The pressure is getting tougher on Accident and Emergency departments. Therefore it is crucial to study how the patient?s perceive their visit to the Emergency department. Knowledge about this enables improvement of routines, patient participation and patient safety. The purpose of the study was to investigate patient?s experiences of their visit at the Emergency department.A descriptive design was used.

Background: The patient meets nurses in the Emergency department that provide both nursing and has medical skills. The care that the patients are receiving should be individually adjusted. The care is shaped by the individual meeting with the patient according to the nursing theorist Orlando. There are large variations between the number of patients in an Emergency department and it sets high demands on the staff, both physically and mentally. When the Emergency department is highly loaded there is a priority for medical care and psycho-social and aesthetic aspects will have to wait.

Aim: The aim of this study was to describe the nurse?s work at an Emergency department trough a perspective of caring.Method: A literature review has been made of twelve studies published between the years of 2002 ? 2012. The focus of all the studies was on Swedish Emergency departments.  Results: The researchers found four themes that they choose to use as a way of describing the nurses work in the emergency room as detailed as possible. These themes were: ?The emergency room?, ?the nurse?s job assignments at an Emergency department?, ?the patient?s experiences? and ?lifeworld and communication?.

 Aim. To describe patients who have got a recommendation by a telenurse to visit the Emergency department and how many of these patients could have received care in the primary health care instead. Further on, the aim was to describe if there are patients not following the recommendations.Methods. Quantitative, descriptive study, with an examination of medical records of the patients, which the telenurses recommended to visit the Emergency department, during one week. Assessments whether the patient could seek medical care at the primary health care was made, firstly based on the telenurses documentation and secondly on both the telenurses and the Emergency department´s documentation.Results.

The purpose of this paper is to examine information sharing in a hospital organization that is undergoing reorganization. The aiming is to make all employees at all levels actively involved in business development in order to create a smooth and, from a patient?s perspective, adequate emergency care. The paper suggests that the theory of social capital can explain the complexity of what motivate and what promote individuals to share information. The method used in the paper is the case study, focusing on detecting, interpreting and gaining insight on how information shares in an Emergency department.

 AbstractHygiene plays an important role in health care to prevent contamination. Their lack of application of the basal hygienrutinera is a major cause for the spread of microorganisms occurs. The purpose of this study is to examine how rules of basic hygiene and clothing followed in the Emergency department a quantentative approach involving the observation was to collect data on this activity. The data collection went on for 1 week at the emergency room, where hospital staff including doctors, nurses and assistant nurses was observed. The study showed that staff at the Emergency department did not fully comply to the rules for basic hygiene routines.

Aim: The aim of this study was to describe how patients with acute illness experience their given care in the Emergency department. Method: A literature review of ten studies where differences and similarities were analyzed. These studies had been published between the years of 2000 and 2011. Results: The analysis showed a lack of sufficient care concerning patients? subjective experiences.

Background: Previous research demonstrates that negative stress in the current situation is common among nurses working in emergency care. The stress is demonstrated to be associated with poorer provided care for patients and impaired health of nurses. Aim: The purpose of the study was to highlight nurses' perception of stress and their work for a good nursing care on an emergency care department. Method: An empirical design with qualitative approach has been used. Five semi-structured interviews were conducted with nurses and forms the basis of the results of the study.

Background: High demands are today placed upon Swedish elderly care nurses as more elderly live with multimorbidity while the hospital bed capacity is becoming lower. Aim: The aim of the study was to explore nurses? perception of decision-making in situations with acutely ill patients in nursing homes and which factors may influence the decision about transferring patients to the Emergency department or not. Method: This is a qualitative study with a phenomenographic approach. Semi-structured interviews have been conducted with 11 nurses working in nursing homes. The data analysis was based on Dahlgren and Fallsberg (1991) data analysis. Result: Three different description categories were presented, which describes variations of the nurses? perceptions.Feeling comfortable in making the decision; which involved the nurses feeling confident in the decision-making about transferring patients to the Emergency department or not.Hesitant in making the decision; which described how nurses perceived the decision-making as problematic, with regard to transferring patients to the Emergency department.Many wishes to consider in taking the decision; which explained how nurses? decision-making was influenced by requests from the patients or from people close to them.Conclusion:  The study reflected how  supporting and aggravating factors could influence how nurses in nursing homes perceived the decision-making and how nurses have to take in consideration different opinions concerning the decision making process of transferring patients to the Emergency department or not.

