Background:Twenty-four percent of the elderly population in Sweden are foreign-born. These immigrants' knowledge of the Swedish language varieties and their conditions and need for care differ from each other, which means that those people have different opportunities to assimilate in the Swedish elderly care and the care provided. Good and functional care is a crucial factor in to be to create good care and a relationship between care staff and older immigrants. Those factors are necessary to be able to offer good and patient-safe care.   Aim: The purpose of this study was to describe older immigrants' experiences of communication in care meetings.  Method: The study's design was in the form of a literature review based on ten scientific studies with qualitative and quantitative articles and a mixed article. Results: The results have been presented in three themes, and in the first theme, experiences in dealing with healthcare staff have been presented. The second theme has focused on language barriers, and the third theme has focused on the experiences of using an interpreter in care meetings. Conclusion: Lack of communication, language barrier, and cultural clash are obstacles to care staff being able to provide good care and attention. The results also shown patients' concerns and difficulties in creating trust and a functioning relationship with healthcare staff.

Bakgrund: Tidigare forskning belyser möjligheter och utmaningar i samband med den snabba digitaliseringen av vård i samband med att Covid-pandemin utbröt. Få studier utgår dock ifrån sjuksköterskor, än mindre specialistsjuksköterskor. Därvid anses det vara av vikt att belysa just dessa erfarenheter och i relation till Peplaus teori om mellanmänskliga relationer kunna bidra med vidare kunskap för att optimera digitala vårdmöten. Syfte: Att beskriva specialistsjuksköterskors erfarenheter av digitala vårdmöten inom barn- och vuxenpsykiatrisk öppenvård. Metod: En kvalitativ innehållsanalys med induktiv ansats utifrån 10 semistrukturerade intervjuer med specialistsjuksköterskor inom psykiatrisk vård. Resultat: Resultatet visar möjligheter och utmaningar i samband med införandet av digitala vårdmöten. Resultatet presenteras i fyra kategorier: att mötas på distans, att hitta nya vägar, att göra bedömningar och att hantera tekniken. Slutsats: Det upplevdes en otillräcklig förberedelse inför digitala vårdmöten där sjuksköterskan fått anpassa sig och lära sig längs vägen. Det framkom även relationella aspekter om hur sjuksköterskan kan nå fram till patienten trots det fysiska avståndet. Patientcentrerad vård försvårades då sjuksköterskan behövde fokusera på tekniska problem istället för att helt lägga fokus på patienten. / Background: Previous research highlights opportunities and challenges during the rapid digitalization of care during the ongoing Covid-19 pandemic. The nurses’ point of view has been explored only in a limited number of studies. Therefore, it is of utmost importance to focus on these experiences. In relation to Peplau’s interpersonal theory our intention is to provide a deeper understanding of the mechanisms of digital meetings within psychiatric care. Aim: To describe specialist nurses’ experiences of the digital care meetings in both adult and child outpatient psychiatry. Method: A qualitative content analysis with an inductive approach. Data came from 10 semi-structured interviews with 10 specialist nurses within psychiatric care. Results: The results highlight the possibilities and challenges regarding implementation of digital care meetings. The results are presented in four categories: to meet in a distance, finding new pathways, making assessments and to handle the technics. Conclusion: The experience of the nurses’ was that there was insufficient preparations prior to the digitalization where the nurses’ had to make adjustments and learn along the way. It also emerged that there were ways that the nurses could reach the patients despite the physical distance. In conclusion, technical issues made patient-centered care more difficult to achieve.

