Pesquisa que utiliza métodos quantitativos e qualitativos em três diferentes estudos: ecológico exploratório, validação e qualitativo, visando analisar e compreender limites e possibilidades da Lista Brasileira de Internações por Condições Sensíveis à Atenção Primária (ICSAP) para avaliar a Atenção Primária à Saúde (APS). Este estudo foi desenvolvido na microrregião de saúde de Cidade Ademar, no município de São Paulo/SP. No estudo ecológico exploratório, foi descrito o perfil das ICSAP e NÃO ICSAP, ocorridas no Hospital Geral de Pedreira (HGP), no período entre 2006 a 2008. Foi utilizado o Sistema de Informações Hospitalares do Sistema Único de Saúde (SIH/SUS) e os dados para elaboração do perfil das ICSAP foram obtidos na Lista Brasileira de ICSAP. Foram utilizados o aplicativo Tabwin, versão 3.5v, e o software Epi-Info 6.0 (v. DOS). No estudo de validação, foram estimados sensibilidade, especificidade, valor preditivo positivo (VPP) e valor preditivo negativo (VPN) do SIH/SUS para o registro adequado de ICSAP, tendo-se o prontuário do HGP como padrão ouro. A amostragem baseou-se em população de 10.616 prontuários e teve como parâmetros: p = 0,50 para sensibilidade e especificidade; alfa de 5%; e erro amostral de 0,05. Foram selecionados 816 prontuários de forma aleatória simples, utilizando-se o software SPSS®. Na identificação de prontuários e do respectivo par no SIH-SUS, foram considerados o número da Autorização de Internação Hospitalar (AIH) e variáveis como sexo e data de nascimento. Foram estimadas sensibilidade, especificidade, VPP e VPN e calculados os respectivos intervalos de confiança (IC) 95%. No estudo qualitativo, buscou-se compreender as razões que determinam ou influenciam a ocorrência das ICSAP do ponto de vista de usuários e profissionais da APS que aceitaram participar da entrevista. Após a transcrição, esse material foi processado pelo programa Alceste. Nos resultados, foi observado que as ICSAP seguem tendência de redução, sendo pneumonias bacterianas o grupo pelo qual mais pessoas foram internadas no período maior frequência para a faixa etária 65 anos e sexo feminino. A validação estimou sensibilidade de 81,90% (IC 75,2% 88,6%) com uma especificidade de 95, 20% (IC 93,5% 96,9%), VPP de 77,60% (IC 70,50% 84,7%) e VPN de 96,30% (IC 94,8% 97,8%). Na fala dos usuários, observa-se que a APS não tem sido a porta preferencial de entrada do sistema, tanto pela dificuldade de acesso quanto pela falta de resolutividade dos problemas de saúde. Para os profissionais, a APS encontra dificuldades na referência, particularmente para realização de exames e consultas especializadas. Observa-se que o processo de trabalho é organizado, basicamente, em função do que o agente comunitário de saúde traz para as reuniões da equipe. Entre os limites para o uso da Lista Brasileira de ICSAP, ressalta-se a avaliação da APS desvinculada da avaliação do sistema local de saúde, a qualidade da informação e o papel dos determinantes sociais. O uso dessa lista aponta as fragilidades do sistema local de saúde e do processo de trabalho das equipes, as dificuldades de acesso, além de contribuir para a discussão da efetivação de princípios e diretrizes do SUS. / Research using quantitative and qualitative methods in three different studies: ecological exploratory, validation and qualitative, in order to analyze and understand the limitations and possibilities of Brazils Diagnosis List for Ambulatory Care Sensitive Hospitalizations (ICSAP) for the assessment of Primary Health Care (PHC).This study was conducted in the (health) micro-region Ademar, in the city of Sao Paulo/ SP. The ecological exploratory study described the profiles of ICSAP and No-ICSAP at Pedreira General Hospital (HGP) in the period between 2006 and 2008. For the preparation of ICSAP profiles, it was used data from both the Hospital Information System of the Unified Health System (SIH/ SUS) and Brazils List for ICSAP. It was used the application TabWin, 3.5V version, and the software Epi-Info 6.0 (v. DOS). In the validation study, it was estimated sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of the SIH/SUS for the proper recording of ICSAP, using HGP medical records as the gold standard. The sampling was based on a population of 10,616 medical records and the parameters: p = 0.50 for sensitivity and specificity, alpha 5%, and sampling error of 0.05. 