Background: People who is close to patients suffering from incurable diseases experiences both suffering and grief. It is hard to be there for someone and at the same time handle your own grief. This can create feeling of anxiety, stress and guilt. Problem: Near related persons might not accept the further loss of someone near, the hope remains until it is final. They may not know the whole width of the situation, not acknowledge to the patient or himself how it is going to end.

Title: Nurses´ Experience of Triage Process in the Psychiatric A & E Departmentfor AdultsAuthor: Miljatovic, MilosDepartment: School of Life Sciences, University of SkövdeCourse: Degree of Bachelor of Science in Nursing, Thesis in Nursing Care, 15 ECTSSupervisor: -Examiner: Brovall, MariaPages: 23Keywords: Triage, Nurse, Psychiatric A & E Department for Adults, Triage scaleBackground: In the beginning of 21st century some psychiatric A & E departments inSweden have introduced triage process and psychiatric triage scales. The aim was to meetthe growing numbers of patients with mental health problems attending psychiatric A & Edepartments, in order to shorten waiting and transit times.Aim: The aim of the study was to illustrate nurses´ experiences of triage process in thepsychiatric A & E department.Method: Qualitative empirical study was conducted.Results: Three categories were identified: Triage process creates confidence, Obstacles intriage assessment, Possibilities for improved patient care through triage process; and sixsubcategories: Aid and support in having an assessment tool, Sense of comradeship,Getting possibility to take answer and show the competence, Deficiencies with assessmenttool, Sense of inadequateness due to long waiting times to physician, Sense of ambiguityduring the triage process.Discussion: Safe triage process is needed to achieve quality care in the psychiatric A & Edepartment, thus it is important that nurses have adequate triage scale, and the resultssuggest that it is important for nurses to have an adequate triage scale which makes iteasier for nurses in nursing care..

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

Introduction: Urinary retention is a common postoperative complication associated with bladder distension. Permanent damage to the bladder affects the patient?s quality of life and may lead to a lifelong inability to empty the bladder and needs of self-catheterization with the risk of urinary tract infection. Bladder distension was classified as the fourth largest health care related injury in Sweden in 2013. Bladder distension may occur before the operation starts and is more common among orthopedic patients.

ABSTRACT Introduction: During the past 40 years the ambulance service in Sweden has evolved from mainly being a source of transport to today?s high-tech caring facilities that enable qualified care to start already in the patient?s home. This first level of care is now provided by registered nurses and registered nurses with specialist training in pre hospital care.At the same time as the care provided is becoming more advanced, results from studies demonstrate that the amount of dispatches to patients that lack the need for ambulance care and transport is increasing. Nurses in pre-hospital care possess the knowledge, training and authority to perform an initial assessment of patients and also treat patients according to local and national guidelines. After the treatment it would sometimes be possible for the patients to remain at home without having to use ambulance transport to an emergency department or in other cases find other means of transport to hospital.

Children, who grow up in families, where their parents have decided to take care of a foster child on a commission of the social welfare services, are not often given the possibility to tell about their experience of having foster siblings, in research and other studies. The aim of this study was to give biological children, in these families, a chance to tell their narratives of growing up with foster siblings, creating opportunities for families, who might have plans to take care of foster children in the future. They can get a picture of how it could be for the family´s own children. The biological children got the opportunity to tell their narrative stories including the relationships in their families and how they were looking forward into their own future and family life. The used theory takes part in systemic thinking, looking at the family as an organization and how identities are created in relationships and in communication.

Background One of the main demands on Swedish and global health care in general is to meet the patient?s need for safety. By general health care law this also comprises district nurses? field of responsibility. Although there are numerous studies describing the concept of safety and its different shapes, no research could be found exploring how safety is, or supposed to be, mediated by district nurses? in a Swedish context.

Bakgrund: Asylsökande löper större risk att drabbas av psykisk ohälsa än den generella befolkningen, på grund av traumatiska händelser och förlusten av kultur och stöd. Sjukvårdspersonal behöver kunskap om asylsökandes specifika vårdbehov för sin psykiska hälsa och inneha en kulturell kompetens för att kunna ge en personcentrerad vård. Syfte: Studiens syfte var att undersöka hur distriktssköterskor skattade sin egen förmåga att identifiera, bedöma och hantera psykisk ohälsa hos asylsökande. Metod: En kvantitativ tvärsnittsstudie med enkät som datainsamlingsmetod har utförts. Enkäten besvarades av 53 distriktssköterskor.

