The aim with this project was to describe how nursing staff working in the home care environment perceive their level of knowledge regarding mental ill health and if this level of knowledge is sufficient / insufficient in their dealings with mentally ill patients. The study is empirical and a qualitative method has been used. Questionaires have been used and interviews have been carried out with nurses working in the home care system and data has also been collected from previous research in this area. Result The result show that home care nurses consider that they have inadequate knowledge of treating patients with mental ill health and they seek more training, guidance and collaboration with psychiatric nurses. Conclusion Increased knowledge of mental health care and continuous guidance would make home care nurses more confident in their dealings with patients suffering from mental ill health.

Det saknas studier hur handledarna upplever handledning på avancerad nivå inom psykiatrisk omvårdnad. Rollen handledarna har är komplex, de ska både fungera som en mentor och som den som bedömer studenternas prestationer samt ge god vård åt patienten. Syftet med denna studie är att belysa hur handledning upplevs av den handledande sjuksköterskan under Verksamhetsförlagd utbildning (VFU) för specialistsjuksköterskor i psykiatri. Att få kunskapen studien genererar skapar förutsättningar för organisationen och universitetet att anpassa utbildning och återkoppling som gynnar handledarna och studenternas utveckling samt höjer vårdkvaliteten för patienterna. En explorativ kvalitativ ansats enligt fokusgruppsintervjuer har ansetts lämplig för studien då målet är att fånga vidden och komplexiteten i handledning.

Background: Pressure ulcers are a common problem and cause great suffering for those who develop it, and are also an expensive cost to the society. Aim: To describe nursing measures for prevention of pressure ulcers among elderly people in ordinary and nursing homes. Method: A literature review by structured analyze of scientific articles. Result: The analyze resulted in six subjects for prevention of pressure ulcers. These subjects were; risk assesment, nutrition, repositioning, skin/hygiene, nurse knowledge and documentation.

Tidigare vårdforskning inom psykiatrin har främst utgått ifrån personalens erfarenheter. Forskning har visat på ett behov att studera patienters erfarenheter. När det gäller unga vuxnas erfarenheter av psykiatrisk vård saknas forskning och det har därför varit intressant att studera det. Som teoretisk utgångspunkt har Barker och Buchanan-Barkers tidvattenmodell använts. Data samlades in via tre intervjuer som sedan analyserades med kvalitativ innehållsanalys.

Fysisk aktivitet hos äldre är viktig för att förebygga sjukdom samt för att upprätthålla självständighet och en bra livskvalitet. Fysisk aktivitet går att mäta med instrument, såsom accelerometer eller att skatta med skattningsskalor. Syftet med detta arbete var att undersöka om den fysiska aktiviteten är korrelerad med den fysiska funktionsförmågan och om fysisk aktivitet bestämd med accelerometri går att prediktera med skattningsskalor. I studien inkluderades totalt 27 patienter som opererats för höftfraktur. 14 av dessa var kvinnor med medelåldern 80 år (62-94) och 13 var män med medelåldern 82 år (73-94).

Background: Nursing staff use touch on a daily basis, often without reflecting over it. It is not only the touch itself that emerges, everyday nursing staff get involved in the meeting with patients. The use of touch can be divided in to different kinds of touch, due to its purpose these are instrumental- and expressive touch. Purpose: The purpose with the study was to illustrate what physical touch means for the meeting between patient and caregiver. Method: A literature review has been done, based on ten scientific articles and by these four domains emerged.

Bakgrund: Det är en brist på specialistsjuksköterskor inom sluten psykiatrisk vård. Det är därför viktigt för arbetsgivaren att få kännedom om vad som motiverar specialistsjuksköterskanatt stanna inom psykiatrisk slutenvård och vad som får henne eller honom att söka sig frånslutenvården.Syfte: Syftet med denna studie är att undersöka specialistsjuksköterskors inom psykiatrisk vårdoch vårdenhetschefers uppfattningar om möjliga orsaker till varför specialistsjuksköterskorinom sluten psykiatrisk vård slutar.Metod: Studien är genomförd med kvalitativ metod och fokusgruppsmetoden valdes. En gruppbestod av fyra sjuksköterskor med specialistutbildning inom psykiatrisk vård. Den andragruppen bestod av två vårdenhetschefer. Intervjuerna spelades in och transkriberades.Materialet analyserades med kvalitativ innehållsanalys.

Background: The amount of elderly patients who?s suffering from dementhia increases every year. Many of these patients develop and decrease in their cognitive ability. The development can lead to people's communication skills deteriorate. It can be a problem for the nurse to communicate with these patients.

