Intensivvårdsjuksköterskan möter i sitt dagliga arbete många patienter som behandlas i respirator. Långvarig respiratorbehandling innebär ofta ökade risker för komplikationer. Med anledningen av detta är det viktigt att minska tiden i respirator med effektiv urträning. Att tränas ur respiratorn är en individuell process och bör därför anpassas efter patientens förmåga. Syftet med examensarbetet var att beskriva intensivvårdssjuksköterskors erfarenheter av tracheostomerade patienters urträning ur respirator.

The aim of this study was to describe the meaning of individual care according to Newborn Individualized Developmental Care and Assessment programs (NIDCAP) to the early born child. The care around the early born child has shown a big importance. NIDCAP incorporates many care aspects that give structure for an individual tailored care. A fast care planning within three days and night after the birth according to NIDCAP has a positive effect for the cognitive development. The early child has showed that the surroundings environment has an important role for their development.

In recent times statistical findings suggesting a deteriorating mental health among teenagers, have been published. Not only did I find the lack of an all-inclusive analysis problematic, but also the fact that the studies themselves where often insufficient. Thus my purpose has been to chart these statistical studies, and then scrutinize the results.My method has been inspired by critical theory, where an interpretive starting point, self-reflection, and the idea that man and society interacts as a whole, is of great importance. Aside from the above mentioned studies, I have also employed secondary empirical data from TV, newspapers and the Internet. My own experience as a social worker has also been an important resource for this paper.

Bakgrund: Kommunikation med patienter som vårdas med respirator är en stor del av omvårdnaden för intensivvårdssjuksköterskan. Otillräcklig kommunikation mellan sjuksköterska och patient kan leda till otrygghet och stress hos patienten. Syfte: Studiens syfte är att beskriva hur intensivvårdssjuksköterskor kommunicerar med patienter som vårdas med respirator, vilka möjligheter och hinder som finns samt om sjuksköterskans erfarenhet har betydelse.Metod: En kvantitativ ansats valdes och data till pilotstudien insamlades med hjälp av en enkät. Resultat: Sjuksköterskorna i studien ansåg inte att det är svårt att kommunicera med patienter som vårdas med respirator. Större delen av sjuksköterskorna använde sig av kroppsspråk, ögonkontakt och beröring som kommunikationsmetoder.

BACKGROUND: Mental disorders amongst students, has increased, and foremost amongst girls. One way to regulate their emotions, is by deliberate self-harm. Due to their profession, school nurses have the ability to detect self-harm amongst students, and can therefor give them a good professional support. AIM: The aim of this study is to describe the school nurse's experience of deliberate self-harm amongst students. METHOD: The study is based on thirteen interviews with school nurses, via e-mail.

Purpose: Our aim is to get an insight on how home care workers experience, handle and looks upon their work. We also want to form an opinion of how home care workers experience the relationship to the clients they meet.Questions: How does home care workers experience their daily work with their clients? Home care workers daily meet many different sorts of clients with different needs, how do they handle this? What kind of support does home care workers get in their work?Method: A qualitative design with semistructured interviews.Conclusion: The most central conclusion from all of our interviews were: that home care service workers has a very stressful and demanding occupation, that the work has a low status, that the personnel has a big responsibility for the wellbeing of other people and that they often find their work satisfying and fun. To have someone to talk to and exchange ideas with was also mentioned by the informants as a vital part of feeling support in their work. From the Antonovskys theory, a sense of coherence, and Goffmans views of the society, we also find that the larger part of our informants feel a high sense of coherence and that when they have to adjust to their different caretakers they play different roles..

I olika perioder har ämnet våld inom psykiatrin lyfts fram i media, ofta i samband med att ett våldsdåd har begåtts av en ?våldsam psykpatient?. Varken i media eller i den tidigare forskningen är det vanligt att ämnet blir belyst ur ett patientperspektiv. Denna kvalitativa studie försöker fånga ett inifrån-perspektiv och tar sin ansats i att försöka beskriva vad som kan leda fram till att det uppstår konflikt- och våldssituationer på en sluten psykiatrisk avdelning. Studien har genomförts med hjälp av samtal med sju personer med erfarenhet av våld under sin vistelse på en sluten avdelning.