SAMMANFATTNING En bristfällig munvård kan leda till olika sjukdomstillstånd. En god munvård är en viktig del i det fysiska och psykiska välbefinnandet. Allt fler äldre personer behåller idag sina egna tänder. De som inte kan sköta sin egen munvård p.g.a. sjukdom eller åldrande behöver därför hjälp.

Uppsala County has ambitious environmental aims for the planned residential area inÖstra Sala backe. In this thesis different energy sources have been evaluated todetermine which system that would be most favorable given currently availableinformation about the project. Planned energy usage has been divided into tap waterheating, space heating and power. Three base case scenarios were made with districtheating, small scale bio fuel and heat pump. Solar power and solar heating were thensimulated and the production from the two could individually be deducted from theenergy need in the base cases, constituting 9 different scenarios.

Background: Every year, more than 1000 cases of adverse events are reported in the Swedish health care system. These adverse events cost approximately 240 million Swedish kronor each year. By explaining the factors that cause nurses to make mistakes when they have too great a workload, it is hoped the awareness of health care staff will increase. Aim: To perform a literature review which describes factors that can endanger patient safety when nurses experience too great a workload. Method: A systematic literature review encompassing both quantitative and qualitative material.

Bakgrund: Den medicinska och ekonomiska kostnaden för hjärt- kärlsjukdomar är idagmycket omfattande. Största delen av dessa sjukdomar liksom andra kroniska, ickesmittsamma sjukdomar som cancer, lungsjukdom och diabetes, hör ihop med påverkbara,livsstilsrelaterade riskfaktorer. Genom att göra hälsosamma val när det gäller mat, rökning,alkohol och motion kan livsstilssjukdomar förhindras eller fördröjas. Livsstilsfrågor är enav distriktssköterskans huvuduppgifter och efter vårdvalet är det få distriktssköterskor somverkligen får arbeta med detta. Syfte: Syftet med denna studie är att beskriva hurdistriktssköterskan arbetar med sjukdomsförebyggande metoder inom primärvården.Metod: Studien är baserad på en kvalitativ metod med en induktiv ansats.

Fighting against accidents with elderly involved have come to be one of the west world's greatest challenges together with the climate changes and epidemics, and in order to fight against these accidents SDF Centre, Gothenburg appointed a man to the post as a caretaker.The aim of this master thesis is to analyse whether the implementation process and the systematic work correspond with Vedungs implementation theory and also put forward arguments for and against a masculine entrance into promotion old-age care; if it strengthens or is a take-off from the classical sexual roles.The thesis main theory is Evert Vedungs theory of implementation, which is constituted of eight factors which facilitates an implementation process. In order to theorise the sexual roles I have appropriated a gender perspective, constituted of multiple researchers and authors.The conclusion I have received through the qualitative interviews carried out with actors involved in the implementation process, is that the security services implementation correspond well with Vedungs implementation theory, hence the implementation has proceeded efficiently. The classical sexual roles is on one hand strengthened through a masculine possession of the security service, and on the other hand can the masculine entrance in the old-age care entail that more men apply for promotion old-age care work..

The purpose of this study is tounderstand the approach that the staff who works in the aftercare for juvenileoffenders have to the organizational structure in the organization they workin. SiS is the authority which is taking care of the juvenile offenders if theybeen sentence to closed youth institutional care, when they are done it is thesocial service were the adolescent live which is responsible for the aftercare.This is decided by the law since 1999, if a young person between 15 and 17commit a serious crime, they can be sentenced to closed youth institutionalcare. The interest for this study was the aftercare and what possibleparticipant was involved in the aftercare for this young people. By looking upearlier research in the area and doing six different interviews with bothsocial workers, staff on the SiS-institution and an organization for ex convictthe purpose was examines. To analyze the interviews the theory called newinstitutionalism was used.

The purpose with our study is to increase our knowledge about how personnel in different activities experience the work with childrens who is growing up with addicted parents. What the personal experienced as important facts was structure and flexibility to take care of all children´s special need.Something else they experienced was, during discussions with children it´s important to listen to them and confirm their self-esteem.We have found that there are many well-functioning activities of this kind of children, but there are difficulties to have the parents to take the children to the activities.The personal believe that this is because the parents do not realise their addiction problem enough. The respondents expressed a which to get closer to the school so they can increase cooperation and reach more children in this way, and a lot of these respondents also point out that the community where ever the children are has a obligation to report or notify the social service if there are any children that need care..