The number of HIV- positive is increasing all over the world and it's very likely to meet these patients as a nurse. The interaction between the nurse and the patient is characterized by experience and knowledge and at the same time the nurse is expected to act professionally. The purpose of this literature review is to investigate the nurse's complex of problems regarding the treatment of the HIV- positive patient by exploring the attitudes against HIV among nurses and how the nurse can maintain the integrity of the HIV- positive patient. Antonovsky's salutoqenic model, sense of coherence, has been used as theoretical frame. From 14 articles five topics have been found that influence the nurse's attitudes against HIV-positive patients.

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..

Inledning: Det här är en litteraturstudie om sjuksköterskan bemötande av patienter med diabetes typ 2 genom information och motivering till egenvård och livsstilsförändringar. Bakgrund: Diabetes typ 2 är en sjukdom som ständigt ökar världen över liksom fetma. Genom att göra förändringar i livsstilen kan biverkningar av sjukdomen minskas. Syfte: Syftet med litteraturöversikten är att sammanställa och belysa forskning som beskriver sjuksköterskans olika omvårdnadsstrategier i att bemöta och motivera patienter med diabetes typ 2 till att ändra livsstil. Metod: En litteraturöversikt baserad på tio vetenskapliga artiklar.

Tidigare forskning visade att omhändertagande möten med sjuksköterskan stärkte patientens självbild och skapade känslor av trygghet. Möten med sjuksköterskan som inte var omhändertagande skapade känslor av att bli nedbruten hos patienten. Patienterna ville vara delaktiga i sin egen vård. Det var inte lätt att vara anhörig till någon i livets slutskede. Det fanns inte mycket forskning skrivet om patientens upplevelser i livets slut.

Every day in medical care the nurse and the patient meet, they are not just represented as the care giver and the care taker, but also as two unique individuals. The meeting is a very important part in caring and few studies have been made on this topic from the patient.s perspective. The purpose of this study was to describe the patient.s perspective on the meeting with the nurse. The study is a literature review, where articles have been reviewed, encoded, and then categorized. The result builds on our four main categories, confirmed as a unique indidual, the meaning of the information according to the patient, the humanistic side of the nurse, and the importance of humor in the meeting.

      Bakgrund: Baserat på en humanistisk människosyn ska sjuksköterskan kunna möta patient och anhöriga på ett respektfullt, lyhört och empatiskt sätt. Mötet mellan sjuksköterskan och patienten är centralt i omvårdnaden. I mötet är samtalet ett redskap för sjuksköterskan att lindra lidande. I mötet kan sjuksköterskan träda in i patientens värld och dela lidandet genom lidandeberättelsen. Syfte: Syftet med studien var att beskriva hur relationen, narrationen och caritas lindrar lidande, ur ett sjuksköterske- och patientperspektiv.

Confusion can be a life threatening condition that is often missed by the nurses, thus it occurs in the same range as pain, fever or infections. Aim: The aim of this study was to describe the phenomenon of confusion among elderly patients, in order to establish a wider understanding of the patient's nursing needs. Method: Literature study based on scientific material. Results: The result showed the patient's ability to recollect and reconstruct episodes of confusion. During the confusion the stories contained a wide variety of experiences, such as threat, fear, suspicion, chaos and order, unreal experiences, a need to escape and a bad sleep.

Bakgrund: När en person söker vård för sin diabetes typ II sker ett möte med sjuksköterskan. Mötet mellan patient och sjuksköterska utgör grunden för att en patient ska kunna skapa tillit och känna trygghet i samvaro med sjuksköterskan. Syfte: Syftet var att beskriva hur patienter med diabetes typ II upplever mötet med sjuksköterskan. Metod: En litteraturstudie som bygger på tio kvalitativa artiklar. Resultat: Genom analys hittades fem huvudkategorier: Att ta emot och förstå information, att ta emot stöd och bli motiverad, att våga känna tillit till sjuksköterskan, att vara delaktig i sin vård och att genom kommunikation skapa en relation med sjuksköterskan.