816 medical records were selected on a simple random basis, using the software SPSS®. In identifying the relevant medical records and its corresponding pair in the SIH/ SUS, it was considered the Inpatient Hospital Authorization (IHA) number and variables such as gender and date of birth. It was estimated sensitivity, specificity, PPV and NPV, and also calculated the corresponding confidence intervals (CI) 95%. In the qualitative study, it was sought to understand the reasons determining or influencing the occurrence of ICSAP, based on those professionals and users perspectives in PHC who agreed to participate in the interview. After transcription, the material was processed by the program Alceste. In the results, it was observed a downward trend in ICSAP, with bacterial pneumonia as the leading cause for hospitalization in this period, higher frequency for the age group 65 and female gender. Validation estimated sensitivity of 81.90% (CI 75.2% - 88.6%) with a specificity of 95.20% (CI 93.5% - 96.9%), PPV of 77.60% (CI 70.50% - 84.7%) and NPV of 96.30% (CI 94.8% - 97.8%). From users statements, it is observed that PHC has not been the preferred gateway to the system, due to both the difficulty of access and lack of resolution of health problems. For professionals PHC has failed, particularly in lab testing and specialized consultations. It is observed that the work process is organized; primarily considering what community health workers bring to team meetings. Among the limitations to use Brazils List for ICSAP is PHC assessment detached from local health system assessment, the quality of information and the role of social determinants. The use of this list points out the weaknesses of the local health system and the team work process, the difficulties of access, and contributes to the discussion about principles and guidelines effectiveness of SUS.

O Aleitamento Materno é um inigualável meio de se prover alimentação ideal para um adequado crescimento e desenvolvimento infantil, é recomendado por dois anos ou mais, sendo exclusivo nos primeiros seis meses. O sucesso dessa prática depende de inúmeros fatores, que podem influenciar positiva ou negativamente. Alguns fatores que envolvem as condições de nascimento e internação, como: tipo de parto, analgesia de parto, contato pele a pele ao nascimento, aleitamento na primeira hora de vida, tempo de início da mamada, tempo de internação, podem influenciar na amamentação. O objetivo do estudo foi verificar a prevalência da amamentação em recém-nascidos a termo durante a internação e verificar as variáveis de nascimento e internação associadas à amamentação nessa ocasião. Após aprovação do Comitê de Ética, realizou-se um levantamento de prontuários maternos e dos recém-nascidos (RN) para coleta e registro dos dados sóciodemográficos, do parto e nascimento e contexto de internação maternos e neonatais de uma maternidade Amiga da Criança de Ribeirão Preto - SP. Participaram 120 mães, com idade média de 26 anos, 62,5% submetidas ao parto normal, sendo destas 33% receberam analgesia de trabalho de parto e 37,5% submetidas ao parto cesariana. Houve contato pele a pele em 59,2% dos binômios, desses, 83,3% nascidos de parto normal. 25,8% dos bebês foram amamentados na primeira hora de vida, sendo que 90,3% desses, nascidos de parto normal. Tempo médio para início da primeira mamada após parto normal de 1,6 horas e parto cesárea de 3,5 horas. Tempo médio de internação de 2,4 dias. 100% dos bebês sugaram seio materno. 14,2% utilizaram copo, sendo 6% com leite cru ordenhado e 94% com fórmula infantil; 0,8% foram submetidos à técnica de translactação e 13,3% à técnica de relactação. 