As a prerequisite for all adult learners in life-long learning, self-directed learning has been constantly discussed since the early 1960s. However, in what manner research operationalizes the concepts and what similarities occur across the empirical studies and theoretical studies are still ambiguous. The purpose of this study is to employ an integrative literature review to investigate and disentangle various interpretations of self-directed learning by identifying how the topic is defined and what competencies and strategies are needed for a highly self-directed learner. This is a six-phase study, including: 1) problem formulation; 2) data collection; 3) problem re-formulation; 4) data evaluation; 5) data collection; and 6) presentation of the findings. This study provided a comprehensive perspective of self-directed learning in a dynamically expanding process to include multifaceted interpretations of the topic and advanced research in self-directed learning in an updated, enriched learning environment. Specifically, the researcher updated the evidence for self-directed learning to date, identified all of the potential dimensions of self-directed learning that distinguish a highly-directed self-directed learner and the related instructional strategies, and made suggestions for the future direction of research on the topic. / Ph. D. / This study is the first comprehensive investigation of the topic of self-directed learning by use of an integrative literature review. The researcher strove to disentangle various interpretations of self-directed learning and identify competences and strategies needed for a highly self-directed learner. This study advanced research in self-directed learning in an updated enriching learning environment. Specifically, the researcher updated the evidence for selfdirected learning to date, identified all the potential dimensions of self-directed learning that distinguish a highly self-directed learner, and made suggestions for the future direction for research of the topic. The findings demonstrated that self-directed learning is a highly dynamic and context-specific learning process in which the learner, as a proactive acting agent, interacts with his /her learning environment to accomplish his/her learning goals in a given learning context. In this dynamic and interactive process, the self-directed learner is motivated to control his/her learning, take advantage of his/her personal experience, set his/her realistic goals, believe in his/her ability to implement the plan and persist in accomplishing achievements by using cognitive skills such as metacognition and self-learning strategies such as seeking assistance, resources, and support when needed.

Yes / The landscape for health professional education is changing. The higher education (HE) sector faces the challenge of delivering high quality education at a time of financial constraint and increased emphasis on the student as a consumer. But universities also face new expectations from a health sector that is increasingly recognising both the interdependency between the quality of health care and the quality of education and training and the potential for education to support innovation. Although the differences in the HE and health policy context across the four UK home nations are increasingly significant, these are common challenges for all 85 members of the UK Council of Deans of Health. ... The literature review throws up many interesting findings. It is striking that there is relatively little research evidence on assessment or practice oriented innovative teaching and learning interventions, nationally or internationally. So too, the gaps revealed in the evidence base around the culture of innovation are something that we will pursue as a project group with a further literature review in 2014. However, the literature review reveals a rich body of research, covering areas as diverse as simulation, social media, drama and peer learning. Our hope is that the findings will help colleagues across the UK to track down the research evidence behind existing innovative practice and that it will stimulate many new ideas as we seek to continually improve the way we teach. Professor Brian J. Webster, Assistant Dean, Edinburgh Napier University and Chair, Innovation Project Advisory Group.

