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Bakgrund: Demenssjukdomen har en stor påverkan på människors liv. Läkemedel som finns idag botar inte sjukdomen, utan bromsar och lindrar symtom. Vårdinsatser baseras därför till stor del på omvårdnad. Personer med demens­sjukdom berättar i intervjuer om betydelsefulla aspekter, som de relaterar till utevistelse, känsla av frihet och att få komma ut. Syfte: Att skapa en översikt över hur vårdare upplever utemiljöns inverkan på personer med demenssjukdom. Metod: Allmän litteraturöversikt. Tio vårdvetenskapliga artiklar med kvalitativ och kvantitativ metod har inkluderats. Resultat: Vårdare upplever att utemiljön har en positiv inverkan på personer med demenssjukdom avseende livskvalitet. De upplever att utevistelse minskar oro, stress, agitation och bidrar till att sinnen och minnen väcks hos personerna med demenssjukdom. Slutsats: Utevistelse kan ha en positiv inverkan på personer med demenssjukdom avseende personens hälsa och livskvalitet. Vårdares upplevelse var att vistelse i utemiljö är betydelsefullt i vård och omsorg för personer med demenssjukdom. Viktigt är att kunskap om personen ska finnas och att utevistelsens förutsättningar är anpassad till individen. Vistelse i utemiljö hade en övervägande positiv inverkan enligt vårdarnas upplevelser, dock kunde utevistelse skapa oro om utemiljön är okänd eller dåligt anpassad för personen med demenssjukdom. / Background: Dementia has a major impact on people's lives. There’s currently no medicine that cures the disease, but slows down the progress and relieves symptoms, why care interventions are largely based on nursing. When persons with dementia are interviewed about important aspects related to being outdoors, the feeling of freedom to go out is mentioned. Aim: To develop an overview of how carers experience impact of outdoor environment on persons with dementia. Method: General literature review. Ten caring science articles with qualitative and quantitative method was included. Result: Carers experience that outdoor environment has a positive impact on persons with dementia in terms of quality of life. They experience that it reduces anxiety, stress, agitation and contributes to regained senses and remembrance of past life Conclusion: The outdoor environment can have a positive impact on persons with dementia in terms of health and quality of life. Carers experience that being outdoors is important regarding care of persons with dementia. It is important though adapting it to the individual. Visits outdoors had a predominantly positive impact, however if the outdoor environment is unknown or poorly adapted for the person with dementia, stress and anxiety can occur.

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Introduction: Cardiovascular disease is the most common disease in Sweden today. It can be reduced with effective prevention and treatment. Primary care has an important role to play in detecting, diagnosing, treating and monitoring cardiovascular disease. The aim of the study was to investigate which factors that affect teamwork at heart failure clinics in primary care. Method: Systematic literature study with inductive approach and content analysis according to Graneheim and Lundman (2004) was conducted. Results: Two categories with subcategories emerged in the analysis. The first category was The collaboration between professions with the subcategories: The importance of good communication and Responsibility, respect and hierarchy. The second category was: Way of working with the subcategories: Person-centered approach and Coordination and information. Conclusion: The study found that both nurses and doctors want better communication and that it is precisely communication that provides well-functioning teamwork. It is important to have a clear division of responsibilities between professions in the team.

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