96,6% saíram em amamentação exclusiva e sendo que todos que saíram em amamentação não exclusiva (3,4%), haviam nascido de parto cesárea. Houve associação entre amamentação precoce e o tipo de parto. O tipo de parto se mostrou associado ao tempo para iniciar a primeira mamada. Houve significância estatística entre o tipo de parto e tempo de internação do recém-nascido. A regressão logística revelou que conjuntamente as variáveis: Tipo de parto (Normal/Cesárea), Contato pele a pele (Sim/Não), Amamentação na primeira hora de vida (Sim/Não), Tempo de internação (dias) e Tempo para início da primeira mamada (horas), não apresentaram significância estatística com relação a Amamentação exclusiva durante a internação. Constatou-se que o parto cesárea dificulta o contato pele a pele ao nascimento e amamentação na primeira hora de vida, aumentando a média de tempo para início da primeira mamada e tempo de internação. Não houve associação entre analgesia de parto e amamentação na primeira hora de vida e tempo para início da primeira mamada. Considerando-se a prevalência da amamentação, o estudo revela que, por ser um Hospital Amigo da Criança, a instituição responde positivamente ao objetivo, porém algumas questões que envolvem rotinas como o contato pele a pele, a amamentação precoce ao nascer e a ordenha mamária durante a internação, ainda devem ser trabalhados para cumprir os atributos desse título / Breastfeeding is an unparalleled means of providing optimal nutrition for adequate infant growth and development. It is recommended for two years or more, being exclusive in the first six months. The success of this practice depends on numerous factors, which can influence positively or negatively. Factor that affect birth and hospitalization conditions - such as type of delivery, labor analgesia, skin-to-skin contact at birth, breastfeeding within the first hour of life, time to start the first feeding, length of hospitalization - influence breastfeeding. The main goal of the study was to verify the prevalence of breastfeeding in term in newborns during hospitalization and to verify the variables of birth and hospitalization associated with breastfeeding at that time. After approval by the Ethics Committee, a survey of maternal and newborn records was carried out to collect and record sociodemographic, labor and birth data, and the context of maternal and neonatal hospitalization of a Baby-friendly Hospital in RibeirãoPreto, Brazil. Sample comprises information for 120 mothers, with a mean age of 26 years, 62.5% submitted to vaginal birth, 33% of whom received labor analgesia and 37.5% were submitted to cesarean delivery. There was skin-to-skin contact in 59.2% of the binomials: of these, 83.3% born of normal delivery. 25.8% of the infants were breastfed in the first hour of life, 90.3% of whom were born normal. Average time to start the first feeding after normal delivery was of 1.6 hours and cesarean delivery of 3.5 hours. Average length of stay was of 2.4 days. All babies sampled in this study suckled breast. 14.2% used cup, 6% with raw milk and 94% with infant formula; 0.8% were submitted to the technique of translactation and 13.3% to the technique of relactation. 96.6% of them went on exclusive breastfeeding and all those who went on non-exclusive breastfeeding (3.4%) were born from cesarean section. There was an association between early breastfeeding and the type of delivery. The type of delivery was associated with the time to start the first feeding. There was statistical significance between the type of delivery and the time of hospitalization of the newborn. The logistic regression revealed that the following variables: Type of delivery (Vaginal / Cesarean), Skin-to-skin Contact (Yes / No), Breastfeeding in the first hour of life (Yes / No), Length of hospitalization (days) and Time to start the first feeding (hours), did not present statistical significance regarding exclusive breastfeeding during hospitalization. It was found that cesarean delivery makes it difficult to skin-to-skin contact at birth and breastfeeding in the first hour of life, increasing the mean time for the first breastfeeding to start and length of hospitalization. There was no association between labor analgesia and breastfeeding in the first hour of life and time to start the first feeding. Considering the prevalence of breastfeeding, the study reveals that, because it is a Baby-friendly Hospital, the institution responds positively to the goal, but some issues that involve routines such as skin-to-skin contact, early breastfeeding and mammary milking during hospitalization, must still be improved to fulfill the attributes of this title

