Bakgrund   Fertilitet beskrivs som kvinnans biologiska natur och definieras ofta som förmågan att kunna bli gravid. Fertilitet kan även ses som ett tecken på hälsa och att kroppen är i balans. Idag är det många kvinnor som lider av nedsatt fertilitet. Det finns flera olika faktorer som kan påverka en kvinnas fertilitet varav vissa av dessa kan vara livsstilsfaktorer som kvinnan själv skulle kunna påverka om hon får tillgång till rätt kunskap. Syfte  Syftet var att belysa livsstilsfaktorer som kan förbättra kvinnans fertilitet med hjälp av sjuksköterskans informativa roll.   Metod  En icke-systematisk litteraturöversikt utfördes baserad på 15 vetenskapliga artiklar där majoriteten var av kvantitativ design. Inkluderade artiklar eftersöktes i databaserna CINAHL och PubMed med hjälp av relevanta sökord för föreliggande syfte. Kvaliteten på de valda artiklar granskades och innehållet analyserades för att sammanställas i tre huvudkategorier: livsstilsfaktorer, kost och sjuksköterskans hälsofrämjande arbete. Resultat Från huvudkategorierna skapades subkategorier gällande livsstilsfaktorer; vikt och träning, stress och sömn, mikronäringsämnen, jod, Omega-3, D-vitamin, koffein samt gällande  sjuksköterskans hälsofrämjande arbete; behov och utbildning. Samtliga livsstilsfaktorer visade sig inverka på fertiliteten. Ett behov gällande utbildning och information kring detta framhålls som betydelsefullt för kvinnor och det framgick att redan aktuella sjuksköterskor efterfrågar utbildning för att kunna tillgodose kvinnor med detta. Slutsats Det finns livsstilsfaktorer som har en direkt påverkan på kvinnans fertilitet och som kvinnor själva kan påverka så länge de har kunskapen. Att sjuksköterskor utbildar kvinnor gällande livsstilsfaktorer och fertilitetsförståelse skulle vara värdefullt för kvinnor för resten av livet, inte enbart för att gynna fertilitet men även för varje kvinnas allmänna hälsa eftersom ägglossning inte enbart är ett tecken på fertilitet utan även kan ses som ett hälsotecken. / Background Fertility is described as the biological nature of a woman and is often defined as the ability to conceive. Fertility means more than the ability to get pregnant, it can also be seen as a sign of health and that the body is in balance. Nowadays many women suffer from infertility. There are several factors that can affect a woman's fertility where some of them are lifestyle factors that the woman may be able to affect if she gets the right information. Aim The aim of this study was to describe how lifestyle factors can improve a woman's fertility with help from information provided by a nurse.  Method A non-systematic literature review was conducted based on 15 scientific articles where the majority were of quantitative study design. The database searches were performed inCINAHL and PubMed, using relevant keywords for the aim of the study. The quality of the selected articles were reviewed and the content was analyzed to be grouped into three main categories: lifestyle habits, diet and the nurse's health promotion work. Results The main categories were divided into subcategories. Lifestyle factors into; weight and exercise, stress and sleep, micronutrients, iodine, Omega-3, vitamin D, caffeine and the nurse's health promotion work into; needs and education. All lifestyle factors were shown to affect fertility. A need regarding education and information about this was shown to be important for women and it appears that nurses already request an education about fertility and lifestyle factors to provide women with this knowledge.  Conclusions There are lifestyle factors that have a direct impact on a woman's fertility and that women themselves can influence as long as they have the knowledge. If nurses were able to educate women regarding these lifestyle factors and fertility awareness it would benefit women for the rest of their lives - not only to prevent infertility but also for each woman's general health since ovulation is both a sign of fertility and a sign of health.