No / Aim The aim of this review is to summarise the literature relating to patients’ experiences with home parenteral nutrition (HPN). Method This literature review is based on searches of CINAHL, PubMed, Web of Knowledge and Web of Science for articles published between 1970 and 2013. Additional studies were included from Department of Health publications, NICE clinical guidance, UK patient support group with interests in HPN or intestinal failure (IF). Results Patients with severe IF have been successfully treated with HPN since the 1970s. Early published studies evaluated clinical outcomes such as catheter-related infections, metabolic complications, thrombosis of the catheterised vein and liver impairment. Since the 1980s questionnaire studies were used to evaluate the quality of life (QoL) of patients treated with HPN. These early studies used QoL assessment tools which were not validated for patients treated with HPN. Internationally, there were published qualitative research studies which explored the experiences of patients treated with HPN. Conclusions The long-term outcome of patients treated with HPN continues to attract research interest. The review of the literature did not identify any published qualitative studies on the experiences of patients treated with HPN in the UK, suggesting a gap in the research. The UK National Health Service advocates a patient-centred approach for service design and delivery in primary and secondary care. This literature review has highlighted opportunities for qualitative research into the experiences of patients living with HPN to achieve better understanding and awareness of the rehabilitation of these patients

Context: Over the recent years, ‘Lean Software Development’ (LSD) has been emerging as a significant practice in the Software Industry. The inherent nature of ‘Lean’ to efficiently handle frequently changing customer needs by minimizing ‘Waste’ is a major success factor in practicing it in the context of ‘Software Engineering’. In simple words, Lean Software Development is the true translation of Lean Manufacturing and Lean IT principles to Software Engineering. This work presents an in-depth analysis on the implication of lean methodologies from both ‘State of Art’ and ‘State of Practice’ in the context of Software Engineering. Objectives: The prime objective of the study is to investigate what methodologies were considered & adopted under lean philosophy and to present relevant evidence on the implication of lean methodologies in reference to what defines ‘lean’ in Software Engineering. An extensive literature review was aimed to find the existing challenging factors that negatively influenced the success of software projects and the respective lean mitigation methodologies that were employed by various software organizations to appease their negative impact. Industrial interviews were conducted by interviewing lean experts, with a motive to find the current state of lean implementation in software industry. The outcomes from the systematic literature review (State of Art) and the industry (State of Practice) are comparatively analysed to explore the similarities and differences on the state of lean implication. Finally, a set of guidelines are recommended that would benefit an Industrial Practitioner/Stakeholder/Academic Researcher in practicing the appropriate lean methodology in the context of software engineering. Methods: We conducted a ‘Systematic literature review’ (SLR) by systematically analyzing relevant studies and then interviewed industrial experts to validate our findings. The systematic literature review was conducted according to the guidelines proposed by Dr. Barbara Kitchenham stated in ‘Guidelines for performing Systematic Literature Reviews’ article. The thorough review helped us in identifying various challenging factors that negatively influenced the success of software projects and the respective lean mitigation methodologies that were practiced in the context of software engineering. The associated benefits of practicing the lean methodologies are also presented. The extensive review included peer reviewed articles from electronic databases such as IEEE Explore, Inspec, Scopus and ISI. In addition to this, we conducted snowball sampling on the references of the selected articles to avoid the potential risk of losing relevant and valuable information. Also, other potential sources of information such as books, theses/dissertations, white papers and website/blog articles are included as a part of Grey Literature. In this study, the articles related to the implication of lean methodologies in the context of software engineering were considered. The review included 72 primary studies published between 1993 and 2012. The primary studies were selected based on the following criteria: If they presented the challenging factors that negatively influenced the success of software projects. If they depicted the implication of lean mitigation methodologies (Tool/ Technique/ Method/ Process/ Practice/ Principle) that appeased the negative impact of the identified challenging factors that hampered the success of software projects. If they depicted the implication of lean methodologies (Tool/ Technique/ Method/ Process/ Practice/ Principle) in general or for a specific development/ Management/ Maintenance improvement activities that lead to the success of software projects in the context of software engineering. If they presented the benefits