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..

The focus on this essay is derived from an international and national dialogue for sustainable development. The recommendation from international level has been to find solutions for governments to implement strategies for sustainable development between local and regional level. This initiative is to improve and stimulate the dialogue between the local inhabitants, officials, entrepreneurs and stakeholders in the communities together with the authorities on the regional level. The purpose is to share knowledge and find ways to learn about the natural systems and how to co-operate in the work of preserving the natural resources and developing different processes for a sustainable development. Many scientists? today stress the importance that ecosystem resilience is promoted by biodiversity conservation and that we need to find solutions for local ecosystem management practices.This essay aims to find theoretical approaches and perspectives that can be used in a wider framework to study co-operative processes between the local (agent) and regional (structure) level.

The world is getting smaller. Global markets, political processes and communication technology bring people together. Even though many of these processes are dynamic and constructive, they have also resulted in a need for better and more effective ways of international conflict resolution. This thesis investigates central issues connected to the concept of humanitarian interventions in relation to current and future legislation of the European Union. The overall question is whether the rapid globalization process has resulted in a change of international law towards more liberal view where authorization of the security council is not always needed? And, if there has actually been such a liberalization, how does that affect the legal possibilities for the European Union to carry out armed operations without the consent of the global community?The conclusion of the thesis is that international law has been modified mainly in two aspects: First, the concept of sovereignty is no longer seen merely as a right of the nation, but also as a responsibility.

The aim of this study was to look into why children receive the interventions contact person and contact family. This was done by studying case-files. The main questions were:-       How common is it that there are reasons for the intervention linked to parents and which are the most common?-       How common is it that there are reasons for the intervention and problems linked to children and which are the most common?-       Is there any indication of connections between reasons, age, gender or type of intervention? If so, what are the connections?The main results of this study were that most of the children lived with a single mother, often with a weak social network, and in need of relief. It was more common that reasons were linked to children then parents and the most common reasons indicated a need for an extra adult.

Children's Need In Focus (BBIC) is a processing and documentation system used in child welfare cases to investigate, plan and monitor interventions. The BBIC has had a breakthrough in Sweden and out of the country's 290 municipalities, there are 284 that use the system daily as a tool in cases involving children. The purpose of this study was to examine how social workers experience the BBIC as a working system and what strengths and weaknesses there are in the BBIC concept. We wanted our study to examine how the BBIC could possibly enhance the quality of childcare matters, but also how the BBIC could potentially increase children's participation in cases. We have performed qualitative interviews with eight social workers who work in four different municipalities where the BBIC is applied daily.

Several factors can affect the childbirth experience among parents. Previous research showed that parental education was insufficient. Parents who participated in both regular parental classes and psychoprophylaxis education were more satisfied with the psychoprophylaxis education compared to those who participated in only traditional parental classes. Psychoprophylaxis should be more considered as it could help the woman to handle her pain and contribute to increased self-esteem. The aim was to describe and illustrate the parents' childbirth experiences when psychoprophylaxis was used as childbirth preparation.

The purpose of this essay was to examine and compare what attitudes Swedish and Belgian social workers may have towards residential care and foster care for children and young people. To answer the purpose eight qualitative interviews with four Swedish and four Belgian social workers were made. The results were analyzed by theory of organization and professional acting space. The results of the study show that the social workers in both countries preferred foster care, especially for small children, and that the Swedish social workers had a more negative attitude towards residential care than the Belgian social workers. Even though the Belgian social workers preferred foster care, they found themselves forced to choose residential care due to lack of available foster care facilities, something that did not seem to affect the Swedish social workers.

ObjectiveThe aim of this study was to explore nurses' experiences of informing relatives to critically ill patients in the intensive care unit (ICU).MethodThe study was descriptive with a qualitative approach. Nine nurses were interviewed. The study took place in a university hospital in the midst of Sweden. An interview guide was used, designed in consensus with the study questions. Data was analyzed via qualitative content analysis.FindingsMeeting and preparing relatives at the arrival at the ICU seemed valuable and led to safety and participation among relatives.

