTBackground: The incidence of type 2 diabetes is increasing worldwide. Early intervention in form of medication, advice on self-management and lifestyle changes is necessary to avoid complications. Few Swedish studies are made on the diabetes nurse?s views on promotion of self- management.Purpose: To examine the diabetes specialist nurse?s experience of promoting self-management to patients with type 2 diabetes in primary care.  Method: A qualitative explorative study where eight diabetes nurses were interviewed. The interview guide consisted of semistructed questions concerning the promotion of self-management.Results: The diabetes nurse?s role in promoting patient self-management is significant, if resources are available in the form of adequate time for the patient and good team work.

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..

The purpose of this literature review was to find common factors for the persons who predispose to eating disorders. These factors shall help the nurse to recognise early signs of eating disorder behaviors. The literature review is directed to the nurse and will answer the issue: Which groups in the community run the risk of developing eating disorders? Furthermore, this knowledge shall lead to a better understanding of persons having eating disorders and be used as an aid in his/her encounter with these patients. The method was a literature review based on eight scientific articles, which were interpreted on the basis of the competence of the nurse.

Syftet med denna studie är att utifrån ett föräldraperspektiv undersöka behov av och önskemål om stödsom föräldrar med diagnos inom autismspektrum beskriver i sin föräldraroll. Ett annat syfte är att bidra med ökad kunskaptill en diskussion kring utformandet av stödinsatser för dessa familjer. Studien är kvalitativ med intervjuer som gjorts ihalvstrukturerad form. Åtta föräldrar har intervjuats. Föräldrarna beskriver att deras svårigheter gör det svårt för dem isamspelet med barn och partner.

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.

Pain and pain treatment constitute a huge part of the general nurses work. For that reason the nurse is required to have great knowledge about this area. The fact that our society is getting more multicultural increase the nurses demands even more, to understand and treat pain in patients of foreign cultural background. The aim of this literature review is to examine which culturally learned and trans-ferred valuations, norms and approaches that appear related to physical pain. The aim is also to examine the most appropriate ways for the nurse to show respect and to get more information about this cultural experience in the encounter with the patient.

Hypertension is one of the most common reasons for visiting primary care. It is one of the most important modifiable risk factors for cardiovascular disease, suffering and death. Lifestyle change, such as increased physical activity is the foundation of treatment of hypertension. Lifestyle change starts as a process in which patients can be helped by a nurse through conscious communication, educate and support increased physical exercise.AimThe aim of this study was to investigate the district nurse´s experiences of interacting with patients with hypertension about physical activity.MethodIndividual qualitative study. Ten nurses from health center were interviewed.

Background: In Sweden about 19000 people fall victims of sudden death every year. This covers around 20% of all deaths. Relatives are those who are closest to the patient, regardless of the type of relationship. When a patient suddenly dies this affects the relatives and they can suffer from high risk of complicated grief reactions or crises. Being the nearest professional contact in these situations, the nurse has an important role in supporting and guiding the relatives.Aim: The aim of this literature review was to nominate the relatives' needs of support from the nurse when a loved person suddenly dies.Method: The literature review was based on seven articles with a quality approach.Results:The analysis resulted in four themes; "to be seen and confirmed", "information", "take farewell" and "follow-up ".To be able to give support both mentally and physically, it is important for the nurse to give proper attention to the relatives.

Background: The abortion issue raises many ethical, moral and religious aspectsand is therefore well debated worldwide. In the care for an abortion seeking woman, it isimportant that the nurse find a balance between her and the woman's moral opinions aboutabortion in the quest to achieve good care.Aim: The aim of this study was to describe nurses? experiences of caring for womenundergoing abortion.Methods: Literature review based on ten original articles.Results: Literature review's results highlights two key themes: nurse?s experience of anemotional roller coaster as well as difficulties and challenging experiences at work inabortion care. These two themes consists of three subthemes: to get support in the workthrough to vent thoughts and feelings, how strain and stress affects the nurse's work and as anurse learn to accept the woman?s choice.Discussions: Within abortion care nurses find it difficult dealing with theemotional roller coaster that can occur while they strive to maintain an ethical andprofessional approach.

Vid prehospital patientkontakt är symptom och problem ofta tydliga, men ibland är det svårt att få en utförlig anamnes på grund av språksvårigheter eller medvetandepåverkan. Symptomen kan också vara diffusa och svårtolkade. Efter avlämnandet på mottagande enhet, vilket vanligtvis är en akutmottagning, finns det funderingar hos ambulansperso-nalen om vad som hände efteråt med patienten och om de kunde ha fått bättre prehospitalt omhändertagande. Syftet med studien är att beskriva ambulanspersonals behov av uppföljning av vårdade patienter.En enkät skickades ut till åtta ambulansstationer i Västsverige under våren 2008. Till-stånd från enhetschefen på respektive station inhämtades och personalen fick frivilligt delta i studien.

Background:Existential and spiritual thoughts are a big part of pallative care. The terms existential and spiritual can be understood in many different ways. It may mean thoughts about faith or thoughts concerning life and death. The nurse in palliative care need to have good communication skills, be responsible and be present and supportive in meeting with the patient.Aim:To describe the nurse's experiences of meeting patients' existential and spiritual thoughts in palliative care.Methods:A literature review based on 10 scientific studies have been done. The studies have been downloaded from the following scientific databases; Academic Search preimer, CINAHL Plus with   Full Text, and PubMed.

Background.Telephone advice increases the accessibility to health care and the streamlined work at primary health care centres. The goal of telephone advice nursing is to give the caller a correct advice, adapted to the caller?s situation, in order to reach correct care level. However, registered nurse?s telephone advice includes risks for misjudgement.

The study aimed to investigate the acute medical chain consisting of SOS operator, ambulance nurse, emergency nurse and emergency physician with regard to the assessment and prioritization of the victim.The design of this journal study is retrospective with descriptive approach. Data were collected from all ambulance missions carried out in Uppsala county 2009-01-01 between the hours 00:00 to 12:00. Sample period was chosen because the prerequisite for high frequency on the ambulance mission was supposed to be good. In order to be able to systematize the compilation of data a protocol were prepared and used. Applicable data were collected from three databases SOS Alarms, ambulance operations, and the University Hospital in Uppsala.

Bakgrund: Ambulanspersonal har en arbetsmiljö som skiljer sig från arbetsmiljön hos annan vårdpersonal. Miljön har betydelse för hur omvårdnaden förmedlas och för hur den upplevs av patienten. Syfte: Syftet med denna studie var att undersöka ambulanspersonalens erfarenheter av hur prehospital arbetsmiljö kan påverka möjligheten att utföra god omvårdnad. Metod: En kvantitativ enkätundersökning genomfördes på 2 ambulansstationer. Insamlad data sammanställdes via statistikprogrammet Statistical Package for Social Sciences (SPSS) version 19.0 och analyserades deskriptivt.