of practicing lean methodologies in the context of software engineering. The study quality assessment was done based on the quality criteria defined in the ‘Quality assessment criteria checklist’. The data such as Article ID, Article Title, Literature type (Peer- reviewed, Non-peer reviewed), Context of validation of the lean methodology (Industry/Academia), Subjects considered for the study (Researchers/students, Industrial practitioners), Type of article publication (Conference/ Journal/ Books/ Thesis Reports/ Doctoral dissertations/ Other), Research method used in the study (Case Study/ Experiment/ Experience Report/ Not stated/ Secondary Data Analysis/ Literature Review), Context of conducting the research (Industry/ Academia/ Not stated/ Both), Context of validation of the study (Strong/ Medium/ Weak), Publication date & year, Source of the publication, are extracted as a part of Quantitative analysis. The secondary data analysis for both ‘State of Art’ (Systematic literature review) and ‘State of Practice’ (Industry) was carried by performing a generic data analysis designed to answer our research questions. The more specific data such as the challenging factors that negatively influenced the success of software projects, the type of lean contribution presented i.e., the methodology being a Tool, Technique, Practice, Principal, Process or a Method, along with the benefits associated on their implication that helped us to answer our research questions are extracted as a part of qualitative analysis from the selected studies. The industrial interviews were conducted by interviewing potential lean experts who had decent experience in lean software development, to find the current state of lean implication in the software industry. In the end, a comparative analysis was performed to clearly understand the state of convergence and divergence between the results from extensive literature review and the industry with respect to the implication of lean methodologies in the context of software engineering. Results: A total of 72 primary articles were selected for data extraction. 56 articles were selected from the electronic databases that clearly depicted lean implementation in the context of software engineering. 9 articles were selected by conducting snowball sampling i.e. by scrutinizing the references of the selected primary studies and finally the grey literature resulted in 7 articles. Most of the articles discussed about lean implication in the context of software engineering. The depicted lean methodologies were validated in either Industry or Academia. A few articles depicted regarding lean principles and their benefits in the context of software engineering. Most of the selected articles in our study were peer- reviewed. Peer reviewing is a process of evaluating one’s work or performance by an expert in the same field in order to maintain or enhance the quality of work or performance in the particular field. This indicates that the articles considered for data extraction have been reviewed by potential experts in the research domain. Conclusions: This study provided a deeper insight into lean implication in the context of software engineering. The aim of the thesis is to find the challenging factors that negatively influenced the success of software projects. A total of 54 challenges were identified from the literature review. The 72 primary articles selected from various resources yielded 53 lean methodologies. The lean methodologies were grouped into Principles, practices, tools and methods. Mapping between the identified challenges and the mitigation lean methodologies is presented. Industrial interviews were conducted to find the current state of lean implication in software engineering. A total of 30 challenges were identified from the industry. A total of 40 lean methodologies were identified from the interviews. Comparative analysis was done to find the common challenges and mitigation lean methodologies between the State of art and State of practice. Based on the analysis a set of guidelines are presented at the end of the document. The guidelines benefit an industrial practitioner in practicing the appropriate lean methodology. Keywords: Lean Methodology, Lean software development, lean software management, lean software engineering, Systematic literature review, literature review. / Context: Over the recent years, ‘Lean Software Development’ (LSD) has been emerging as a significant practice in the Software Industry. The inherent nature of ‘Lean’ to efficiently handle frequently changing customer needs by minimizing ‘Waste’ is a major success factor in practicing it in the context of ‘Software Engineering’. In simple words, Lean Software Development is the true translation of Lean Manufacturing and Lean IT principles to Software Engineering. This work presents an in-depth analysis on the implication of lean methodologies from both ‘State of Art’ and ‘State of Practice’ in the context of Software Engineering. Objectives: The prime objective of the study is to investigate what methodologies were considered & adopted under lean philosophy and to present relevant evidence on the implication of lean methodologies in reference to what defines ‘lean’ in Software Engineering. An extensive literature review was aimed to find the existing challenging factors that negatively influenced the success of software projects and the respective lean mitigation methodologies that were employed by various software