El presente plan de negocio describe la implementación de una empresa de servicios médicos integrales a domicilio debido al incremento de la demanda de servicios de salud en Lima Metropolitana, causado por factores relacionados al incremento de las enfermedades crónico degenerativas, el crecimiento económico, las deficiencias en la calidad de los servicios de salud y el déficit hospitalario. El análisis estratégico de la propuesta es favorable, pues el subsector privado donde se va a desarrollar la empresa se encuentra en auge y promueve la inversión, lo cual le da mayor viabilidad al proyecto. La cartera de servicios está compuesta por consultas, hospitalización domiciliaria, exámenes de laboratorio, venta de medicamentos, servicio de ambulancia y terapias especializadas. La ventaja competitiva de la propuesta es la integralidad de los servicios de salud que se ofrecen a domicilio y el uso de redes de salud que dan cobertura a pocos distritos ubicados a menos de media hora de distancia, facilitando así la oportunidad de la prestación de servicios. La visibilidad de la empresa, la oportunidad de la atención, así como su calidad son los aspectos más críticos a tomar en cuenta en la implementación de la empresa, por lo que el monitoreo constante del plan es de gran necesidad para cumplir con los objetivos trazados. La empresa tiene viabilidad financiera pues el VAN es de S/. 820,274 Soles y la TIR de 77%. Se recomienda la implementación de la Empresa de Servicios Médicos Integrales de Domicilio, por su viabilidad socio sanitario, estratégico y financiera. / The following business plan describes the implementation of a home health services company by a comprehensive form due to the increased in demand for health services in Lima Metropolitana, caused by the factors related with the increase of chronic degenerative diseases, economic growth, the deficiency in the quality of health services, and the hospital deficit. The strategic analysis of the proposal is favorable, the private subsector where the company is going to be develop is locate in the booming and promotes investment which gives more viability to the project. The portfolio of services consists of consults, home hospitalization, lab test, medication sale, ambulatory services and specialized therapies. The competitive advantage of the proposal is the integrality of health services that are offered at home and the use of health networks that cover a few districts located less than thirty minutes away, facilitating the opportunity to provide services. The visibility of the company, the opportunity of service and it is quality are the most critical aspects to take into account in the implementation of the company, so constant monitoring of the plan is of great need to meet the objectives set. The company has financial viability due the VAN is $ 248,568 and the TIR is 77%. It is recommended the implementation of the Company of Integral Home Medical Services, for its socio-health, strategic and financial viability. / Trabajo de investigación

