Introduction: Frequent attenders is a term used in health care services that define a person attending a health care setting more than four times during a 12 month period. Recently published research concerning frequent attenders in pediatric emergency departments describes their reasons for attending a health care service or characteristics of these individuals but lacks a qualitative approach exploring their experiences. There is a need of these experiences to be shared so that health care personnel caring for this group may gain a greater understanding of their needs and expectations.Aim: The aim of this study is to describe how parents of children defined as frequent attenders experience the care received at a pediatric emergency department.Method: Qualitative approach with semi-structured interviews. A pilot study of four interviews was conducted to test the method. Sampling consisted of parents of children defined as frequent attenders and that were not diagnosed with a chronic illness.

Triage, which means "to sort", determine the priority of the patients need of care. The aim of the present study was to describe nurses? perception of triage at a pediatric emergency department. A questionnaire with open- and closed-ended questions were distributed to all 25 nurses that worked at a pediatric emergency department. The answer frequency was 48 % (n=12).

Introduction: Nowadays, it is a considerable fact that parents stay with their hospitalized child, however the role played by parents may not always be obvious. For many parents, this is a difficult experience, which may cause stress among parents who want to be supportive for their child. Parents and children have a close bond and influence each other emotionally; therefore it is of great importance that parent?s experiences of hospitalization should be noted. The pediatric nurse may apply this experience to give the best possible care for the child and the family.

Introduction: The complexity of the neonates? way of expressing pain is a difficulttask for the pediatric nurse. The Swedish national guidelines for prevention and treatmentof pain in the newborn infant is suggesting that departments regularly use structuredmethods, such as pain assessment instrument, for the assessment of pain in the neonatalperiod. Previous research shows that pain assessment instruments are only used in abouthalf of all pain assessments in Sweden. Neonate's cannot verbally communicate their pain,and are therefore dependent on the pediatric nurse to acknowledge the pain.

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.

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.

Children are a group of patients that require special knowledge from the anesthesia staff, both general and specific. Theoretical knowledge and practical experience is necessary to adequately care for the child as it anatomically, physiologically and mentally may differ from adult patients.A growing problem in the pediatric population is overweight and obesity. From a stagnation in the early 2000s the prevalence of overweight and obesity among children in the world are again increasing.The purpose of this study was to examine peri-operative care of overweight and obese children.Systematic searches were done in PubMed, CINAHL and Scopus. After the quality audit according to SBU, twelve articles were included for analysis.Results suggest that overweight and obese children have a higher risk of respiratory peri-operative complications. The risk of hospital admission after outpatient surgery was also greater in this group as well as higher costs for health care.Overweight and obese children are complex subjects with more frequent peri-operative risk factors than normal-weight children.

Införandet av en mobil intensivvårdsgrupp (MIG) har visat sig ha goda resultat utomlands med minskade andningsstopp och mortalitet inom pediatrisk vård. Vid Astrid Lindgrens Barnsjukhus i Solna, Sverige (ALB) finns långt framskridna planer på att starta en MIG-verksamhet. Syftet med denna studie var att beskriva pediatriska patienter som faller in under potentiella MIG-kriterier innan inläggning på barnintensivvårdsavdelningen/barnintermediäravdelningen (BIVA/BIMA) på ALB. Studien gjordes retrospektivt genom journalgranskning av inskrivna pediatriska patienter på BIVA/BIMA under 2009. Totalt inkluderades 148 pediatriska patienter i åldern 0-18 år i studien.

AbstractThe aim of this study was to describe the anesthesia nurses experiences of pediatric anesthesia in two surgical wards, a general surgery department and a day surgery surgical department at two hospitals in central Sweden. The study had a descriptive design with a qualitative approach, in which ten anesthetic nurses with more or less experience in children's anesthesia participated. Data were collected using semi-structured interview questions and were analyzed using qualitative content analysis. The results were reported based on a theme, three sub themes and nine categories. The theme When skills, tactfulness and interpersonal skills come to a head, with three sub themes Being prepared and ready, Interacts and open for participation   and Emotional tension.

In the palliative care there are many close encounters between the care-taker and the care-giver. To be touched is foundational to every human being and the care-giver shows his presence to the care-taker, when he touch the care-taker. Touch is an important tool for the care-giver in the care for the care-taker. It becomes a natural way of communicating. The aim of this literature study was to describe which factors that are important, for the care-taker in the palliative care, to receive touch in the purpose of feeling well-being.

Introduction: About 160 children with Down syndrome are born each year in Sweden. They will spend their first time in life at the neonatal departments around the country. Previous research has shown that parents in these situations have experienced an unsatisfying behaviour from the caregivers and that they are not getting the care they desire. However the research that reflects the nurses? role in these situations is sparsely studied.

Introduction: Parental involvement is becoming increasingly common in the paediatric health care. Parental participation at home means that parents receive instruction by nursing staff in order to perform a caregiving procedure at home.Aim: To explore parents' feelings about performing caregiving procedures on their child at home, and their experience of instruction about these, and to explore nurses? experiences of their instruction to parents.Method: A descriptive quantitative and qualitative design using questionnaires with statements to be responded by nurses and parents according to scales graded 1-10. The study was carried out during the autumn of 2009 at a pediatric unit in the University Hospital in Uppsala.Results: Ten completed questionnaires from the nursing staff and ten from parents were obtained. The mean assessment of parents' perceived safety and security, and their perception that their questions had been answered ranged between 8,6 and 9,2.

Sahlgrenska Academyat University of GothenburgDepartment of internal medicine and clinical nutritionAbstractTitle: Can exclusive enteral nutrition replace steroid treatment in pediatric Morbus Crohn?Author: Hanna Rymark Lehnér and Josephine PetterssonSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 23, 2012Background: Morbus Crohn is a chronic inflammatory bowel disease which periodically causes great suffering for the patient. There is solid scientific evidence that treatment with steroids effectively induces and preserves remission. However, side effects are many and a great risk for stunted growth and skeletal development exists in children. A widespread view is that exclusive enteral nutrition is as effective as steroids in pediatric Crohn´s.

Asthma is the most common chronic illness in children. Re-admissions to hospital are common and asthma has a significant impact on children and their families. The purpose of this study was to describe the outcome of the nurses? information and education handed to the family. The result of this literature study was based on 14 scientific articles which evaluated the families? knowledge and the illness? impact on daily life after different ways of asthma information and education.

Syftet med studien var att undersöka hur sjuksköterskor på en allmänpediatrisk avdelning disponerar sin tid gällande administrativa arbetsuppgifter jämfört mot direkt och indirekt patientkontakt. För att granska detta fenomen utfördes en aktivitetsstudie. Metod designen var icke experimentell deskriptiv observationsstudie. Där sju olika sjuksköterskor följdes under femton dagar där tidmätning skedde av på förhand kategoriserade aktiviteter. Kategoriseringsschema innehöll nio olika kategorier.