organizations to appease their negative impact. Industrial interviews were conducted by interviewing lean experts, with a motive to find the current state of lean implementation in software industry. The outcomes from the systematic literature review (State of Art) and the industry (State of Practice) are comparatively analysed to explore the similarities and differences on the state of lean implication. Finally, a set of guidelines are recommended that would benefit an Industrial Practitioner/Stakeholder/Academic Researcher in practicing the appropriate lean methodology in the context of software engineering. Methods: We conducted a ‘Systematic literature review’ (SLR) by systematically analyzing relevant studies and then interviewed industrial experts to validate our findings. The systematic literature review was conducted according to the guidelines proposed by Dr. Barbara Kitchenham stated in ‘Guidelines for performing Systematic Literature Reviews’ article. The thorough review helped us in identifying various challenging factors that negatively influenced the success of software projects and the respective lean mitigation methodologies that were practiced in the context of software engineering. The associated benefits of practicing the lean methodologies are also presented. The extensive review included peer reviewed articles from electronic databases such as IEEE Explore, Inspec, Scopus and ISI. In addition to this, we conducted snowball sampling on the references of the selected articles to avoid the potential risk of losing relevant and valuable information. Also, other potential sources of information such as books, theses/dissertations, white papers and website/blog articles are included as a part of Grey Literature. In this study, the articles related to the implication of lean methodologies in the context of software engineering were considered. The review included 72 primary studies published between 1993 and 2012. The primary studies were selected based on the following criteria: If they presented the challenging factors that negatively influenced the success of software projects. If they depicted the implication of lean mitigation methodologies (Tool/ Technique/ Method/ Process/ Practice/ Principle) that appeased the negative impact of the identified challenging factors that hampered the success of software projects. If they depicted the implication of lean methodologies (Tool/ Technique/ Method/ Process/ Practice/ Principle) in general or for a specific development/ Management/ Maintenance improvement activities that lead to the success of software projects in the context of software engineering. If they presented the benefits of practicing lean methodologies in the context of software engineering. The study quality assessment was done based on the quality criteria defined in the ‘Quality assessment criteria checklist’. The data such as Article ID, Article Title, Literature type (Peer- reviewed, Non-peer reviewed), Context of validation of the lean methodology (Industry/Academia), Subjects considered for the study (Researchers/students, Industrial practitioners), Type of article publication (Conference/ Journal/ Books/ Thesis Reports/ Doctoral dissertations/ Other), Research method used in the study (Case Study/ Experiment/ Experience Report/ Not stated/ Secondary Data Analysis/ Literature Review), Context of conducting the research (Industry/ Academia/ Not stated/ Both), Context of validation of the study (Strong/ Medium/ Weak), Publication date & year, Source of the publication, are extracted as a part of Quantitative analysis. The secondary data analysis for both ‘State of Art’ (Systematic literature review) and ‘State of Practice’ (Industry) was carried by performing a generic data analysis designed to answer our research questions. The more specific data such as the challenging factors that negatively influenced the success of software projects, the type of lean contribution presented i.e., the methodology being a Tool, Technique, Practice, Principal, Process or a Method, along with the benefits associated on their implication that helped us to answer our research questions are extracted as a part of qualitative analysis from the selected studies. The industrial interviews were conducted by interviewing potential lean experts who had decent experience in lean software development, to find the current state of lean implication in the software industry. In the end, a comparative analysis was performed to clearly understand the state of convergence and divergence between the results from extensive literature review and the industry with respect to the implication of lean methodologies in the context of software engineering. Results: A total of 72 primary articles were selected for data extraction. 56 articles were selected from the electronic databases that clearly depicted lean implementation in the context of software engineering. 