The transition from having been under another country?s control to becoming a democratic country can, many times, pose difficulties, which has proven itself to be quite common. Estonia and Moldova?s processes towards a democratic regime are two examples of countries with varied success in the final transition phase.When the USSR (Soviet union) fell and collapsed in 1991 Estonia was well on their way from having a communistic ruling to a democratic one due to the fact that their democratic work had already begun a few years prior to 1991. After the collapse Estonia continued with their democratic work and in 2004 the country became a EU member state.

Background: Health care is a strange place for the patient. To make this enviroment as good as possible, would the patient be well informed. The patient has right to know if it is a bad mews and often he/she needs caring after the information. Nurse´s basic responsibility is caring, for her/him it´s important to prevent the shock for the patient that can appear. Aim: Describe the nursing staff responses to the patient, using the patient´s perspective in relation to bad news. Method: A litterture review has been made with nine articles. Current research materials that meet the study´s purpose has been applied in databases and analyzed.

The transition from having been under another country?s control to becoming a democratic country can, many times, pose difficulties, which has proven itself to be quite common. Estonia and Moldova?s processes towards a democratic regime are two examples of countries with varied success in the final transition phase.When the USSR (Soviet union) fell and collapsed in 1991 Estonia was well on their way from having a communistic ruling to a democratic one due to the fact that their democratic work had already begun a few years prior to 1991. After the collapse Estonia continued with their democratic work and in 2004 the country became a EU member state.

Introduction: Domestic violence is a big public health problem and the hiddennumbers over victims are big. There is a lack of scientific research in the Nordiccountries when it comes to how the health- and medical care identify and care for thevictims of domestic violence. Aim: This literature review has two aims: To investigatewhat kind of methods maternal health services, child health services and gynecologyclinics in the Nordic countries use to discover women and children exposed to domesticviolence and to investigate if there are any guidelines to go by when a victim ofdomestic violence is identified. Method: A literature review. 12 articles were found inPubMed, Scopus and Cinahl and three more were included after a manual search.

Bakgrund: En njurtransplantation är nödvändig som behandling om en person drabbas av en irreversibel njursvikt. Det är den vanligaste formen av transplantation i världen. En njur-transplantation förbättrar livskvaliteten avsevärt men efter operationen sker en transition mellan sjukdom och behandling som kan påverka faktorer i patientens livskvalitet. Syfte: Att beskriva patientens erfarenheter av sin livssituation efter en njurtransplantation. Metod: En allmän litteraturstudie.

The aim of this master?s thesis is to investigate how adults describe their individual reading experiences, on the basis of their own reflections by keeping a reading diary. Reading diaries kept during two months and a qualitative questionnaire for each of our nine motivated and advanced adult readers, were analyzed by using qualitative content analysis. The study was carried out on the Internet. The theoretical framework that served as a point of departure is Ross? and Chelton?s model for the process of choosing a book to read for pleasure, Nussbaum?s moral philosophy and thesis ?Reading for life? and Mukar?ovský?s theory of the aesthetic value.

Patienter som diagnostiserats med en långvarig sjukdom upplever ofta sin livssituation somomtumlande och svår. Syftet med denna litteraturstudie var att beskriva hur patienter medkronisk sjukdom bemästrar sin livssituation och hur sjuksköterskan kan stödja/hjälpa dem attuppnå högre livskvalitet. Egenvård är en viktig del i patientens vardag och genom att engagerapatienten i vården blir han/hon mer trygg i sig själv och kan leva ett bra liv trots en långvarigsjukdom. Uppsatsen är en litteraturstudie som bygger på elva artiklar och dessa har sökts fram pådatabaserna CINAHL och PubMed. Metoden som använts för att bearbeta artiklarna är induktivanalys.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Background: The goal of psychiatric nursing interventions is to enhance people?s ability tocope with feelings of futility, to get control of their lives and to learn coping strategies inorder to manage their mental illness and its consequences. Specialist nurses in psychiatric carecoordinate and direct nursing care based on evidence-based knowledge.Aim: The aim of this study was to investigate what kind of nursing acts specialist nurses usein the psychiatric inpatient unit and investigate how they perceive their professional role.Method: The design used was a descriptive qualitative interview study. Nine specialist nursesworking in psychiatric inpatient units were interviewed. Six of the participants were womenand three were men aged 28-53 years.

