AbstractAuthorJohanna Rahl and Marie Johansson.TitleHelsingborg-Ängelholm, a comparison of the work of the municipalities regarding self generated health care activities for employed teachers.ContentToday you pay more and more attention to self generated health care. Political decisions affect the social development and thereby also conditions for people to feel healthy. As the municipalities are working with its inhabitants they are an important part of the self generated health care activities. The most part of our life we spend in school or at work and this is the reason why these places are the most suitable to create healthy people. From these thoughts we created the following aim of the study:?The aim of this study is to investigate what kind of work regarding self generated health care that is performed by the municipalities of Helsingborg and Ängelholm towards the employed teachers and how the teachers apprehend this work.

The public health care sector has come under increasing pressure to cut down costs, maximize productivity and satisfy patients' needs during the 1990s and onwards. As a way of "getting more for less" quality management has been introduced. Originating in the private manufacturing industry, quality management has a strong focus on productivity and efficiency, aspects which are measured in quantitative terms. However, there are strong concerns that quality management is a means of speeding up the marketization of public health care by introducing core values much different from the ethic and medical norms that traditionally underpin health care organizations.This essay focuses on how quality management has been introduced to, and transformed by, public health care. A theoretical framework based on new institutionalism is constructed, and translation theories are used as a way of illustrating how the medical institutional environment, in fact, changes the concept of quality management.

The aim of the study was to describe lone mothers? experience of the contact with the Child Health Centre (CHC). The definition of CHC in the study was the Child Health Centre?s daily activities, the child health nurse and the parent groups. The study had a descriptive design and eleven lone mothers from parent forums on the internet participated.

This is a qualitative interview study about intellectually disabled parents and their children. I have conducted interviews with six professional staff who have some experience working with intellectually disabled persons. In my investigation I used vignettes and those I interviewed had to read the same story about Anders and Britta in preparation for the interview. The six persons whom I interviewed were: a midwife at a mother care centre, a nurse at a child health centre, a social welfare officer at a rehabilitation centre, a "LSS administrator" at a local authority, and two social welfare secretaries. One of the two welfare secretaries works to assess the social situation of children and the other one works with fostercare.The conclusion that I have drawn is that the relationship between intellectually disabled parents and their children is very important.

Background: During the 1980s, the fear of HIV spread over the world. Health professionals'attitudes to patients with HIV, was negatively impacted because of their fear to be infected.Patients with HIV have therefore,during disease history's first two decades, experienced stigma and discrimination in the response from health professionals. Because of the increasing knowledge of HIV it is of interest to study patients' contemporary experiences of the encounter with health professionals. Aim:To explore how patients with HIV experiencing the meeting with health professionals. Method:Literature study with seven qualitative and three quantitative articles.

The digitization in the Swedish health care sector is rapidly growing. This study investigates whether the digitalization in health care has led to higher quality and an increased value for patients. Interviews with staff in various health care professional categories were conducted to qualitatively study how the implementation of digitization is perceived in practice by those directly involved. Furthermore, an observation was made, where a doctor was followed duringa workday to study the different digitalization software tools that are being used. Previous studies and other relevant literature accompanied the study of digitalization in health care. Organizational theories were compared with the practical organization management at the studied health care organization, as well as their dependence on other authorities and companies.

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.

Today patients are more aware of their rights regarding their own care. They are more informed, more engaged and have more and individual requirements, which leads to increased demands for information and participation increases. The Health Act sets out the patients´ right to participation. Participation increases patient satisfaction with care, promotes healing and increases adherence to health care advise. The patient doesn´t always experience participation in their own care to the extent they wish, which suggests that nurse?s does not always succeed in getting the patient involved.

Background: Peripheral arterial disease (PAD), as a consequence of atherosclerosis in the arteria of the limbs, affects one of ten Swedes older than 65. PAD can develop slowly and silently, and involves an increased risk for cardiac infarction and stroke. Measurement of the patient´s ankle blood pressure and calculation of the ankle-brachial index is an evidence-based method to discover PAD. Objective: To investigate how district nurses and general practitioners perceive this method of examination and experience possible obstacles to why it is not more commonly applied at Primary health care centres. Method: Data collected by semi-structured interviews have been processed by qualitative content analysis with a manifest onset.

Bakgrund: Telefonrådgivning är en stor del av distriktssköterskans arbete på en hälsocentral. Arbetet innebär att bedöma, hänvisa, ge råd och stöd, samt utföra omvårdnad. Distriktssköterskan måste anpassa sitt arbete och sina beslut efter ekonomiska, tekniska, organisatoriska och vetenskapliga aspekter.Syfte: Syftet var att belysa distriktssköterskors erfarenheter av att arbeta med telefonrådgivning på en hälsocentral.Metod: En kvalitativ deskriptiv metod användes. Semistrukturerade intervjuer genomfördes med tio distriktssköterskor från sex olika hälsocentraler. Intervjuerna analyserades med kvalitativ manifest innehållsanalys.Resultat: Vid analysen framkom sex huvudkategorier; ett professionellt bemötande är viktigt för patienterna, organisation och struktur är avgörande för arbetet, arbetsmiljön påverkar arbetet på olika sätt, kollegialt samarbete på arbetsplatsen är betydelsefullt, några områden kan förbättras, svårigheter och utmaningar finns i arbetet.

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.

The purpose of the literature review was to illuminate how family are responded to in health care and their experiences with a sick person in the palliative care. Ten articles dealing with the questions have been used. The questions emphasized how family experienced the response from people working within health care, their own situations and if they felt they were sufficiently informed. The results were presented from out in the questions in two themes families positive and negative experiences. The results show that for the families to have positive experiences of the respons, the situation and the information given, the working within health care have to make families feel part of the palliative care, to the extent they wish to participate..

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

The purpose of this paper is to investigate how social workers, working in a management position in the health care system, perceive the encounter of the medical and social perspective. With seven qualitative interviews, the study tries to conclude whether or not social workers are accepted at managerial positions within the health care sector. The social worker is, as a manager in health care, a leader but at the same time in a professional alienation from the medical caregivers. Organizations in the health care sector are often multi professional and have their own long standing tradition, history and culture. The results show that the conditions for social workers, working in a management position in health care appear to be agreeable.

Abstract:Background: Socialstyrelsen statistics show that breastfeeding continues to decline. Previous research some mother experiencing breastfeeding difficulties and their lack of knowledge and understanding of breastfeeding. Support to mothers varies depending on their individual needs. Factors affecting the choice are the support of health care nurses and the social network. Aim: The aim of this study was to describe health care nurse experiences of giving support to mother who are breastfeeding.