9 articles were selected by conducting snowball sampling i.e. by scrutinizing the references of the selected primary studies and finally the grey literature resulted in 7 articles. Most of the articles discussed about lean implication in the context of software engineering. The depicted lean methodologies were validated in either Industry or Academia. A few articles depicted regarding lean principles and their benefits in the context of software engineering. Most of the selected articles in our study were peer- reviewed. Peer reviewing is a process of evaluating one’s work or performance by an expert in the same field in order to maintain or enhance the quality of work or performance in the particular field. This indicates that the articles considered for data extraction have been reviewed by potential experts in the research domain. Conclusions: This study provided a deeper insight into lean implication in the context of software engineering. The aim of the thesis is to find the challenging factors that negatively influenced the success of software projects. A total of 54 challenges were identified from the literature review. The 72 primary articles selected from various resources yielded 53 lean methodologies. The lean methodologies were grouped into Principles, practices, tools and methods. Mapping between the identified challenges and the mitigation lean methodologies is presented. Industrial interviews were conducted to find the current state of lean implication in software engineering. A total of 30 challenges were identified from the industry. A total of 40 lean methodologies were identified from the interviews. Comparative analysis was done to find the common challenges and mitigation lean methodologies between the State of art and State of practice. Based on the analysis a set of guidelines are presented at the end of the document. The guidelines benefit an industrial practitioner in practicing the appropriate lean methodology. Keywords: Lean Methodology, Lean software development, lean software management, lean software engineering, Systematic literature review, literature review. / 0091-8375920473

In recent years, companies such as Amazon and DHL have started to develop alternative last-mile delivery options because of the growing trend in e-commerce. Last-mile deliveries refer to the terminal to customer deliveries and have become increasingly challenging to manage, as traffic congestions in cities has risen. Therefore, companies have begun searching for alternative delivery methods, such as autonomous drones or unmanned aerial vehicles (UAV). The purpose of this thesis is to investigate drones in the current literature on last-mile delivery. First, by conducting a systematic literature review on the current literature available in two major databases. Second, by analyzing the collected literature sample and presenting it through a descriptive analysis focusing on bibliometrics and a thematic analysis that identifies emerging themes for drivers for drones’ application in last-mile delivery, barriers for drones’ application in last-mile delivery, and approaches for implementing drones in last-mile delivery.                        Drones’ application in last-mile delivery has the potential to reduce cost, decrease delivery time, reduce emissions, and reduce energy consumption. However, barriers that hinder the implementation, such as governmental regulations, need further consideration for the implementation to occur. Some evident gaps can be found related to the barriers. Both managers and researchers might find the thesis useful, as it provides a holistic view on the subject, with theoretical, managerial, and societal implications being presented.

Background. The use of Unmanned Aerial Vehicles (UAVs) is today prevalent in both defense applications as well as in civilian tasks and is predicted to have a major socio-economic impact [22]. The opportunities involved with using Augmented Reality (AR) during UAV operations have engaged previous research intending to improve an operator’s situational awareness which allows operations to be carried out without putting people in dangerous situations [1,11,47]. In the case of a system where multiple UAVs are simultaneously active with the possibility to share information, opportunities arise for visualization of tracked entities either located behind objects in the environment or outside the field of view of a UAV. While previous research has been done in the field of AR on hidden elements, the impact of those techniques in a multi-UAV scenario is unexplored. Objectives. The thesis aimed to answer the question of what the impact is of different visualization techniques in regards to response time, depth perception, and clarity in a multi-UAV scenario involving entities occluded by the environment or otherwise hidden. Methods. This thesis has gone forward with a Systematic Literature Review (SLR) to in a systematic way compile the most important visualization techniques for AR visualizations of hidden elements. The techniques proposed by the SLR were implemented in an application simulating a multi-UAV scenario as well as evaluated in an experiment and a survey to fill in the gaps in previous research. Results. The SLR provided this work with multiple important aspects for visualization of entities, both occluded as well outside the field of view including the importance to utilize occlusion as a depth cue but also concrete techniques for implementation. Through the SLR the Excavation box, Naive ghosting, Silhouette, Ruler, Halo, and Radar techniques were selected for implementation in a multi-UAV scenario. The evaluation showed that for clarity the Excavation box and Silhouette techniques were preferred over the Naive ghosting technique, that the Halo technique is preferred for estimation of position but also aspects such that the occlusion depth cue may be unnecessary at the distances involved in the general multi-UAV scenario evaluated. Conclusions. Based on the findings of this thesis can visualizations