Cancer is a disease caused by uncontrolled growth of abnormal cells. Cancer is often related to a need for palliative care. Palliative care is an approach and treatment provided to improve quality of life for patients with life threatening illness, such as cancer. Dying patients at the end of their life may lose their autonomy towards themselves especially related to their desires and preference. Patients’ preference towards place of death may be influenced by many factors. Patients with cancer require support from their family members as well as health care professionals, especially nurses, they are the one who frequently keep in touch with patients. Therefore, through the support given, patients’ might be able to express their desires.  The purpose of this study was to describe factors associated with preferential place of death for cancer patients receiving palliative care. This study also described how patients’ autonomy affect patients’ decision making related to preferential place of death and how nurses provide support in patients decision making with regards of preferential place of death.  A literature review of 17 scientific articles that met the inclusion criteria was carried out. The articles were collected using two electronic database searches: PubMed and CINAHL. Moreover, four of articles were identified through manual search.  Majority of cancer patients preferred their home as their place of death. Demographic factors such as, gender, age, marital status, economic status, country of birth and place of residence were found to be the most influential factors regarding the preference of home as place of death. The wishes related to place of death of both patients and family caregivers were expected to be recorded in the first meeting. Nurses in providing support for patients with cancer should have to empower patients express their desires.  In conclusion, this literature review showed that promoting autonomy and decision making are challenging for nurses. Nurses can help patients express their preferences or desires by providing decision making support. There are many factors that contribute to the decision of location of death. Therefore, it is important for nurses to empower patients’ autonomy and to respect their values in order to provide support for patients with cancer in making decision related to place of death

Bakgrund: Stroke innebär att den vaskulära cirkulationen begränsas och dess bakomliggande orsaker kan vara hjärninfarkt eller hjärnblödning. Stroke är en neurologisk skada där symtomen står i relation till strokens lokalisation. Symtomen kan vara fysiska, kognitiva och sociala och har en central påverkan på patientens livskvalitet. Tidig rehabilitering är av största vikt där multidisciplinära team är avgörande. Syfte: Syftet med studien var att beskriva sjuksköterskans roll vid rehabilitering av patienter med stroke. Metod: Studien utformades som en allmän litteraturstudie med en induktiv ansats där åtta artiklar analyserades och kondenserades till fem kategorier. Resultat: I resultatet framkom fem olika kategorier. Dessa var: att finna sin roll som sjuksköterska, att vara en del utav rehabiliteringsteamet, att vara patientens advokat, att främja patientens motivation och att främja delaktighet av anhöriga. Konklusion/Implikation: Sjuksköterskans roll har stor betydelse för omvårdnaden av patienter med stroke. Diskussioner krävs för att sjuksköterskor ska förstå vikten utav rollen och våga anta dess utmaningar. Detta skapar en gynnsam förutsättning för personcentrerad, säker och god rehabiliteringsvård för patienterna med stroke. / Background: Stroke means that the vascular circulation is restricted, and its underlying causes can be cerebral infarction or cerebral haemorrhage. Stroke is a neurological injury where the symptoms are related to the location of the stroke. The symptoms can be physical, cognitive and social and have a central impact on the patient's quality of life. Early rehabilitation is of the greatest importance where multidisciplinary team is crucial. Purpose: The purpose of the study was to describe the nurse's role in rehabilitation. Method: The study was designed as a general literature study with an inductive approach where eight articles were analyzed and condensed into five categories. Results: The results revealed five different categories. These were: to find one’s role as a nurse, to be part of the rehabilitation team, to be the patient’s advocate, to promote the patient’s motivation and to promote the participation of relatives. Conclusion/Implication: The nurse’s role is of great importance for the care of patients with stroke. Discussions are required for nurses to understand the importance of the role and courage to accept its challenges. This creates a favorable condition for person-centered, safe and good rehabilitation care for patients with stroke.