The emergency medical care in Sweden has been under persistent debate, due to factors such as long waiting hours, inefficient patient flow, and understaffed departments. In an effort to meet the critique and with a willingness to improve the problems, an increasing amount of emergency clinics are adopting theories and models within Lean. Positive outcomes are evident, there has been some criticism directed towards Lean. Among these is the argument that in order for Lean to be successful it needs to be used within standardized and foreseeable processes, and that it therefore only is applicable to those kind of processes found within industrial production. This prompted the question of whether Lean was a suitable strategy within emergency medical care, considering the large variation of patients and non-foreseeable processes that in fact share little resemblance to that of industrial production.

Standardvårdplaner är vanligt förekommande inom hälso- och sjukvård och är under ständig utveckling. Standardvårdplaner är i olika grad evidensbaserade och framtagna med skiftande kvalitet. Standardvårdplaner används som ett hjälpmedel för effektivisering och kvalitetshöjning av vården för en specifik patientgrupp och är en på förhand formulerad vårdplan. Behov av ytterligare forskning efterfrågas om standardvårdplaner faktiskt minskar mängden dubbeldokumentation, leder till ökad tidsvinst och ökad vårdkvalitet. Syftet med föreliggande litteraturstudie var att göra en beskrivning av de effekter som användande av standardvårdplaner leder till.

After the fall of the Berlin Wall in 1989 the satellite states of the former Communist bloc immediately departed on a journey towards democracy and market capitalism. Among the many tasks of the newly elected governments, one was to transform the paternalist Communist welfare state into a social system that would decrease the oversized role of the state, at the same time as protecting the citizens from the hardships ensued from the transition.I have studied the evolution of new welfare systems in the Czech Republic, Poland and Hungary, three countries generally agreed as the most similar and most successfull transition countries of the Eastern bloc. Gøsta Esping-Andersen's prominent typology of welfare regimes, consisting of the liberal, corporatist and social democratic regime-types, has constituted the theoretical basis of the analysis. Simultaneously, applying new cases to the typology implies an element of theory testing.The study shows that 40 years of Communism and partial isolation from the West has not prevented these three countries from developing welfare states fully compatible with those of Western Europe and the Anglo-Saxon nations and that all three of them in fact fall within the scope of the corporatist regime-type..

This report is a market research for the company 4 Body and Mind, a start-up company that works with personal training online. They wanted to know if the market for elderly care could be interesting for them to enter. This report is hence a research of the market for health and welfare technology in elderly care within the public sector in Sweden. A general fact is that the world's population is getting older. This combined with rapid growth of individuals in the age 65+ changes the demands on the elderly care in Sweden?s municipalities.

The scope of this investigation is the conditions under which readings of Repulsion (1965), and its depicted mental illness, took place in Sweden during the censorship debates in 1965, and also how the reception was related to narration and subjectivity in the film. The reason for this is the strong reactions to the images of the main character?s inner state, and concerns about negative effects in the public, that were raised. One major concern is how the film articulates discourses through which meanings are produced; that is, how it works as social technology. My thesis is therefore structured around two levels; textual analysis and discourse analysis.

ABSTRACTThe aim of this study was to describe various methods of treatment and effects of treatment of ADHD, and to investigate wheater there is an association between adults with ADHD and obesity. Method:  Literature review. Twelve quantitative scientific articles were found in the data bases PubMed, Cinahl and MedLine.  Result: ADHD is a cognitive impairment that can lead to serious complications such as obesity. Studies show that drug treatments of adults with ADHD have positive effects in terms of reduced symptoms, increased efficiency and improved quality of life, but drugs can also cause side effects in form of loss of appetite and insomnia. For adults with ADHD and obesity drugs that affect metabolism have a significant impact on patients ability to lose weight.