The aim of the study was to describe how managers at the eldercare system especially in nursing homes work to ensure high quality care. For this purpose, a qualitative method was used in this study and four managers at nursing home have been interviewed. Previous studies have shown that managers in some cases are restricted in their actions and that this may slow down the improvement of the care. At the same time the managers describe their work as demanding and diverse. They have a significant staff responsibility, meaning that they have to ensure the quality of care.

Patients who undergo surgery receive general anaesthesia or any form of conduction anaesthesia during the operation. For most people it is strange, unexpected and for many something completely new to be a patient and undergo surgery. Awake conduction anaesthetic patients? experiences from the intraoperative period were little studied. The purpose of this study was to examine awake conduction anaesthesia patients? experiences.

Syftet med litteraturstudien var att beskriva vilka faktorer som i omvårdnadsforskningen beskrivs som bidragande faktorer till akut delirium. Syftet var vidare att beskriva vilka omvårdnadsåtgärder som omvårdnadsforskningen tar upp som kan minska risken för uppkomst av akut delirium. Resultatet baserades på vetenskapliga artiklar som söktes i följande databaser: Elin@dalarna, BlackwellSynergy, PubMed och EBSCO host. Följande sökord användes: delirium, acute, elderly, nursing, patients, caring, management, confusional state, needs. Artiklarna granskades enligt en granskningsmall med avseende på vetenskaplig kvalité.

The purpose with this study was to examine which opinions and knowledge the directors have about the physical residential environment's importance on accommodations for people with dementia disease and how they do to create and to maintain a good physical residential environment. The issues have been: Which opinions and knowledge the directors had about the physical residential environment's importance for the people with dementia? How did the managers work in order to create and maintain a good physical residential environment? We had four themes, homelike environment on the accommodations, priorities on the accommodation, care/nursing in the physical residential environment and the manager?s possibility to influence the physical residential environment. The study followed a qualitative method. Five managers were interviewed on four accommodations and the managers were said to work actively with the physical residential environment.

Bakgrund: Alla personer oavsett ålder har mänskliga behov som behöver tillgodoses för att personen ska kunna känna välbefinnande. Ibland tvingas en individ att flytta till ett särskilt boende på grund av särskilda behov. För en del personer kan det vara svårt att vänja sig att bo på ett särskilt boende, som kan leda till ensamhet och depression. Vården som ges till de äldre ska se till de fysiska, psykiska och sociala behoven. Det är därför relevant att fördjupa sig i vad som skulle kunna underlätta denna förändring, vilket skulle kunna vara en hund.   Syfte: Syftet med denna studie var att undersöka om och i så fall hur hundar påverkar äldre personer som bor på särskilt boende.

Background: War-related amputations are represented by a unique group of patients because of the wounds complexity and scope of several serious injuries. To prevent and avoid care suffering and suffering of the patient, this study focused on the nurse's way to manage and identify the needs of this unique group of patients who have suffered from war-related limb loss. To undergo a traumatic amputation is a big change for the victim, and the nurse has an important role in responding to the patient and their needs Aim: To illuminate nursing care of patients with war-related limb loss. Method: The chosen method was a literature review. The data consisted of nine qualitative and three quantitative studies.

Background: Animals are used in several health care areas and have been shown to promote many aspects of patients? health. Animals have potential for use in nurses? health promotion work. Nurses need a deeper understanding of the importance and health-promoting properties of animal-assisted therapy.Aim: The aim was to describe the importance of animal assisted therapy for patients? health.Methods: A literature review was conducted based on ten nursing science studies with both qualitative and quantitative approaches, which were selected after critical review.

Pet rabbits are increasing in popularity and the owners want the same treatment for them as they would want for a dog or a cat. However, the knowledge among clinical staff about these small animals is not always up to date. The aim of this paper is to highlight the needs of the pet rabbit and how these can be met regarding veterinary nursing. Pet rabbits are different from dogs and cats in several ways and their needs as patients differ as well. Rabbits are herbivorous prey animals. To avoid predators, they are very reluctant to show any sign of weakness for as long as they can.

The aim of this study was to conduct an instrument test of the Canadian questionnaire Alberta Context Tool (ACT) version Long-Term care for Swedish conditions. ACT is designed in order to measure the context in the care environment and different behaviours related to the changes in clinical practice. In total, 159 Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) within municipality care of the elderly were included in the survey. The test included the instrument's reliability and face validity.The reliability test was implemented through calculation of Cronbach´s Alpha, and showed internal consistency for five of the scales of the ACT-instrument with Cronbach´s Alpha values ranging between 0,728 and 0,873. However, three dimensions got lower values (0,558 - 0,683).The analysis was carried out with content analysis and carried out for LPNs and RNs in separate groups.