Recente profusão de novos papéis profissionais do enfermeiro e mudanças nas práticas da enfermagem têm sido descritas mundialmente e exercem impacto no tipo de cuidado provido e nas formas de sua provisão. O interesse deste estudo é a ideia de papel clínico, que, apesar de ser uma expressão comumente usada no cotidiano, é pouco explorada em termos conceituais. Este estudo teve como objetivo desenvolver o conceito de papel clínico do enfermeiro. A Metodologia de Análise Qualitativa de Conceito foi aplicada em suas três fases: Identificação dos Atributos, Verificação dos Atributos e Identificação das Manifestações do Conceito. Na primeira fase, os atributos abstratos e universais do conceito foram identificados, utilizando-se a Análise Crítica da Literatura, que resultou no estudo de 24 publicações. Na segunda fase, aplicou-se a Teoria Fundamentada nos Dados para verificar os atributos do papel clínico na experiência do enfermeiro. Nessa fase, realizou-se estudo com sete enfermeiros assistenciais do Hospital Universitário da Universidade de São Paulo. Os dados foram coletados por entrevistas abertas, que foram analisadas e interpretadas em categorias inter-relacionadas, com a derivação de um modelo teórico da experiência do papel clínico do enfermeiro. Na terceira fase, os dados das fases anteriores foram comparados e integrados, possibilitando a proposição teórica do conceito. Os resultados da análise evidenciaram que papel clínico do enfermeiro é um processo psicossocial resultante da interação do enfermeiro com o paciente, com o contexto e consigo mesmo. Autonomia clínica configurou-se como elemento central da interação do enfermeiro com o paciente na experiência do papel clínico. O significado da experiência do papel clínico foi expresso no empoderamento do enfermeiro pelo exercício da autonomia clínica, que mostra o alcance de resultados manifestados na própria interação do enfermeiro com o paciente, consigo mesmo ou com o contexto. Os dados indicaram ter o paciente como o centro do cuidado, ter finalidades e intencionalidade como atributos principais do papel clínico. O desempenho do papel clínico requer que o enfermeiro tome posse da autonomia clínica, que a exerça nas interações e nas ações junto ao paciente e se perceba empoderado por esse exercício. Papel clínico é uma competência que se articula como uma forma de poder, mediado pela autonomia clínica. A autonomia clínica concede ao enfermeiro o poder de pensar, de imaginar, de planejar o cuidado e de influir na saúde do paciente. A análise do conceito do papel clínico contribuirá para reflexões sobre as dimensões envolvidas na prática e no ensino de enfermagem e para informar não só as políticas de ensino e de práticas profissionais, mas também as políticas de saúde. / Recent profusion of new professional roles of the nurse and changes in the practice of nursing have been worldwide described and have an impact on the type of care provided as well as on the forms of its provision. The interest of this study is the idea of the clinical role, which inspite of being a commonly used daily expression, is little explored in conceptual terms. This study has had as an objective the development of the concept of the clinical role of the nurse. The Methodology of Qualitative Analysis of Concept has been applied in its three phases: Identification of the Attributes, Verification of the Attributes and Identification of the Manifestations of the Concept. In the first phase, abstract and universal attributes of the concept have been identified using Critical Analysis of Literature, which resulted in the study of 24 publications. In the second phase, Grounded Theory has been applied to verify the attributes of the clinical role in the nurses experience. In this phase, a study has been carried out with seven assistential nurses from the São Paulo Universitys Hospital. Data has been collected by open interviews, which has been analysed and interpreted in interrelated categories, deriving to a theorical model of the nurses clinical roles experience. In the third phase, the data of the previous phases were compared and integrated, permitting the theorical proposition of the concept. The results of the analysis have proved that the nurses clinical role is a psychosocial process resulting from the interaction of the nurse with the patient, with the context and with himself. Clinical autonomy has configured as a central element in the interaction of the nurse with the patient in the clinical roles experience. The significance of the clinical roles experience has been expressed in the empowerment of the nurse through the exercise of clinical autonomy, which shows the range of achieved results shown in the nurses interaction with the patient, with himself or with the context. Data has indicated to have the patient as the center of attention, to have purposes and intentions as the main attributes of the clinical role. The performance of the clinical role requires that the nurse takes lead of the clinical autonomy, exercises it during interactions and actions with the patient and feels empowered by this exercise. The clinical role is an ability which, through clinical autonomy, is articulated as a form of power. Clinical autonomy concedes the nurse the power to think, to imagine, to make care plans and to influence the patients health. The analysis of the clinical roles concept will help to have reflections about the dimensions involved in the practice and teaching of nursing and to inform, not only the educational and professional practices politics, but health politics as well.