Les femmes représentent un tiers des personnes vivant avec le VIH en France. Les trois parties de cette thèse visent à explorer les principaux aspects cliniques de la maladie (causes de décès, morbidité grave) ou de la vie des femmes (ménopause) afin d’identifier des recommandations spécifiques pour la prise en charge des femmes dans un contexte d’accès aux soins similaire à celui des hommes.Les causes de décès des femmes infectées par le VIH ont été décrites grâce à l’enquête nationale ANRS EN19, Mortalité 2005. Les femmes décédaient plus fréquemment que les hommes de causes liées au sida (43% vs. 34% chez les hommes). Elles décédaient moins souvent de causes hépatiques (13 % vs. 16%), de cancers non sida-non hépatiques (14% vs. 17%) et de maladies cardiovasculaires (6% vs. 9%). La morbidité grave des patients infectés par le VIH a été étudiée au sein de la Cohorte ANRS CO3-Aquitaine, entre 2000 et 2008. Le taux d’incidence annuelle d’hospitalisation a diminué de moitié entre 2000 et 2008 (146 à 69 pour 1000 PA). Globalement, ce taux ne différait pas entre les femmes et les hommes. Les causes les plus fréquentes de morbidité grave conduisant à une hospitalisation étaient : les infections bactériennes, les événements sida, psychiatriques, hépatiques, hématologiques, infections virales, événements digestifs, infections parasitaires et les événements cardiovasculaires. Toutes ces causes ont eu une baisse de leur incidence annuelle entre 2000 et 2008 chez les hommes et les femmes, exceptés les événements hématologiques (de 2,5 à 15,1 pour 1000 PA), hépatiques (2,5 à11,5) et cardiovasculaires (6,3 à 14,2) qui ont augmenté chez les femmes. L’âge de survenue de la ménopause étudié grâce à une enquête menée au sein de la Cohorte ANRS CO3-Aquitaine était de 49 ans en médiane et 12% des femmes ont eu une ménopause précoce, survenant avant l’âge de 40 ans. L’origine africaine (RR : 8,2) et l’antécédent de toxicomanie IV (RR : 2,5) étaient liés à la survenue plus précoce de la ménopause. En conclusion, les femmes infectées par le VIH en France décèdent plus souvent de sida, mais présentent une morbidité grave caractérisée par une prédominance de complications non classant sida. Dans un contexte d’accès aux soins similaires à celui des hommes infectés par le VIH, les femmes ont un profil de maladies associées traduisant à la fois leurs co-morbidités (co-infections par les hépatites) ou l’inflammation chronique du VIH (maladies cardio-vasculaires) qui nécessitent d’être détectées précocement et prises spécifiquement en charge. / Women represent one third of HIV-infected patients in France. The objective of this thesis was to study the clinical features (causes of death and severe morbidity) and the age and determinants of menopause of these patients in a context of equal access to care for all HIV-infected patients.Causes of death of HIV-infected women were identified in 2005, in a nation-wide survey (ANRS EN19, Mortalité 2005). Women died more often than men from AIDS-related causes (43% vs. 34%) and less frequently from hepatic (13% vs. 16%), non-AIDS non-hepatic cancers (14% vs. 17%) and cardiovascular diseases (6% vs. 9%). Severe morbidity was studied within the ANRS CO3-Aquitaine Cohort between 2000 and 2008. Annual incidence rates of hospitalization globally decreased for men and women from 146 per 1000 PY in 2000 to 69 in 2008. The most frequent causes of severe morbidity leading to hospitalization were: bacterial infections, AIDS events, psychiatric, hepatic, hematologic events, viral infections, digestive events, parasitical infections and cardiovascular events. All events had decreased between 2000 and 2008 in men and women excepted for hematologic (2.5 to 15.1 per 1000 PY), hepatic (2.5 to 11.5) and cardiovascular (6.3 à 14.2) events that increased overtime in women. Age at onset and associated factors of menopause were determined within the ANRS CO3-Aquitaine Cohort. Median age at menopause was 49 years and 12% reached menopause before 40 years (premature menopause). African origin (HR: 8.2) and history of injecting drug use (HR: 2.5) were associated with earlier menopause.In conclusion, HIV infected women in France, die more often from AIDS events but present with a predominantly non-AIDS severe morbidity. In a context of similar access to care than men, women’s health care should take into account their co-morbidities (hepatitis co-infections) and the cardiovascular complications of a long term HIV infection.

