ABSTRACT Background: The Ward round is a collaboration between nurse, doctor and patient. A good collaboration and communication is essential to their interrelation. Aim: The aim of this study was to investigate patients' comprehension in regard to integrity, information and participation during round. We also looked at differences about comprehension between men and women.  Methods: A questionnaire was answered by 34 patients in three Wards at the University hospital in Uppsala. Results: The patients believed they could talk openly ?quite well? but they experienced it ?sometimes? disturbing to talk openly if other patients were in the room.

When going through a stem cell transplantation a patient is forced to undergo protective isolation to inhibit risk of opportunistic infections related to the low leucocyte count as a result of aggressive pre-transplant chemotherapy treatment. Protective isolation has shown to have an impact on patient experiences during treatment and the aim of this study is to elucidate experiences of protective isolation of patients undergoing hematopoietic stem cell transplantation and to deduce patient perceptions of the role of nurses in protective isolation care. The presented study was performed as a mixed qualitative and quantitative survey at a hematopoietic Ward in Sweden. Results were analyzed by Mayring (2000) and by descriptive frequency charts and show that patients in protective isolation experience alienation, necessity, safety and anxiety with regards to their protective situation. Considering the role of nurses patients perceive their role to be attendant, informant and acting as an executioner of medical implementations.

AbstractThe aim of the studie was to investigate if the Pediatric Early Warning Score system, PEWS, is an useful instrument on a children's inpatient Ward, regarding the detecting of deterioration in children's vital signs. For this, a quantitative descriptive design with qualitative elements was used. Method: Study specific questionnaires were distributed to 86 persons (helpnurses, nurses and doctors). Of these, 36 answered and sent back the surveys. Results: Of 36 responses 25 felt experienced a faster detection of deterioration of vital signs in the child.

Suicide and attempted suicide frequently occur in society today and represent a major public health problem. In inpatient psychiatric care the nurse have a central role when caring for suicidal patients. Few systematic studies exists that address the nurse?s practical work with these patients. The purpose of this study was therefore to describe the nursing care of suicidal patients as it was perceived by registered clinical expert nurses.

When a child is hospitalized, it is usually more than one person who needs attention ? i.e. the child as well as its parents. The emergency Ward environment and surgery rooms are unfamiliar and the parents feel anxious, insecure and uncertain about how to act. They are expected to participate in the child?s care, cope with their own anxiety and simultaneously convey a sense of security and stability to the child.

The purpose was to study what significance communication has for the psychosocial health of elderly deaf people who live in old peoples homes. I also explored how communication works between the staff.- How do the staff feel the communication works between members of the staff and between the staff and the residents?- How do the staffs think that the staffs' knowledge of the culture of the deaf community and sign language affects the psychological health of the residents?- What changes have the staff noticed in the residents since they moved to the Ward?In order to accomplish study this area I have used semi-structured qualitative interviews and observations.The main conclusion of this paper was that the possibility to communicate in ones own language was fundamental for the psychosocial health of the residents. The people I interviewed expressed that communication between the residents and the staff worked well, but communication was a problem between the staff members. Knowledge of the culture of the deaf and sign language, within the staff, had a positive influence on the psychosocial health of the residents.

 The number of hidden refugees in Sweden is estimated to be at least 15,000. The law, which only allows this group a very limited access to health care, can be considered to clash with the human rights and the ethical codes related to the health care professionals.The aim of the study was to examine how the personnel in public health care may experience treating hidden refugees and which ethical conflicts that may be connected to this. The study, which is of a qualitative descriptive design, is based on eight semi-structured interviews. The interviewees were trained nurses and mid-wives in an emergency room, a maternity Ward and a health care centre for asylum seekers.The experience of treating hidden refugees amongst the informants was limited. The study proved that the knowledge of laws and guidelines regarding hidden refugees amongst the interviewed health care personnel was poor.

ABSTRACTThe discussions about energy use have increased year by year everywhere in the society, and so also in the healthcare sector. But what is actually energy use in a hospital facility, and what affects it?The typical way today to express the energy use is in kWh/m2. The problem with a key performance indicator that is expressed as energy use in relation to a specific area is that it does not take into account the activity in the building. Even though the activity to a very high extent affects the energy use.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the Ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

Physiotherapists treat people with different views of the world and medical beliefs, which require a good understanding of cultural differences. One way to achieve cultural understanding is through self-reflection in a new context. During five weeks the authors, two physiotherapy students, completed a clinical practice at the rehabilitation center Pina Palmera, Zipolite, Oaxaca, Mexico. At the beginning of the period a critical incident was chosen, when the head physiotherapist for the Ward Cuidados Especiales intended to sell jewellery to the authors during a treatment of a patient. The authors have by using the reflection framework "Framework to guide reflective process", and Interpretive Phenomenological Analysis (IPA) for analysis, discussed different ways of communication, adherence, education, and self-reflection and critical thinking.

AbstractTo take the role of another is an important and a central part of human interaction. When we take the role of another we not only learn about them but also we learn about ourselves and how we interact with other people.  Social work in this form, working with directly with families in crises, is much about understanding other people?s perspective and feelings. It is important to know the strategy of one?s work and which perspective to work from.

ABSTRACTThe discussions about energy use have increased year by year everywhere in the society, and so also in the healthcare sector. But what is actually energy use in a hospital facility, and what affects it?The typical way today to express the energy use is in kWh/m2. The problem with a key performance indicator that is expressed as energy use in relation to a specific area is that it does not take into account the activity in the building. Even though the activity to a very high extent affects the energy use.

One of the largest work areas for speech and language pathologists is intervention for children with speech and language disorders. The purpose of the present study was to describe and analyze the clinical management of language impairment in children by studying and comparing medical records and literature from the years 2000 and 2009. The present study is a sequel to two previously published papers by Christina Samuelsson (1997; 1999), in which medical records and literature from the 1920-, 60- and 70?s were studied and a paper by Helén Sämfors (2001), in which the years 1985 and 1995 were studied. The medical records used in the present study came from a medical Ward for speech and language pathology at a university hospital in Sweden. The results showed that significantly more children were referred to the clinic for speech and language problems in 2009 than in 2000, and more children were treated for their impairments.

Background: Pervious research indicates that communication between patient and nurse has shortcomings. For the nurse, difficulties in care giving may emerge when the nurse and patient cannot understand each other. Research also shows that patients? participation in their care become more difficult by lack of communication. The care giving of patients who speak a different language is seen as a challenge by the nurse.

Previous reaserch has indicated that the almoners position in the somatic hospital hierarchy is poor. The purpose of this study was to investigate the position of the almoner in the hospital hierarch today, together with what this position is based upon.The questions at issue were:- Has the almoners position in the hospital hierarchy changed, or is it still poor?- In what way can the almoners position in the hospital hierarchy be explained?In order to get answers to our questions at issue, we interviewed totally 13 persons from the three chosen professional categories, i e four almoners, five doctors and four nurses. Two of the doctors worked at care centres and the other doctors worked in hospitals within the Region Skåne. The interview material was analysed from the concepts of Pierre Bourdieus; field and symbolic capital and by means of ideas from the closing theory.