Syfte: Syftet med studien var att, utifrån vetenskaplig litteratur, beskriva hur patienter med KOL upplever att livskvaliteten påverkas av sjukdomen och hur sjuksköterskor kan bidra till att bibehålla livskvaliteten hos dessa patienter samt att beskriva artiklarnas kvalitet gällande deltagare och bortfall i undersökningsgruppen. Metod: Deskriptiv litteraturstudie. Artiklarna har sökts i databasen Medline och via manuella sökningar vilket resulterade i 13 artiklar. Resultat: Patienter med KOL beskriver att oro och ångest över de fysiska begränsningarna som kommer med sjukdomen kan ha en negativ inverkan på livskvaliteten. Genom att delta i fritidsaktiviteter samt att umgås med familj och vänner höjdes välmående och livskvaliteten. Trots att de flesta patienterna var påverkade av symtom, sjukdom och oförmåga att delta i aktiviteter ansåg sig de flesta ha en god livskvalitet. För sjuksköterskan är det viktigt att inge hopp, ge stöd och stärka patienternas hanteringsförmåga. En viktig del i sjuksköterskans roll är att lindra patienternas oro och ångest genom att visa en vänlig attityd och empati. Slutsats: Det är olika från person till person hur livskvaliteten påverkas. Att umgås med anhöriga och delta sociala aktiviteter främjar livskvaliteten. Vårdpersonal behöver mer utbildning i hur man ska stötta och hjälp patienterna till att bibiehålla livskvaliteten.

Recente profusão de novos papéis profissionais do enfermeiro e mudanças nas práticas da enfermagem têm sido descritas mundialmente e exercem impacto no tipo de cuidado provido e nas formas de sua provisão. O interesse deste estudo é a ideia de papel clínico, que, apesar de ser uma expressão comumente usada no cotidiano, é pouco explorada em termos conceituais. Este estudo teve como objetivo desenvolver o conceito de papel clínico do enfermeiro. A Metodologia de Análise Qualitativa de Conceito foi aplicada em suas três fases: Identificação dos Atributos, Verificação dos Atributos e Identificação das Manifestações do Conceito. Na primeira fase, os atributos abstratos e universais do conceito foram identificados, utilizando-se a Análise Crítica da Literatura, que resultou no estudo de 24 publicações. Na segunda fase, aplicou-se a Teoria Fundamentada nos Dados para verificar os atributos do papel clínico na experiência do enfermeiro. Nessa fase, realizou-se estudo com sete enfermeiros assistenciais do Hospital Universitário da Universidade de São Paulo. Os dados foram coletados por entrevistas abertas, que foram analisadas e interpretadas em categorias inter-relacionadas, com a derivação de um modelo teórico da experiência do papel clínico do enfermeiro. Na terceira fase, os dados das fases anteriores foram comparados e integrados, possibilitando a proposição teórica do conceito. Os resultados da análise evidenciaram que papel clínico do enfermeiro é um processo psicossocial resultante da interação do enfermeiro com o paciente, com o contexto e consigo mesmo. Autonomia clínica configurou-se como elemento central da interação do enfermeiro com o paciente na experiência do papel clínico. O significado da experiência do papel clínico foi expresso no empoderamento do enfermeiro pelo exercício da autonomia clínica, que mostra o alcance de resultados manifestados na própria interação do enfermeiro com o paciente, consigo mesmo ou com o contexto. Os dados indicaram ter o paciente como o centro do cuidado, ter finalidades e intencionalidade como atributos principais do papel clínico. O desempenho do papel clínico requer que o enfermeiro tome posse da autonomia clínica, que a exerça nas interações e nas ações junto ao paciente e se perceba empoderado por esse exercício. Papel clínico é uma competência que se articula como uma forma de poder, mediado pela autonomia clínica. A autonomia clínica concede ao enfermeiro o poder de pensar, de imaginar, de planejar o cuidado e de influir na saúde do paciente. A análise do conceito do papel clínico contribuirá para reflexões sobre as dimensões envolvidas na prática e no ensino de enfermagem e para informar não só as políticas de ensino e de práticas profissionais, mas também as políticas de saúde. / Recent profusion of new professional roles of the nurse and changes in the practice of nursing have been worldwide described and have an impact on the type of care provided as well as on the forms of its provision. The interest of this study is the idea of the clinical role, which inspite of being a commonly used daily expression, is little explored in conceptual terms. This study has had as an objective the development of the concept of the clinical role of the nurse. The Methodology of Qualitative Analysis of Concept has been applied in its three phases: Identification of the Attributes, Verification of the Attributes and Identification of the