Purpose To evaluate costs associated with hospitalization due to Firearm-Related Violence and Injuries (FREVI) in the United States over the last decade, 2001-2009. We explored the following research questions: 1. Is there an increase in the prevalence of firearm injuries over the last decade (2001-2009)? 2. What are the demographic patterns that characterize FREVIs in the U.S (i.e., age, sex, racial and ethnic variations, urban/rural locations)? 3. What are the costs associated with firearm-related hospitalizations in the US? Methods This is a descriptive cross-sectional study. A stratified sample of 54,875 hospital discharges were extracted from the National Inpatient Sample Database (NIS-HCUP) using E-Codes (ICD-9) for FREVI. We performed trend analyses to determine the cost and prevalence of the firearm related injuries. Results An estimated 268,639 firearm-related hospital discharges were observed from 2001-2009. Homicidal intent was the leading cause of FREVI, followed by accidents. Hispanic and blacks were more likely to become injured by firearms as compared to whites. Young adults aged 18-34 were more prone to firearm injuries than children and the elderly. Male sex, urban residence and being black or Hispanic were the main risk factors for firearm-related hospitalizations. The average cost of firearm-related hospitalization to the United States is $60,000 every hour, $17,700 per firearm injury related admission, and total of $5.28 billion for the last decade. The prevalence of FREVI and cost trends remained constant over the last decade. Conclusion Firearm Related Violence and Injuries (FREVI), and associated costs remain a major source of hospital-related expenditures in the United States. The constant trend in number of firearm injuries per year over the last decade suggests the absence of effective policy measures to curtail firearm injuries

The stroke rate in Virginia is above the national rate. Stroke results in poor quality health, morbidity, and mortality. This quantitative epidemiological study was conducted to investigate whether a significant association exists between stroke and (a) socioeconomic and (b) neighborhood factors among people who were admitted to Virginia hospitals between 2010 and 2015. An ecological design, including ecosocial theory, was used to examine associations between environmental factors and stroke. Data (746 census output areas) were acquired using patients' billing zip codes from the Virginia Health Information System in combination with socioeconomic and neighborhood data by Zip Code Tabulation Area from the U.S. Census Bureau and the U.S. Food and Drug Administration. Results of linear regression analysis showed a significant association between stroke hospitalization rate and educational attainment, per capita income, and Gini coefficient for income distribution. Also, a significant association emerged between stroke and neighborhood risk factors such as food access, Walkability Index, and population density. Findings from a one-way ANOVA showed a significant geographic difference in stroke hospitalization rate with the highest stroke rate in eastern Virginia and the lowest stroke rate in northern Virginia. Results may help stakeholders, policymakers, and public health agencies design, prioritize, and implement community-based prevention programs to reduce stroke rates in Virginia.

The purpose of this research was to analyze the effectiveness of psychotherapy for individuals diagnosed with schizophrenia spectrum disorders who reside in community residential settings. The present body of literature did not address the utility of psychotherapy treatment for this population. A key area of focus for this research was whether psychotherapy has an impact on psychiatric hospitalization rates for the target population. An additional research question was whether significant differences exist in psychiatric hospitalization rates between males and females for the target population. Data analyses were conducted using archival data from the Blossom Hill Corporation and Sunrise Farm Corporation in the State of Minnesota. Research questions were analyzed with a 2x2 factorial analysis of variance (ANOVA). Results indicated no significant differences in hospitalization rates for individuals in the target population who received psychotherapy (n = 60) compared to those who did not (n = 76). Hospitalization rates also did not differ between gender in psychotherapy treatment response for individuals diagnosed with schizophrenia spectrum disorders in community residential settings. This study has implications for social change because it informs community residential providers in Minnesota serving individuals in the target population about the impact of psychotherapy on reducing psychiatric hospitalizations. Social change is further affected by providing data about how psychotherapy and theory can be used to better treat and understand the target population's mental health stability.

Introduction Triple-negative breast cancer (TNBC) has limited treatment options, as chemotherapy is the only systemic therapy. This poses a challenge in the elderly population due to the limited research done, but also the increased risk for adverse events. Aim To describe the treatment pattern, identify the risk of hospitalization and potential risk factors for hospitalization within 1 year from diagnosis, and investigate the causes of death in elderly with TNBC and possible predictors for mortality.MethodsWe performed a registry-based cohort study using the BCBaSe database which links cases of breast cancer from 3 Swedish healthcare regions with socioeconomic factors, hospitalizations and causes of death. Women ≥ 70 years old with non-metastatic TNBC, between 1/1 2007 and 31/12 2012 were chosen (n = 413). Logistic regression and Cox proportional hazards regression analyses were used. Results Age, stage and comorbidities influenced administration of chemotherapy. The risk of hospitalization overall was increased in the group receiving chemotherapy (OR 2.35, 95% CI 1.30 – 4.26) mainly due to toxicities. Chemotherapy use was not associated with either breast cancer-specific (HR 0.95, 95% CI 0.51 – 1.79) or overall survival (HR 0.72, 95% CI 0.44 – 1.18). Stage at diagnosis and comorbidities were associated with both breast cancer-specific mortality and overall mortality, whereas age was only associated with overall mortality. Conclusions In elderly TNBC patients, chemotherapy use was associated with increased risk for hospitalization within 1 year from diagnosis without improving breast cancer-specific or overall survival. No benefit regarding mortality was seen in those who were administered chemotherapy.