Background: Basic hygiene is an important measure to prevent healthcare associated infections, save patients? lives, and reduce economic costs for health care. Healthcare associated infections are a threat to patient safety. In community care persons who are the care takers are a risk group and nurses must make sure that basic hygiene procedures are followed.Method: Literature studies with descriptive design, article search in databases Cinahl and PubMed. The results found are based on twelve chosen articles.Aim: To describe factors related to adherence to basic hygiene and how nurses in community care can help to improve compliance with these procedures.Results: In the nursing staff and leadership in health care interest in and the understanding of basic hygiene is described as being of most importance.

Syftet med denna studie var att genom analys av tillgänglig litteratur inom området advocacy in nursing klarlägga innebörden av begreppet advocacy sett från sjukvårdens synpunkt, vem/vilka som skall ha funktionen som advocate i sjukvården, hur advocacy i praktiken bäst skall beskrivas inom sjukvården samt hur den som skall ha rollen som advocate bäst skall utbildas och föreberedas för sin uppgift. Som metod användes studium och analys av en selektion av tillgänglig litteratur inom området med speciell inriktning mot den egentliga innebörden av begreppet advocacy, argument för och emot sjuksköterskans funktion i rollen som advocate, hur advocacy bäst skall integreras och tillämpas i vårdprocessen och hur den som har rollen som advocate bäst skall förberedas för den. Resultat av litteraturstudien visade brist på enhetlig definition av begreppet advocacy, vilket skapar svårigheter att analysera och jämföra erfarenheter inom området. Även om motargument beskrevs, talade all erfarenhet inom området i denna studie för att sjuksköterskan är den mest lämpade att ha denna roll. Risken för att sjuksköterskan vid fullgörande av denna uppgift hamnar i en konfliktsituation mot övrig vårdpersonal betonades genomgående i denna litteratur, illustrerande betydelsen av att advocacy utförs som ett teamarbete med stöd och medverkan av all personal även om sjuksköterskan har huvudrollen.

Syftet med denna litteraturstudie är att granska vetenskaplig litteratur med avsikt att undersöka vilka riskfaktorer som leder till utbrändhet bland sjuksköterskor samt hur dessa kan förebyggas..

Uppfattningen om äldre och åldrandet påverkar synen på behov och problem samt hur omvårdnad och bemötande sker mot äldre. Olika åldrandeteorier påverkar omvårdnadspersonalens synsätt på åldrandet, vilket i sin tur påverkar de äldre. Gerotranscendens är en åldrandeteori som beskriver åldrandet som något positivt.Syftet med studien var att presentera teorin om gerotranscendens för omvårdnadspersonal på ett särskilt boende och undersöka om de anser att kunskap om gerotranscendens förändrar deras synsätt gentemot äldre.Studien har utförts genom semistrukturerade intervjuer med 12 omvårdnadspersonal på ett särskilt boende. Data har analyserats med en kvalitativ innehållsanalys.Denna studie tyder på att kunskap i teorier om åldrandet ger en ökad förståelse för åldrandet och en medvetenhet hos omvårdnadspersonalen hur de kan känna igen tecken på gerotranscendens och därmed främja äldres väg mot gerotranscendens. Studien tyder även på att kunskapen om gerotranscendens har gett omvårdnadspersonalen andra redskap att använda i omvårdnaden av de äldre.Omvårdnadspersonalen har genom kunskap i teorin om gerotranscendens fått en medvetenhet om att de genom förändrade arbetsmetoder och annan samtalsteknik med de äldre kan främja de äldres väg mot gerotranscendens..

Cancer is one of the most feared diseases in veterinary medicine today, and the incidence is higher than ever due to the fact that our companion animals live longer then they did ten to twenty years ago. Cancer is also one of the most common causes of mortality in older companion animals. This literature review will be about two of the currently most common form of cancer treatment of companion animals in Swedish animal hospitals, chemotherapy and radiation therapy. There will also be a section of general nursing care for cancer patients. The section of chemotherapy will describe the indications for choosing chemotherapy, the way to administrate chemotherapeutic drugs, describe specific chemotherapeutic drugs, potential side effects of chemotherapy, and how to handle and store chemotherapeutic drugs safely. The section of radiation therapy will describe the current devices for delivering radiation therapy, describe the indications for choosing radiation therapy and describe potential side effects that radiation therapy may cause.

The aim of this study was to understand how evaluations are implemented and used in procured nursing homes for elderly. Our methodological approach consisted of a single-case study research. The case in this study was Växjö municipality. Three procured nursing homes for elderly were chosen in the municipality as examples of implementation and use of evaluation. The method for retrieving empirical data and the analyzing of it was based on triangulation.