Manifestations of the Concept. In the first phase, abstract and universal attributes of the concept have been identified using Critical Analysis of Literature, which resulted in the study of 24 publications. In the second phase, Grounded Theory has been applied to verify the attributes of the clinical role in the nurses experience. In this phase, a study has been carried out with seven assistential nurses from the São Paulo Universitys Hospital. Data has been collected by open interviews, which has been analysed and interpreted in interrelated categories, deriving to a theorical model of the nurses clinical roles experience. In the third phase, the data of the previous phases were compared and integrated, permitting the theorical proposition of the concept. The results of the analysis have proved that the nurses clinical role is a psychosocial process resulting from the interaction of the nurse with the patient, with the context and with himself. Clinical autonomy has configured as a central element in the interaction of the nurse with the patient in the clinical roles experience. The significance of the clinical roles experience has been expressed in the empowerment of the nurse through the exercise of clinical autonomy, which shows the range of achieved results shown in the nurses interaction with the patient, with himself or with the context. Data has indicated to have the patient as the center of attention, to have purposes and intentions as the main attributes of the clinical role. The performance of the clinical role requires that the nurse takes lead of the clinical autonomy, exercises it during interactions and actions with the patient and feels empowered by this exercise. The clinical role is an ability which, through clinical autonomy, is articulated as a form of power. Clinical autonomy concedes the nurse the power to think, to imagine, to make care plans and to influence the patients health. The analysis of the clinical roles concept will help to have reflections about the dimensions involved in the practice and teaching of nursing and to inform, not only the educational and professional practices politics, but health politics as well.

Bakgrund: När ett barn blir sjukt i obotlig cancersjukdom tar föräldrarna på sig en vårdarroll. De har rätt till information för att kunna ta beslut och ges möjlighet till att vara delaktiga i barnets vård. Syfte: Att belysa föräldrars erfarenheter av sitt barns sista tid i obotlig cancersjukdom. Metod: En narrativ metod med kvalitativ ansats användes för att analysera fyra självbiografier. Resultat: Analysen resulterade i två huvudteman: Att vara förälder till ett barn med obotlig cancer och När livet ändrar inriktning. Resultatet visar att livsvärlden förändras och att föräldrarna utöver föräldrarollen, får en vårdarroll. Diskussion: Föräldrar i sin vårdarroll är i behov av information för att kunna ta beslut som rör barnets vård. Föräldrarna drabbas av lidande under barnets sjukdom, vilket gör att de också kan vara i behov av omvårdnad. Sjuksköterskan har en central roll i vårdandet när det kommer till information och behandlingar, men behöver också kunna stödja familjen och vägleda föräldrarna mot insikten att barnet kommer dö av sin sjukdom. Konklusion: Sjuksköterskan behöver arbeta efter ett familjecentrerat förhållningssätt då föräldrarna behöver stöd för att uppfylla sin vårdarroll. Sjuksköterskan behöver god kompetens inom palliativ vård och vara insatt i barnets vård för att kunna utföra en god omvårdnad. / Background: When a child gets sick in incurable cancer, parents become caregivers. They have the right to get information to make decisions and participate in their child’s care. Aim: To describe parents’ experience of their child’s last time in incurable cancer. Method: A narrative method with a qualitative approach was used to analyze four biographies. Results: The analysis resulted in two main themes: Being a parent to a child with incurable cancer and When life changes direction. The result shows that the lifeworld changed and the parenting role was combined with a caregiving role. Discussion: Parents in their caregiving role is in need of information to make decisions related to the child’s care. Parents are affected by suffering during the child’s disease, which means that they may also be in need of care. The nurse has a central role in the care when it comes to information and treatments, but they also need to support the family and guide the parents towards the knowledge that the child is going to die of their disease. Conclusion: The nurse needs to work with a family-centered approach because the parents needs support to fulfill the caregiving role. The nurse also need to have good knowledge about palliative care and be inserted in the child’s care to give good care.