Background: Research shows that transgender people are disproportionally represented in term of physical and mental illness compared to cis people. Stigmatization and discrimination in society results in transgender people having low trust in society's institutions, including health care. A good care relationship and equal care are of great importance for a patient's well-being and health. However, nurses feel that they do not have enough competence or experience in caring for transgender people. Aim: The aim of this literature study was to describe transgender people's experiences of care relationships with health care staff. Method: A qualitative literature study with an inductive approach consisting of twelve articles that were analyzed through a qualitative content analysis. Results: Three categories were identified: Lack of competence in the care meeting, Abusive care meetings and Affirmingcare meetings. Seven subcategories were also identified. These findings highlight that transgender people experience incompetence and violations in care meetings. However, positive experiences in the form of affirmative care meetings have also been described. Conclusions: The healthcare institution needs to implement education on cis-normativity and transgender people's specific care needs. Therefore, more research is needed on how transgender people believe that care can become more inclusive for this group of individuals.

SAMMANFATTNING Bakgrund: Psykisk ohälsa är ett växande folkhälsoproblem som påverkar både individen och samhället. Studier visar att patienter med psykisk ohälsa har ökad risk att drabbas av somatisk komorbiditet jämfört med övriga populationen. Stigmatisering av psykisk ohälsa är ett stort problem i samhället för personer med psykisk ohälsa och detta leder till att dessa patienter kan ha svårt att uppsöka somatisk hälso- och sjukvård.  Syfte: Syftet var att utforska hur patienter med psykisk ohälsa upplever att uppsöka och få behandling inom somatisk hälso- och sjukvård.  Metod: Litteraturöversikt baserad på 11 kvalitativa originalartiklar. Artiklarna söktes efter i databaserna PsycINFO och PubMed. Innehållet i artiklarna analyserades med hjälp av Colaizzis fenomenologiska analysmetod. Kvalitetsgranskning av artiklarna genomfördes med hjälp av Statens beredning för medicinsk och social utvärderings kvalitetsgranskningsmall för kvalitativa studier. Joyce Travelbees interaktionsteori användes som teoretisk referensram för litteraturöversikten.  Resultat: Sju teman identifierades som beskrev hur patienter med psykisk ohälsa upplevde att uppsöka och få behandling inom somatisk hälso- och sjukvård; bortprioritering av psykisk ohälsa, stigmatisering, strukturella hinder, personliga förutsättningar, bemötande, bristande kunskap och positiva erfarenheter.  Slutsats: Patienter med psykisk ohälsa hade olika erfarenheter av att uppsöka och få behandling inom somatisk hälso- och sjukvård. Dessa erfarenheter var ofta negativa vilket gjorde att patienterna undvek att söka hjälp för sin somatiska hälsa. Stigmatisering och bristande kunskap om psykisk ohälsa hos vårdpersonal var två vanligt förekommande problem som de flesta deltagare hade varit med om. Mer utbildning om psykisk ohälsa för vårdpersonal inom somatisk vård samt till sjukvårdsstuderande behövs. / ABSTRACT Background: Mental health is a growing public health problem that effects both individuals and the society. Studies shows that patients with mental health problems have higher risk for physical comorbidity than the general population. While stigma is a major problem in society for patients with mental health problems this leads to difficulties when seeking somatic healthcare.  Aim: The aim was to explore how patients with mental illness experience seeking out and receiving treatment within somatic healthcare.  Method: Literature review based on 11 qualitative original articles. The studies has been searched for via the databases PsycINFO and PubMed. The studies were analyzed using Colaizzi's phenomenological method. Quality review of the articles were conducted with Statens beredning för medicinsk och social utvärderings review template. Joyce Travelbee's interaction theory was used as the theoretical framework for this literature review.  Result: Seven themes were identified which described how patients with mental illnesses experienced seeking and getting treatment within somatic healthcare; deprioritization of mental illness, stigmatization, structural barriers, personal conditions, treatment, lack of knowledge and positive experiences.  Conclusion: Patients with mental health problems have different experiences of seeking and getting treatment within somatic healthcare. Often these experiences were negative and led the patients to avoid seeking help for their somatic illnesses. Stigmatization and lack of knowledge about mental illness were two common problems that most participants have experienced. More education on psychiatric illness for healthcare professionals in somatic care and healthcare students is needed.