Telephone counselling has been around for more than forty years and remains a widely accepted communication support, both in the primary care and the outpa-tient departments of our hospitals. In many cases, this form of communication might be the only way in which the patient will have contact with the health ser-vices, primarily the nurse. In this study, the authors have chosen the word com-munication support as a generic name for the various technology tools, which are already present or in the future, might be an important link between the patient and the nurse. The aim of this study was to examine which communication sup-port that is available and patients´ perceptions of those and the patients´ percep-tions. Our patients can sometimes be affected by their illness, which means that their perception might be influenced and the advices or the prescriptions given by telephone will not be correctly perceived.

The aim of the present literature review was to describe and evaluate the effects and experiences within the complementary approaches such as aromatherapy, tactile massage and acupuncture amongst palliative care patients. Search through Medline (through Pub Med) database and additional manual search was conducted. In total 16 articles fulfilled the inclusion criteria and were reviewed. The result was presented under respectively category: aromatherapy, tactile massage and acupuncture. Physical and psychological effects as well as experiences from the treatments were also documented under the different complementary approaches.

Background:Chronic heart failure (CHF) is a complex clinical condition. The higher survival rate after heart attack and other heart diseases, plus aging population, has led to more CHF patients. Symptoms can have negative impact on exercise capacity, ability to perform activities of daily living and quality of life. Heart failure clinics have been established to help better quality of life. Helping to stabilize and maintain patients´ health can reduce the need of hospital admission.

AbstractThe aim: The aim of the study was to describe what women are most satisfied with in maternity care and if women´s childbirth experiences can be described by means of the QPP-I, who contains 32 statements related to maternity care. Design: The study is part of a national cross-sectional study which lasted for two weeks in Sweden in 2007. This paper analyzes one of the two questions with open answers, which reads: "What was the best with maternity care??. Results: The results showed that out of a total of 735 responses 717 could be placed in the existing instrument QPP-I.

Background: Schizophrenia is a serious disease with potential to implicate consequences on both the family and the sick. Nurses have a fundamental responsibility to relieve suffering, and also to offer support to both the individual and the family.Aim: To illuminate experiences of being a family member to a person with schizophrenia.Method: A systematic literature review was chosen. Nine articles were included. After having analyzed the results six categories were found.Result: The family members experienced the disease as fluctuating and stressful. Some felt ashamed for their sick family member and withdrew from the rest of the society.

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.

I olika perioder har ämnet våld inom psykiatrin lyfts fram i media, ofta i samband med att ett våldsdåd har begåtts av en ?våldsam psykpatient?. Varken i media eller i den tidigare forskningen är det vanligt att ämnet blir belyst ur ett patientperspektiv. Denna kvalitativa studie försöker fånga ett inifrån-perspektiv och tar sin ansats i att försöka beskriva vad som kan leda fram till att det uppstår konflikt- och våldssituationer på en sluten psykiatrisk avdelning. Studien har genomförts med hjälp av samtal med sju personer med erfarenhet av våld under sin vistelse på en sluten avdelning.

BakgrundAllergi och annan överkänslighet är vanliga kroniska sjukdomar. Målet med omvårdnaden vid allergi och annan överkänslighet är att individen i görligaste mån skall kunna leva det liv som han/hon vill. Det är oftast ett livslångt lärande och den som utför omvårdnaden måste kunna se patientens sårbarhet, måste lära känna patienten, samt vilja, kunna och ha en möjlighet att hjälpa patienten.SyfteSyftet med uppsatsen var att belysa faktorer som patienter anser påverkar omvårdnaden. Ett annat syfte var att relatera resultatet av litteraturöversikten till förhållanden vid astma- och allergimottagningar i öppenvård.MetodLitteraturöversikten bygger på en sammanställning av 12 vetenskapliga artiklar. Litteratursökning gjordes i databaserna PubMed och CINAHL.ResultatGod omvårdnad karakteriseras av att patienten kan delta i och vara aktiv i omvårdnaden.