Palliativ vård – vård i livets slutskede – är inte prioriterat i tredje världen. I Uganda grundades 1993 Hospice Africa Uganda (HAU), ett hospice som var tänkt som modell för andra afrikanska länder. Här utbildas bl a sjuksköterskor som har rätt att skriva ut morfin och andra läkemedel efter en nio månader lång kurs. I den här etnografiska fältstudien används observationer, intervjuer och gruppintervjuer för att undersöka sjuksköterskan roll inom palliativ vård i Uganda. I studien deltar sammanlagt 20 sjuksköterskor som jobbar på HAU, Mulago hospital och studenter i palliativ vård-kursen på HAU. Resultatet visar att sjuksköterskanS roll är mångfacetterad. Utöver förskrivning av läkemedel är deras roll att utföra vården holistisk, där de tar hänsyn till fysisk, psykosocial och andlig smärta. I sitt arbete möter de många utmaningar men de har även möjlighet att förbättra patientens livskvalitet. / Palliative care – end of life care – is not a priority in developing countries. In 1993 Hospice Africa Uganda (HAU) was founded and chosen as a model for other african counties. Among other things nurses are authorised to prescribe morphine and other palliative care drugs after undergoing a nine months clinical palliative care course at HAU. In this ethnographic field study observations, interviews and group interviews are used in order to explore the role of the palliative care nurse specialist in Uganda. In total there are 20 participants involved in this study, who are working at HAU, Mulago hospital and students from the clinical palliative care course. The result of the study reveal that the role of the palliative care nurse specialist is multifaceted. Beyond prescribing drugs their role is to deliver holistic care by taking into consideration the physical, psychosocial and spiritual pain patients and their family can have. They encounter many challenges in their work but they also have the possibility to improve the quality of the patients life.

Bakgrund: Organdonation och transplantation har gjort det möjligt att både rädda liv och även förbättra livskvaliteten för ett stort antal personer. Problematiken som idag råder är att det finns ett stort glapp mellan behovet av organ och tillgången till organgivare. Intensivvårdssjuksköterskan har ett ansvar att se till att potentiella donatorer fångas upp och uppmärksammas på intensiven. Att vårda en potentiell donator samt bemöta anhöriga är en utmaning och kräver både kunskap och erfarenhet för intensivvårdssjuksköterskan. Syfte: Att belysa hur intensivvårdssjuksköterskan upplever sin kompetens gällande vårdandet av en donator och bemötandet av anhöriga under donationsprocessen på en intensivvårdsavdelning. Metod: Studien genomfördes med en kvalitativ metod genom semistrukturerade intervjuer med tio intensivvårdssjuksköterskor. Data analyserades med hjälp av en kvalitativ latent innehållsanalys. Resultat: Det ansågs viktigt att intensivvårdssjuksköterskan bemötte både donatorn och anhöriga på ett professionellt sätt, dels bemöta donatorn med värdighet och respekt samt att vara lyhörd och visa empati gentemot anhöriga. Intensivvårdssjuksköterskorna upplevde svårigheter när donatorns önskan inte var känd, att vården var tidskrävande, få anhöriga att förstå att deras närmaste avlidit, samt att några intensivvårdssjuksköterskor tog upp punkter som kunde förbättras för att öka antalet donationer. Samtliga intensivvårdssjuksköterskor upplevde att de hade tillräckligt med kunskap för att vårda en donator men att uppdatering och utbildning behövs alltid. Debriefing eller samtal var något annat som togs upp vilket de flesta upplevde som viktigt för att inte ta med arbetet hem. Slutsats: I studien identifierades brister inom donationsvården och att mer utbildning och riktlinjer kan medföra att dessa skulle kunna minskas. Studien har också bidragit till ökad förståelse och kunskap kring donationsprocessen inom intensivvården. Detta är något som författarna tros kunna ha nytta av i sitt framtida yrke som intensivvårdssjuksköterskor, men också att resultatet i studien kan vara till nytta för andra intensivvårdsavdelningar i Sverige. / Background: Organ donation and transplantation has made it possible to both save lives and also improve the quality of life for a large number of people. In recent