Background:Malnutrition is a nursing issue that causes both physical and psychological suffering of those who are affected. In order to achieve care that is safe and has a good quality, it must be based on the assessment and actions of the state. District nurses play a central role in this work. Aim: The aim of this study was to describe the district nurses' work with identifying and addressing malnutrition in older people in nursing Home Care of the Community. Method: Six interviews with district nurses were conducted.

The main purpose of this thesis has been to address the problem connected with conservation ofspecific objects in historic buildings that have a protected building status. The immaterial demandsand environmental concerns of a place of cultural significance are discussed as opposed to the welladaptedsetting of a museum, with regard to long-term preservation. In an authentic interior of acertain era, large-scale individual treatments of the objects that define it and regulations forconservation-related reasons, may not be considered a worth-while effort, as it is often the integrityof the environment as a whole that has been declared as significant. To investigate the relationshipbetween object and its context, a case study has been conducted by examination of the propertycalled ?Curmans villor?, located in the seaside community called Lysekil.

Background: This paper was performed by a student in the Public Health Sciences program at the University of Gothenburg as a mandate from the district administration (SDF) Askim-Frölunda-Högsbo in Gothenburg. The assignment was formed on the basis of a need for a new service with a family-centered approach in the form of a family center for families with children aged 6-12 years. The family center will be located in the Frölunda area.Aim: The purpose of this paper was to describe and deepen the understanding of the concept of a family center from a public health perspective. A particular focus was put on interventions that are aimed at children aged 6-12 years.Method: Walker and Avants (2011) model for concept analysisResults: The defined attributes that the analysis led to were the following: Collaboration, Health Promotion, Prevention and Support services and the Visitors. The created model case and the borderline cases showed a clearer picture of the concepts meaning.

The world is getting smaller. Global markets, political processes and communication technology bring people together. Even though many of these processes are dynamic and constructive, they have also resulted in a need for better and more effective ways of international conflict resolution. This thesis investigates central issues connected to the concept of humanitarian interventions in relation to current and future legislation of the European Union. The overall question is whether the rapid globalization process has resulted in a change of international law towards more liberal view where authorization of the security council is not always needed? And, if there has actually been such a liberalization, how does that affect the legal possibilities for the European Union to carry out armed operations without the consent of the global community? The conclusion of the thesis is that international law has been modified mainly in two aspects: First, the concept of sovereignty is no longer seen merely as a right of the nation, but also as a responsibility.

Bakgrund: Nacksmärta är ett vanligt förekommande problem i Sverige och utgör en stor kostnad för samhället. En mängd sjukgymnastiska behandlingsmetoder för nacksmärta finns men effekten av dessa är oklar. Ett flertal studier har visat en nedsatt muskelfunktion hos personer med nacksmärta. Nyare forskning har därför inriktats mot träning av nackmuskulaturen som behandling av nacksmärta. Syfte: Syftet med studien var att kartlägga när man inom sjukgymnastisk behandling använder sig av specifik nackmuskelträning samt vilka effekter detta har på nacksmärta.

Introduction: Increased ill health in the workplace in terms of increased workload, stress and pressure from employers is common in Sweden today, which may lead to a future variety of medical conditions and disabilities. Aim: The aim of the present study was to describe what employees at companies in the health industry experienced as a health and illhealth on a workplace. Method: A qualitative approach was used in which the interviews were based on an interview guide. The method of analysis was thematic analysis in which three themes emerged. Results: Tree themes emerged; a social interaction with colleagues, good leadership, and access to health care and movement.

There are several different kinds of bacteria that has developed resistance against the antibiotic agents used in todays medicine. Most of them has evolved from the human health care but several of them has gone over to also cause problems in the animal health care. They often occur as nosocomial infections and the greatest risk of exposure to them is during health care. Since infections with a resistant bacterium can be difficult to treat, it is desirable to prevent this spread, especially since an animal treated in a hospital often is more susceptible to infection, due to their primary condition. In Sweden the current resistance situation is good and is yearly monitored by the Swedish Veterinary Antimicrobial Resistance Monitoring (SVARM) programme.