in a multi-UAV scenario be created, heightening the situational awareness of UAV operators and therefore allowing tasks to be completed without putting people in dangerous situations [1, 11, 22, 47]. / Bakgrund. Drönare är idag använda i både försvarssammanhang och allmänna samhällssituationer och förväntas ha ett betydande socio-ekonomiskt avtryck i framtiden [22]. Genom att använda sig av augmenterad verklighet (AR) under drönaruppdrag, ett område där tidigare forskning genomförts, kan en operatörs medvetenhet kring sin omgivning höjas och därmed uppdrag genomföras utan att människor sätts i farliga situationer [1,11,47]. I situationer där flera drönare samtidigt är aktiva och kan dela information med varandra dyker möjligheter upp att visualisera spårade entiteter som befinner sig både bakom objekt i miljön och utanför synfältet för en specifik drönare. Tidigare forskning har gjorts inom AR för dolda element men hur dessa fungerar i detta system med flera drönare är outforskat. Syfte. Denna avhandlings mål var att svara på frågan kring hur olika visualiseringstekniker fungerar i avseende med responstid, djupuppfattning och tydlighet i situationer med flera aktiva drönare med spårade, dolda entiteter. Metod. Denna avhandling har genomfört en Systematic Literature Review (SLR) för att systematiskt ta fram de viktigaste teknikerna inom forskningen för AR visualiseringar av dolda element. De tekniker föreslagna av SLR:en implementerades i en applikation som simulerar ett multi-drönar scenario följt av en evaluering genom ett experiment och en undersökning för att bidra i ett område där forskning saknas. Resultat. SLR:en bidrog med flera viktiga principer och tekniker relevanta för att svara på avhandlingens forskningsfråga. Baserat på dessa resultat implementerades sex stycken tekniker: Excavation box, Naive ghosting, Silhouette, Ruler, Halo och Radar. Evalueringen visade att för tydlighet bör Excavation box eller Silhouette användas över Naive ghosting, Halo-tekniken är att föredra vid positionsestimering och att aspekter som att använda sig av täckning som guide för djupuppfattning kanske är onödig vid distanserna som är relevanta i det evaluerade scenariot. Slutsatser. Baserat på upptäckterna i denna avhandling kan visualiseringar för system med flera drönare skapas vilka ökar medvetenheten kring en operatörs omgivning och därför utföra uppdrag utan att människor utsätts för farliga miljöer [1,11,22,47].

Bakgrund Palliativ vård handlar om att ge vård till patienter med obotlig sjukdom. Målet med vården är helhetssyn på patienten för att tillgodose patientens fysiska, psykiska, sociala och existentiella behov samt att ge stöd till närstående. Att ha kunskap och utbildning inom området är viktigt eftersom allt flera patienter väljer att få palliativ vård i sitt eget hem. Syfte Att beskriva sjuksköterskor upplevelser och erfarenheter av palliativ vård i hemmet. Metod Litteraturöversikten baseras på 13 vetenskapliga artiklar med kvalitativ och kvantitativ ansats. Artiklarna söktes i databaserna PubMed och CINAHL och var publicerades mellan åren 2015 och 2024. Artiklarnas dataanalys genomfördes genom att följa Friberg (2017) olika steg. Resultat Sjuksköterskornas erfarenheter genererade tre huvudkategorier med sina respektive underkategorier: Att etablera en god relation: Vårdrelation till patienter och deras närstående, Stödstrategier till patienter och närstående och Kommunikation och samarbete med andra i vårdteamet. Bristande förutsättningar för en god vård i hemmet: Behov av kompetens och Tidsbrist. Hemmet som vårdmiljö: Att skapa en trygg och säker miljö i hemmet och Att visa respekt för den privata sfären. Slutsats Sjuksköterskor har en central roll inom palliativ vård och möter olika utmaningar när de tillhandhåller palliativ vård i hemmet. Att hantera dessa utmaningar på ett effektivt sätt är avgörande för att säkerställa att patienter och deras närstående får vård av god kvalitet ihemmet. / Background Palliative care is about providing care to patients living with incurable diseases. The goal of the care is a holistic approach to the patient to address their physical, psychological, social, and existential needs and to provide support to family members. To have knowledge and education in the field is important as more and more patients are choosing to receive palliative care at home. Aim To describe nurses' perceptions and experiences of palliative care at home. Method The literature review is based on 13 qualitative and quantitative scientific articles. The articles were searched in the databases PubMed and CINAHL and were published between 2015 and 2024. The articles' data analysis was carried out by following Friberg's (2017) different steps. Results The nurses' experiences generated three main categories with their respective subcategories: Establishing a good relationship: Care relationship with patients and their relatives, Support strategies for patients and relatives and Communication and co-operation with other members of the care team. Insufficient conditions for good care in the home: Need for competence and Lack of time. The home as a care setting: Creating a safe and secure environment in the home and respecting the private sphere. Conclusions Nurses play a central role in palliative care and face various challenges when providing palliative care at home. Addressing these challenges effectively is essential to ensure that patients and their families receive good quality care at home.

