Syftet är att undersöka allmän sjuksköterskans upplevelse av möjligheter och förutsättningar att arbeta efter generella omvårdnadsåtgärder och givna lokala riktlinjer, exemplifierat inom postoperativ omvårdnad. Datainsamling gjordes genom semi- strukturerade intervjuer med sex sjuksköterskor delaktiga som arbetar inom kirurgisk verksamhet. Analys av insamlat material genomfördes med hjälp av innehållsanalys. Ett flertal hinder samt förutsättningar för att kunna arbeta utifrån vetenskaplig kunskap kunde identifieras. Upplevda hinder var bland annat tidsbrist, dåligt uppdaterade riktlinjer och ostrukturerad integrering av ny kunskap. Studien skapar en förståelse för hur viktiga funna faktorer är för ett vetenskapligt baserat arbete / The aim of this study was to investigate nurses' experiences of the possibilities and conditions required in order to practice nursing care according to local and general nursing guidelines, exemplified within postoperative care. Data collection was preformed through six semi- structured interviews with nurses working within a surgery speciality. The analysis of the interviews was made by using content analysis. Several barriers and required conditions to work on the basis of scientific knowledge could be identified. Barriers that were experienced included the lack of time, poorly updated guidelines and unstructured integration of new knowledge.This creates an understanding of how important these found scientific factors are for a work based on scientific knowledge.

Between the Promise of Specificity and the Demand for Evidence – A study of knowledge and the approach to knowledge in socially oriented non-profit, private and public sector organizations In the social work field it is possible to identify two parallel processes in time. On the one hand a qualitative developmental process―even towards a form of standardization―where central concepts are academisation, professionalization, scientifically produced knowledge, expertise and evidence based methods. Simultaneously, there is a drive to create the conditions for increased diversity, where hopes are especially being pinned on the non-profit sector. In spite of representations and expectations concerning the non-profit sector and its so-called specificity, however, much of existing research lacks a comparative perspective, i.e., studies where non-profit organizations are related to comparable activities in the private and public sector. The aim of the study―with special focus on issues concerning evidence based knowledge in social work―is to compare and analyse whether and in that case how employee conceptions differ between the sectors, and whether and in what way non-profit employees and their activities can be said to fulfil the expectations of contributing to increased diversity. Data is from a questionnaire directed to about 1300 social work employees. The results show a greater interest in research and more marked efforts at professionalization in the public sector, while above all in the non-profit sector there was skepticism about science paired with reservations about work carried out in a professional way. In the non-profit, but also in the private sector, issues of ethics, views of humanity and values were paid greater attention. Also stressed here was the importance of creating relationships, the unique human encounter, genuine commitment, and human kindness. However, there was significant uniformity across all sectors in the use of methods, where three dominated: solution focused measures, network support/therapy, and psychosocial work.