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: 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.

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.

The aim of this study was to elucidate day surgery patients´ subjective experiences of postoperative pain after orthopedic and abdominal surgery and if there was any difference in the experience according to sex and age.Selection was not random and the study included 87 patients. Data were collected from patient questionnaires. VAS method was applied in the questionnaire to measure patients´ pain.The outcomes of the study show that there was no significant difference between women´s and men´s experiences of pain during days 1-7.It was found that patients undergoing orthopedic surgery had significantly more pain on day 7 compared to those patients who underwent abdominal surgery.There was a significant negative correlation between age and perceived pain on day 7.Patients in day surgery group had significantly less pain on day 7 compared with day 1.The patients who have undergone orthopedic surgery and younger patients had more pain on day 7 while the patients in day surgery group had a pain level decreased gradually and on day 7 was the lowest.It appears that pain relief on day 7 of younger patients and patients who have undergone orthopedic surgery is an area that can be improved..

To receive a diagnosis of pancreatic cancer can lead to a tremendous change in a person?s life. Thoughts regarding death may cause a personal crisis which can have negative influences on the patient?s social, mental and spiritual state. Most people with pancreatic cancer are diagnosed in a late stage of the disease.

The aim of this study was to explore whether the patients? expectations of physiotherapy correspond with the physiotherapists? view of their own professional role. Two separate questionnaires were used, one to the patients and one to the physiotherapists, which questions were able to compare. Totally 41 patients and 6 physiotherapists answered the questionnaires. The low number of answers from the physiotherapists made it impossible to fulfil the purpose.

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.

 Background: Euthanasia means help to die. Some terminally ill patients wish for euthanasia. Purpose: Illuminating terminally ill patients' desire for voluntary euthanasia. Method: A general literature study. Seven articles were reviewed and analyzed.

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.

Background: Delirium is a common condition among elderly patients who are being treated in a hospital environment. However, a large number of patients are wrongly diagnosed. The highest risk categories to develop delirium are elderly people and postoperative patients. By understanding the patients´ experiences the nurse can formulate the care to make it easier for the patient. Aim: The aim of the literature review was to illuminate elderly patients´ experiences of delirium in connection with a hospital visit.

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.

The aim of this study was to investigate for how long patients fast before thoracic surgery, plastic surgery and ear, nose and throat surgery, at the University hospital of  Uppsala, and what knowledge patients have about fasting and how they get affected by it. 30 patients were interviewed, 10 patients at each ward, according to a questionnaire. Data processing was performed with SPSS. There was no difference in fasting time for solids between the wards but the mean fasting time was 14 hours. In the thoracic ward patients fasted from liquids considerably longer than in the other 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.

Background: During the 1980s, the fear of HIV spread over the world. Health professionals'attitudes to patients with HIV, was negatively impacted because of their fear to be infected.Patients with HIV have therefore,during disease history's first two decades, experienced stigma and discrimination in the response from health professionals. Because of the increasing knowledge of HIV it is of interest to study patients' contemporary experiences of the encounter with health professionals. Aim:To explore how patients with HIV experiencing the meeting with health professionals. Method:Literature study with seven qualitative and three quantitative articles.