AbstractBackground: Becoming a parent to a child in need of Neonatal intensive care can be a traumatic experience. During a time when the parents may need support, guidance and a sense of control ? the family might need to relocate to a hospital away from home if the child needs highly specialized medical care at a Neonatal intensive care Unit. Aim: The aim of this study is to investigate the parents? experience of having to change neonatal care unit.

AbstractBackground: Becoming a parent to a child in need of Neonatal intensive care can be a traumatic experience. During a time when the parents may need support, guidance and a sense of control ? the family might need to relocate to a hospital away from home if the child needs highly specialized medical care at a Neonatal intensive care Unit. Aim: The aim of this study is to investigate the parents? experience of having to change neonatal care unit.

AbstractBackground: Becoming a parent to a child in need of Neonatal intensive care can be a traumatic experience. During a time when the parents may need support, guidance and a sense of control ? the family might need to relocate to a hospital away from home if the child needs highly specialized medical care at a Neonatal intensive care Unit. Aim: The aim of this study is to investigate the parents? experience of having to change neonatal care unit.

Introduction: Today caring for newborn, sick babies or premature infants is in Neonatal intensive care units (NICUs). There is an opportunity in NICUs for advanced critical care and skilled nursing care of the child, conducted by health professionals in an active partnership with parents. To encourage parental participation in the care of their children parents are offered accommodation in a family room in the NICU. Objective: The aim is to describe parents' experience to stay in a family room in the NICU when their child is cared for there. Method: This is a research plan for a qualitative study with an inductive, descriptive approach.

Background: Almost every 20th child is borne premature in Sweden, before the parents are ready to care for a new family member. The parents need to cope with the stress and anxiety of having their newborn child in the neonatal ward and influenced by nursing care of neonatal staff grow their parental role.Purpose: The aim of this study was to illustrate experiences of parenthood within the care of premature at the neonatal ward.Method: A review where 18 articles between 2000 and 2005 were chosen and examined. The articles were analysed according to VIPS, which facilitates the practical use of the result.Result: The study reveals that parenthood is experienced as a time dependent process with three phases, primary, secondary and tertiary, where the parent?s needs and experiences changed character. The parents experienced that they developed from passive to active in the care of the premature child when the neonatal staff guided their participation, gave information/education and support.

Bakgrund: Inom neonatal intensivvård vårdas prematura barn med sina föräldrar och personalen bör ha ett helhetsperspektiv på barnet och dess familj. Två metoder som används för att bland annat skapa förutsättningar för föräldra- barnkontakt, är Newborn Individualized Development Care and Assessment Program (NIDCAP) och känguruvård. Det finns ett flertal hinder som kan försvåra föräldra- barnkontakten när ett barn föds prematurt och sjuksköterskan har en central roll i att främja kontakten. Syfte: Syftet med denna studie är att belysa upplevelsen av att bli förälder till ett prematurt barn i behov av neonatal intensivvård. Metod: Datainsamlingen har skett genom semistrukturerade intervjuer.

In the care for the critically ill patient the next of kin is of great importance. Their support, love and care for the patient, increases the wellbeing and makes a connection to the patient?s normal lifeworld. For the next of kin to be able to be that support the next of kin needs to be helped to maintain the basic need of for example their sleep, food, hygiene and psychosocial support. The critical care nurse must see to the patient?s whole lifeworld which includes their next of kin.The aim of the study was to identify the resources available for the next of kin in intensive care units in Sweden.

Aim: To examine how midwives describe good and safe postpartum care of mothers with infants in neonatal care, and which prerequisites and obstacles they see to giving good and safe care while minimizing time of separation. Method: Semi structured qualitative interviews with ten midwives at two maternity wards in Uppsala. The interviews were recorded, transcribed verbatim and processed by manifest analysis. Results: Three categories were identified, Good and safe care, Organization as an obstacle and The midwife role. Good and safe postpartum care of mothers with infants in neonatal care required knowledge, appropriate equipment, good guidelines, possibility to see the mother, contact between mother and infant and good collaboration between the maternity and neonatal wards.

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

ABSTRACTAim. To describe intensive care nurses´ experiences of caring for patients with postoperative delirium after heart surgery.Background. Delirium is a common condition after heart surgery. Previous research has focused more on pathophysiology, incidence, etiology, prevention, detection and management, and less on how nurses caring for patients with delirium experience it.Design. A qualitative interview study.Method.

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

The purpose of this study was to survey the occurrence of and obstacles to team training inneonatal life support in Swedish hospitals and, accordingly, to compare university hospitalswith other hospitals. The study included all the managers in 37 pediatric wards whoparticipated in telephone interviews with the aid of a questionnaire. The results showed that81 % of the Swedish hospitals that have a paediatric ward train the staff in neonatal lifesupport. All of the university hospitals and 74 % of the other hospitals are running training insome form. The methods of training varied and so did the occurrence of training.

Aim: The aim of this study was to describe intensive care nurses? experiences communicating with patients during mechanical ventilation.Methods/design: A qualitative interview study. Interviews where analyzed using descriptive content analysisSetting: Nine intensive care nurses from two different intensive care units were interviewed using a semi structured interview guide.Background: Past research has shown that patients during mechanical ventilation in the intensive care unit, feel very vulnerable and the helplessness of being unable to speak. These patients feels that they are completely dependent on the nurses and their competence. It has been shown to be very important that the patient feels included, acknowledged and respected.Results: The analyzed data resulted in a theme; through communication strive to preserve patients´ dignity and three main categories; create relationship to the patient, minimize patients´ vulnerability and don´t give up.

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.

Introduktion: Vid en riskförlossning är det viktigt att det finns ett fungerande samarbete mellan vårdpersonalen på neonatal och förlossningen då omvårdnaden inkluderar både mor och barn och de bör ses som en helhet.Syfte: Syftet med studien är att beskriva barnsjuksköterskors upplevelse av samarbete mellan neonatal och förlossningen vid riskförlossning. Metod: En kvalitativ metod med en fenomenologisk ansats användes i denna pilotstudie. Två barnsjuksköterskor intervjuades.Resultat: Studiens resultat redovisas under fyra huvudteman, Att det finns ett samarbete, Att befinna sig i olika organisationer, Att tränas i samarbete och Att förbereda föräldrarna genom samarbete. Barnsjuksköterskorna beskrev hinder och möjligheter som de upplever finns för samarbete mellan neonatal och förlossningen. Hinder som de upplevde var t.ex.