<p>Bakgrund:Att få sitt barn inlagt på sjukhus är en stor förändring för föräldrar. Detta kan leda till många olika känslomässiga upplevelser som kan skapa en obalans i familjen. För vårdpersonal är det viktigt att ha kunskap om detta så att familjen kan få en god omvårdnad och en bra upplevelse av sjukhusvistelsen med sitt barn. Syfte: Syftet med studien är att beskriva föräldrars erfarenheter och upplevelser av omvårdnad i samband med sjukhusvistelser med sitt barn. Metod: Studien har genomförts som en allmän litteraturstudie genom systematisk granskning och sammanställning av vetenskapliga artiklar. Resultat: Fyra fynd framkom i studiens resultat. Dessa var: tidigare erfarenheter av sjukhusvård, brist på kommunikation och känslomässigt stöd, upplevelser av trygghet och delaktighet samt upplevelser av otrygghet och att inte bli lyssnad på. Slutsats: För att få en bättre dialog och öka kunskapen om föräldrarnas tidigare upplevelser och erfarenheter kan sjuksköterskan använda sig av familjefokuserad omvårdnad.</p> / <p>Background: When a child is admitted to the hospital it is a big change for the parents. This can cause different emotional reactions and create an imbalance in the family. It is important for the healthcare staff to be aware of this, so that they can give the family a good nursing care and at the same time a good experience of the hospitalization. Aim: The aim of this study was to describe parents´ experiences of the child’s care during hospitalization. Method: The study was conducted as a literature review through a systematic compilation of scientific articles. Results: Four findings were revealed in the studies result. They were: earlier experiences of hospitalization, lack in communication and emotional support, experience of feeling security and participation, experience of insecurity and not being lessened to. Conclusion: To get a better dialog with the parents and to get more knowledge about their experiences of hospitalization the nurse can use family focused nursing.</p>

Bakgrund:Att få sitt barn inlagt på sjukhus är en stor förändring för föräldrar. Detta kan leda till många olika känslomässiga upplevelser som kan skapa en obalans i familjen. För vårdpersonal är det viktigt att ha kunskap om detta så att familjen kan få en god omvårdnad och en bra upplevelse av sjukhusvistelsen med sitt barn. Syfte: Syftet med studien är att beskriva föräldrars erfarenheter och upplevelser av omvårdnad i samband med sjukhusvistelser med sitt barn. Metod: Studien har genomförts som en allmän litteraturstudie genom systematisk granskning och sammanställning av vetenskapliga artiklar. Resultat: Fyra fynd framkom i studiens resultat. Dessa var: tidigare erfarenheter av sjukhusvård, brist på kommunikation och känslomässigt stöd, upplevelser av trygghet och delaktighet samt upplevelser av otrygghet och att inte bli lyssnad på. Slutsats: För att få en bättre dialog och öka kunskapen om föräldrarnas tidigare upplevelser och erfarenheter kan sjuksköterskan använda sig av familjefokuserad omvårdnad. / Background: When a child is admitted to the hospital it is a big change for the parents. This can cause different emotional reactions and create an imbalance in the family. It is important for the healthcare staff to be aware of this, so that they can give the family a good nursing care and at the same time a good experience of the hospitalization. Aim: The aim of this study was to describe parents´ experiences of the child’s care during hospitalization. Method: The study was conducted as a literature review through a systematic compilation of scientific articles. Results: Four findings were revealed in the studies result. They were: earlier experiences of hospitalization, lack in communication and emotional support, experience of feeling security and participation, experience of insecurity and not being lessened to. Conclusion: To get a better dialog with the parents and to get more knowledge about their experiences of hospitalization the nurse can use family focused nursing.