Background: Borderline personality disorder is a psychiatric diagnosis that one to two percent of the population and at least every fourth patient that have received treatment at a psychiatric clinic has been diagnosed with. BPD is most common in women between teenage and early adulthood. Purpose: The aim of this literature study was to emphasize the nursing care of patients diagnosed with BPD within different perspectives. Method: A literature study was conducted to get a deeper understanding for the nursing care of patients with BPD. The search for pertinent articles, answering to the aim of the study, was done in different databases.

Background: There are many possible reasons why a patient gets a stoma and in every case it?s of importance for the nurse to adjust nursing care, information and patient education from individual presuppositions. Problem: Patient education regarding stoma self-care is an important part of the nurse?s work within stoma care. The patient is depending on the guidance of the nurse and therefore it is relevant to illuminate the importance of education regarding gaining ability to perform self-care.

Bakgrunden till föreliggande studie är att stroke är en av Sveriges stora folksjukdomar och afasi kan uppkomma som komplikation. Detta kan medföra problem vid kommunikationen och vårdrelationen kan bli lidande. Syftet med denna litteraturstudie var att belysa vårdrelationen med strokedrabbad patient med afasi ur ett vårdarperspektiv. Studien grundade sig på sex vetenskapliga artiklar som granskades genom innehållsanalys inspirerad av Burnards (1991) analysmetod. Analysen resulterade i tre huvudgrupper med undergrupper vilka belyser olika aspekter för att skapa en god vårdrelation.

In the year of 2009 the conditions for managing primary healthcare in the region of Västra Götalandchanged. The decision was taken by the regional assembly and resulted in that the citizens since thenhave had the opportunity to choose which health care provider they preferto stay with. Along with thisdecision a new market for private health careproviders was established, which resulted inincreasedcompetition between the providers.In order to manage the competition, the health care providers arenow forced to be more efficient in their operations andalso to beeven more focused on their patients.Backa Läkarhusgruppen is an example of a private healthcare provider in the region of Västra Götaland.In the same way it is also an example of anorganizationin need of analysing their operations to seehowit can be further optimized to meet patient needs and expectations.The aim of this study is to analyse Backa Läkarhusgruppen?s organization and its operationsin the hopeoffinding suggestions whichwill improve the patient flow.To allocate and solve the problems thatBacka Läkarhus suffer from,an approach inspired by Lean Healthcare is used throughout the report.Some of themost significant problems that were identified within the organization are:?The synchronization of demand and capacity is inadequate.?Absence of standardized routines.?Absence of present leadership.To be able to improve the patient flow Backa Läkarhus needs to handle these identified problem areas.By synchronizing the staffing level in relation to the trends in demand a reduction in the patient?swaiting times and throughput time will be possible. Creating clear responsibilities and routines for thestaff will contribute to a higher degree of patient focus and thus lead to a more efficient patient flow.

A literature study abot the patient´s experience of the meeting with the nurse.

Bakgrund: Hj?rttransplantation ?r en effektiv behandling f?r personer som har avancerad hj?rtsvikt. Trots att hj?rttransplantation f?rv?ntas bidra med en f?rb?ttrad h?lsorelaterad livskvalitet, tillkommer det olika utmaningar; psykiska, fysiska och sociala. Dessa utmaningar ?r n?got som m?ste arbetas med kontinuerligt f?r att uppn? en god h?lsorelaterad livskvalitet.

Previous research and patient complaints to the Swedish Patient Support Committee shows that there is a lack of substance in the patient-nurse relationship. This may suggest that it can be difficult for health care to live up to health-care law which requires it to be of good quality, based on dignity and respect and designed so that the patient is an active participant and can make their own decisions when it comes to their health care. For a better understanding of what a dignified patient-nurse relationship is, this study aims to clarify what the patient values as good patient-nurse relationship and describe how they have experienced the patient-nurse relationship during their stay at an emergency care department. The study is a descriptive cross-sectional study with a quantitative approach, where the population consisted of patients who were cared for at an emergency care department in the County of Västmanland, Sweden during 2007. The sample consisted of 93 patients which were asked to answer a questionnaire.