years there has been a large gap between the need for organs and the availability of organ donors. Intensive care nurses have a responsibility to ensure that potential donors are identified and highlighted in the intensive care unit. Caring for a potential donor and meet relatives is a challenge and requires both knowledge and experience of intensive care nurses. Aim: To show how intensive care nurses perceive their expertise regarding the care of a donor and the hospitality of relatives during the donation process in the intensive care unit. Method: The study was conducted with a qualitative approach through semi-structured interviews with ten intensive care nurses. Data were analyzed using a qualitative latent content analysis. Results: It was important that the intensive care nurses responded to both the donor and family members in a professional manner, but also responding to donors with dignity and respect and to be sensitive and show empathy towards their families. They experienced difficulties when the donor's wishes are not known, the treatment was time-consuming, getting families to understand their loved one has died. Some intensive care nurses brought up a point of view which could increase the numbers of donations. All intensive care nurses felt that they had enough knowledge to take care of a donor but being up to date and training is always needed. Debriefing or conversation was also something else that was raised which most felt was important not to bring work home. Conclusion: The study identified deficiencies in the donation care but with more training and guidelines this could be improved. The study has also contributed to greater understanding and knowledge surrounding the donation process in intensive care unit. This is which the authors believed to be useful in their future profession as intensive care nurses, but also the results of the study can be useful to other intensive care unit in Sweden.

Introduction: Pressure ulcers are one of the most monitored indicators of nursing care. Thanks to a well-functioning interdisciplinary team, pressure ulcers can be effectively prevented. Main aims of the thesis: The aim of this work is to map the role of nurse in an interdisciplinary team, to describe how the interdisciplinary teams currently work and what the effectiveness of their work is in relation to the prevention of pressure ulcers and their healing. Methodology: A qualitative research survey was used to collect the data in the form of semi-structured interviews wtih nurses. The selection criterion was the fact that they encounter patients suffering from pressure sores. The informants were getting method Snow ball. The resulting set of informants consisted of 15 persons. The results of the interviews were processed using the open-coding technique of pencil and paper and then divided into six categories. Results of the thesis: Research shows that the nurse plays a key role in the interdisciplinary team in the care of a patient with pressure ulcers. Her role is to work with other team members, direct patient care, preventive work and family contact. The results show that the nurse is a full member of the team. The overall care effect of the interdisciplinary team is ineffective in some departments, because, as it happens that individual workers do not work together. In our research, we mainly come across the absence of a nutritional therapist. Also, nurses would welcome more cooperation from lower medical staff. Furthermore, nurses perceive the use of scales as a certain obligation, and in some cases report their incorrect evaluation. Last but not least, we are confronted with ignorance and non-compliance with the standards of pressure ulcers treatment. Conclusion: We would like to convey the results achieved by the necessity of cooperation of all workers who care for a patient with pressure ulcers. The provision of complex care is essential in this area, because pressure ulcers are multifactorial. The use of interdisciplinary teams in the care of a patient with pressure ulcers brings the possibility to use people with different expertise, knowledge and experience. Together, they effectively work towards the early recovery of the patient, shortening the hospitalization period and saving the cost of hospitalization.