The purpose of this study was to investigate registered nurses experiences about the current model for triage at the Emergency department at Uppsala University Hospital. The study is descriptive with qualitative approach. The data collection was made in the form of semi structured interviews. The interviews took place at the Emergency department. The sample consisted of eight registered nurses with varying work experience of emergency care.

Background: To wait on an Emergency department is a reflected and well-documented problem. Thou it´s mainly due to a patient perspective should also nurses' perspectives be significant to obtain a faceted perception of the phenomenon.Aim: The purpose of this study was to describe how nurses perceive the phenomenon of anticipation of a somatic Emergency department.Method: The analysis was performed using a phenomenological approach. The study was conducted in a medium-sized hospital in southern Sweden, during the latter part of 2005, and had a qualitative approach based on a lifeworld perspective. Data collection consisted of written stories from twelve nurses.Results: The results indicated that the waiting was the scene of the expectations. These expectations led to dilemmas, powerlessness and frustration, the more the phenomenon was allowed to stand.

Background: To wait on an Emergency department is a reflected and well-documented problem. Thou it´s mainly due to a patient perspective should also nurses' perspectives be significant to obtain a faceted perception of the phenomenon.Aim: The purpose of this study was to describe how nurses perceive the phenomenon of anticipation of a somatic Emergency department.Method: The analysis was performed using a phenomenological approach. The study was conducted in a medium-sized hospital in southern Sweden, during the latter part of 2005, and had a qualitative approach based on a lifeworld perspective. Data collection consisted of written stories from twelve nurses.Results: The results indicated that the waiting was the scene of the expectations. These expectations led to dilemmas, powerlessness and frustration, the more the phenomenon was allowed to stand.

Aim: The aim of this study was to describe what nurses experienced in connection with waiting time related frustration among patients and relatives in the Emergency department and also what strategies nurses use to manage waiting time related frustration.Background: The numbers of Emergency department visits are increasing and lead to waiting times which can cause frustration among patients and relatives, a frustration that nurses encounter in their everyday work and need strategies to deal with.Methods: This is a descriptive qualitative study. Interviews are conducted with five nurses, transcribed and analyzed by qualitative content analysis.Findings: The nurses feel inadequate and powerless when they meet patients and relatives frustration. In order to deal with patients and relatives frustration, they use the strategy of participation, which implies to involve and meet patients and relatives needs for information and to be seen. In order to prevent themselves becoming frustrated they use adaptability, by creating an inner calm, not take it personally and to distance themselves from the frustration.Conclusion: The result highlights the importance of managing the activity to reduce waiting time related frustration, for example through reflection and working for reducing waiting times. Further research is also needed..

Background: To wait on an Emergency department is a reflected and well-documented problem. Thou it´s mainly due to a patient perspective should also nurses' perspectives be significant to obtain a faceted perception of the phenomenon.Aim: The purpose of this study was to describe how nurses perceive the phenomenon of anticipation of a somatic Emergency department.Method: The analysis was performed using a phenomenological approach. The study was conducted in a medium-sized hospital in southern Sweden, during the latter part of 2005, and had a qualitative approach based on a lifeworld perspective. Data collection consisted of written stories from twelve nurses.Results: The results indicated that the waiting was the scene of the expectations. These expectations led to dilemmas, powerlessness and frustration, the more the phenomenon was allowed to stand.

BackgroundHandover occurs as a daily task for health care professionals in all levels of care. Handover between ambulance crew and Emergency department staff stands for the first exchange of information about a patient?s condition. Different factors may impact the handover communication and make it vulnerable.AimThe aim is to highlight factors of importance at handover between the ambulance and emergency room.MethodA literature review of thirteen studies with qualitative and quantitative research approach. The purpose of this literature review was to provide an overview of the area.ResultsExperiences for health care professionals is that communication is important for patient handover between ambulance and Emergency department.