Bakgrund: I takt med att antalet personer som lever med demenssjukdom väntas öka blir behovet av kunskap inom ämnet av vikt för att möjliggöra en god och evident vård. Därför behövs mer forskning utifrån ett patientperspektiv om vad dessa individer anser vara meningsfullt i vardagen. Syfte: Att beskriva upplevelsen av en meningsfull vardag hos personer med mild till måttlig demenssjukdom. Metod: En systematisk litteraturstudie med kvalitativ ansats utifrån Evans analysmetod tillämpades. Resultat: Resultatet presenteras utifrån tre teman med två subteman vardera. I dessa framkommer att personer med demenssjukdom värderade relationer med familj och anhöriga samt en allmän gemenskap med andra. Aktiviteter var en viktig faktor för att uppleva meningsfullhet, både för att stärka individens identitet och för att hålla sig aktiv och sysselsatt. Slutligen identifierades vikten av självständighet och självbestämmande hos personer med demenssjukdom. Slutsats: Det framkom att flera faktorer spelar stor roll för att personer med demenssjukdom ska uppleva en meningsfull vardag. Dessa är viktiga att ha i åtanke vid vård av individer ur denna patientgrupp för att möjliggöra bästa möjliga upplevelse av hälsa. / Background: As the number of people with dementia are expected to increase globally, the need for knowledge relevant to the subject is important to enable good and evident care. Therefore, an increased amount of research is needed from a patient perspective of what these individuals consider to be meaningful in their everyday life. Aim: To describe experiences of a meaningful everyday life for individuals suffering from mild to moderate dementia Method: Systematic literature review with qualitative approach based on Evans analytical method was applied. Results: Three main themes emerged with two subthemes each. Individuals suffering from dementia valued relationships with family and relatives, as well as a connection with people in general. Activities were seen as an important factor for experiencing meaningfulness, both to strengthen their own identity and to stay active. Finally, the importance of freedom was identified by a feeling of self-determination and independence. Conclusion: Several factors have shown to play an important role in how individuals suffering from dementia value as meaningful in their everyday lives. These key factors are important to consider when caring for this group of patients to allow for optimal health.

Bakgrund: Stomi innebär en konstgjord öppning på buken. Vanligaste orsakerna till att en person får stomi är kolorektal cancer, blåscancer, chrons sjukdom och ulcerös kolit. Den stomiopererade personens vardag påverkas ofta på grund av kroppsförändringar. Dessa kroppsförändringar innebär exempelvis nya hygienrutiner samt förlust av kroppsfunktion. Syfte: Att beskriva hur vuxna personer med stomi upplever sin vardag. Metod: Litteraturöversikt med induktiv ansats. Insamling av kvalitativa artiklar genom sökning i databaserna Cinahl och Medline. Sammanlagt användes nio vetenskapliga artiklar i litteraturöversiktens resultat. Artiklarna analyserades med hjälp av Fribergs tre-stegsmetod. Resultat: Tre huvudteman identifierades vilka var psykologiska aspekter, fysiska aspekter samt sociala aspekter. Under dessa framkom subteman som visade på att personer med stomi bland annat upplevde rädsla och oro i vardagen, begränsning i klädval samt aktiviteter. Resultatet visade även en påverkan i intima situationer. Slutsatser: Upplevelse av begränsning ses som vanligt förekommande hos stomiopererade personer och påverkar deras vardag. Stöd från sjuksköterska, familj samt vänner är betydelsefullt och kan hjälpa till att hantera situationen. / Background: Stoma is an artificial opening in the abdomen. Common reasons why a person might acquire stoma is colorectal cancer, bladder cancer, Crohn's disease and ulcerative colitis. The everyday life for a person with a stoma is often affected due to body changes. These body changes mean, for instance, new hygiene routines and loss of body function. Aim: To describe how adults with a stoma experience their everyday life. Method: Literature review with inductive approach. Qualitative articles were collected through searches in the databases Cinahl and Medline. In total, nine scientific articles were used as a result of the literature review. The articles were analyzed using Friberg´s three-step method. Result: Three main themes were identified; psychological aspects, physical aspects and social aspects. Under these main themes subthemes emerged that showed that people with a stoma among other experienced for instance fear and concern of everyday life, limited in choice of clothes and activities. The results also exposed an effect in intimate situations. Conclusion: Experience of limitation is common among persons with a stoma and affect their everyday life. Support from a nurse, family and friends are significant and can help the person with a stoma to manage the situation.