Pneumonia is a common disease in calves. There are several causes behind the disease. The main purpose of this litterary study was to estimate what kind of nursing calves with pneumonia could benefit from, especially the evidence-based nursing recommendations for the sick calves. A further purpose was to gain knowledge of different treatments of sick calves and what kind of practical measurements that are most suitable to use in the preventive work. The results in this study shows that there are only suggestions of nursing, rather than some actual evidence-based actions. The most important nursing actions is to isolate the calves with dyspnea, prevent or treatment of hypothermia, potential dehydration and malnutrition. It is also important to make sure to place the calf on soft and dry bedding.

Background: Earlier studies show that nurses work environment is a factor that may affect the quality in nursing care negatively. Other factors are: number of employees, working hours, work structure and planning and working relationships between colleagues. Work relationships are particularly important for nurses as they can affect patient safety. Nurses are prone to stressrelated illnesses and high stress levels prove to have a negative affect on the quality of nursing care. To develop and assure the quality demands effort from every employee.

This essay focuses on the elderly and their religious beliefs and is based on the origin idea of a secular Sweden, but where immigration has been the source of additional various religious affiliations. This study intends to nuance the problems that previous researchers focused on when doing research on immigration, by interviewing staff members of nursing homes in immigrant dense areas, especially Malmoe, Gothenburg and Stockholm.The aim is to investigate how the allocation of residents, with different religious than Protestant Christians, is distributed at nursing homes and to see if there is a need for adjustments. Additionally, the thesis about immigrants and immigrants' identity and attitudes to Swedish society is discussed with John Berry´s acculturation theories and strategies.The results show that the majority of the nursing homes have residents with different religious affiliations and that some practical adjustments have been done, but it also shows that nursing homes have changed to the extent that they have adapted to a secular society. Ignorance and prejudice contribute to the problem in terms of seeing all residents as individuals and at the same time ensuring adaption according to all their needs, which is exemplified in the solutions made by using multi-cultural staff members and specialized departments. The relationship between nursing homes and the Swedish church continues but the role of the church service has changed.

Bakgrund: Få studier har gjorts inom psykiatrisk omvårdnad med fokus på patientperspektivet. Detta perspektiv är dock viktigt då det ger en inblick i hur patienterna upplever den vård de erhåller. Syfte: Syftet var att beskriva hur patienter på en psykiatrisk vårdavdelning upplever det bemötande de får av avdelningens sjuksköterskor. Metod: Semistrukturerade intervjuer som sedan analyserades med hjälp av kvalitativ innehållsanalys. Resultat: Vid analys av materialet framkom fyra huvudkategorier som samlade de aspekter på bra och mindre bra bemötande som respondenterna beskrivit: Betydelsen av att bli sedd och bekräftad av personalen, Personalens agerande och attityder gentemot patienterna, Önskemål och förväntningar på personalen samt Hur icke-verbal kommunikation påverkar hur bemötandet upplevs.

Aim: The purpose of this study was to highlight in what forms and manifestations spirituality emerges in medical patients whether they consider themselves believers or not. The other aim was to analyse spiritual ideas of nursing scientists ? authors of the patients? oriented studies to come to the better understanding of the situation with spirituality in caring. Method: Descriptive meta-synthesis was chosen, in which 12 nursing studies were analyzed and compiled in a new integrity. Results: The analysis shows that caregivers must be ready to meet and confirm the spiritual dimension consisting of Faith, Meaning, Relationship and Questions without answers in the various forms and expressions they emerge in patient?s experience.

Bakgrund: Specialistsjuksköterskan ska uppta patientberättelsen och utifrån sinspecialiserade kunskap om medicinska eller psykiatriska tillstånd göra en korrekt bedömning.Sjuksköterskan ska från sin bedömning sedan förse patienterna med adekvata vårdåtgärder. IGöteborg har andelen ambulansuppdrag som klassificeras som psykiatrisk sjukdom ökat desista åren. Med anledning av det planerar ambulanssjukvården i Göteborg en speciellpsykiatriambulans med dubbelkompetens, en sjuksköterska som har specialistkunskap inompsykiatri samt en ambulanssjuksköterska. I Stockholm skall en psykiatriambulans införas 1april 2015 men inte med dubbelkompetens. Anledningarna till planen att introducera enpsykiatriambulans är att utveckla den akuta prehospitala vården bland annat genom att hjälpapatienter med psykiatrisk problematik till rätt vårdnivå.

Background: The relationship between advanced age, presence of illness and impaired functioning is well known. A large proportion of the elderly population has an extensive need of care and service and therefore need help from municipal care. Aging is a transition in life and also affects the person's identity and self image, making the person particularly vulnerable and challenging everyday safety. It is therefore of importance to gain knowledge about which factors at individual and organizational level that support a person-centered nursing care for the elderly so that caring responsibilities and staffing of nursing personnel may be scheduled based on need. Aim: This study aimed at describing dependency and care needs of elderly persons living in ordinary housing, sheltered housing and nursing homes.