Bakgrund:Den psykiska ohälsan hos den svenska befolkningen är i dagsläget hög och ett stort mörkertal tros finnas. Schizofreni är en vanlig psykossjukdom som tar upp stora delar av psykiatrins resurser. För personer med diagnosen schizofreni kantas vardagen av utmaningar till följd av sjukdomens symtom och allmänhetens stigma. Anhöriga en är viktig resurs i vårdandet när en familjemedlem diagnostiseras med schizofreni. Syfte:Syftet med litteraturöversikten är att belysa anhörigas upplevelse av att vårda en familjemedlem med diagnosen schizofreni. Metod:En litteraturöversikt över både kvalitativa och kvantitativa artiklar från databasen Cinahl. Konsensusbegreppet hälsa används tillsammans med den teoretiskutgångspunkten KASAM – känsla av sammanhang (Antonovsky, 2005). ResultatI studiens resultat framkom fem huvudteman: motsägelsefulla känslor, där anhörigas upplevelse av bördor och tillfredställelser pressenteras. Social isolering, där orsaker till ett begränsat socialt liv beskrivs utifrån anhörigas upplevelse av situationen. Finansiell oro, där ekonomiska och arbetsrelaterade förändringar tas upp. Hälsa och livskvalitet, där anhörigas upplevelse av sin egen hälsa och livskvalitet beskrivs och kontakten med sjukvården, där anhörigas upplevelse av vårdkontakten tydliggörs. Diskussion:En diskussion hålls kring anhörigas upplevelse av att vårda en familjemedlem med diagnosen schizofreni och samtidigt uppnå hälsa utifrån Antonovskys (2005) teori om KASAM – känsla av sammanhang. Begriplighet, hanterbarhet och meningsfullhet diskuteras utifrån teman informationsbrist och kunskapsbrist och sociala relationer. / Background:The mental ill-health of the Swedish population is currently at a high level and there is reason to believe that there is a substantial amount of unrecorded cases. Schizophrenia is a common psychotic illness preoccupies a large fraction of the psychiatric care. For people with schizophrenia every day is challenging because of the symptoms of the disease and the public stigma. When a family member is diagnosed with schizophrenia relatives become an important resource. Aim:The aim of this study is to highlight relatives’ experience of caring for a family member diagnosed with schizophrenia.  Method:A literature review of both qualitative and quantitative articles from the database Cinahl. SOC - sense of coherence (Antonovsky, 2005) was used as a nursing theory along with the consensus concept health.  Results:The study resulted in five main themes: contradictory feelings, in which relatives' experience of burdens and satisfactions are revealed. Social isolation, which causes a limited social life, described from relatives' perspective. Financial concern, where economic and job-related changes are discussed. Health and quality of life, where family members’ personal health and quality of life is described. Contact with health services, where relatives' care contact is clarified. Discussion: A discussion is held about the family's experience of caring for a family member diagnosed with schizophrenia while achieving health in relation to Antonovsky's (2005) theory of SOC - sense of coherence.