Bakgrund: Patientdelaktighet är en lagstadgad rättighet och ses som önskvärt och fördelaktigt. Det är dock vanligt förekommande att patienter hamnar utanför själva processen och bara blir ett instrument i den. Syfte: Syftet var att, ur ett patientperspektiv, beskriva hinder och möjligheter för vuxna patienters delaktighet i sin vård. Metod: En litteraturöversikt där 13 kvalitativa artiklar låg till grund för analys och resultat. Resultat: Hindren för delaktighet beskrevs som att känna rädsla, oro och skam, inget intresse visas för patienten, att sakna information och kunskap och patientens försämrade hälsostatus samt fysiska och mentala tillstånd. Möjligheterna beskrevs med fenomenen vårdpersonal som lyssnar, att det finns förtroende, vårdpersonal som uppmuntrar och skapar motivation, en informationssökande patient och att känna sig frisk. Slutsats: Patientdelaktighet påverkar personcentrerad omvårdnad och både patienten och vårdpersonalen har ett stort ansvar i huruvida patientdelaktighet och sedermera personcentrerad omvårdnad kan uppstå. Patienter och sjuksköterskor tycker ofta lika i sak vad gäller patientdelaktighet. Resultatet är ett verktyg för vårdpersonal att lättare identifiera vad som behövs för att möjliggöra respektive vad som hindrar patientdelaktighet. Ett arbetssätt för att göra patienten delaktig i sin vård är att vårdpersonal ska lyssna, visa intresse och delge patienten information. / Background: Patient participation is statutory and considered as desirable and profitable. Nevertheless it is common that patients are excluded from the patient participation process. Aim: The aim was to, from an adult patient perspective, describe barriers and facilitators to patient participation in their own care. Method: A literature review with 13 qualitative articles analysed to the result. Result: The barriers were described as patients feeling fear, anxiety and shame, no interest is shown towards the patient, not having information and knowledge and the patients’ impaired health status and physical and mental status. The facilitators were described as nursing staff are listening, available trust, nursing staff that encourages and creates motivation, an information seeking patient and to feel healthy. Conclusion: Patient participation affects person-centred care and the patient and nursing staff have a great responsibility in whether patient participation and later on person-centred care may arise. Patients and nurses often have similar thoughts about patient participation. The result is a tool designed for nursing staff to in an easier way identify what is needed to facilitate patient participation and what hinders it. A way of working in making the patient to participate in their care is that nursing staff shall listen, show interest and inform the patient.

Sammanfattning Bakgrund: Idag lever ca 158 000 personer med en demenssjukdom i Sverige och antalet ökar varje år. 92 000 av dessa bor hemma och enligt tidigare forskning bor 35 000 ensamma. Forskning visar att informellt stöd är viktigt för personen med en demenssjukdom. Att leva utan ett informellt stöd kan då vara svårt och det finns lite kunskap om detta. Syfte: Syftet med översikten var att undersöka upplevelsen av att leva ensam med en demenssjukdom. Metod: En litteraturöversikt av kvalitativa artiklar sammanställdes med en induktiv ansats. Data samlades in i databaserna Cinahl, Medline samt PsycInfo. Åtta artiklar med kvalitativ metod inkluderades i resultatet. Dataanalysen skedde enligt Fribergs 5-stegsmodell. Resultat: Fyra huvudteman identifierades i litteraturöversikten: ensamhet, begränsningar, meningsfullhet samt rädsla. Slutsats: Personer som lever ensamma med en demenssjukdom upplever sin tillvaro på liknande sätt som personer med en demenssjukdom som har en informell vårdare i hemmet. En markant skillnad är upplevelsen av ensamhet som är stor hos de flesta personer som lever ensamma med en demenssjukdom, men upplevelserna skiljer sig individer emellan. / Summary Background: Today, around 158 000 people with dementia lives in Sweden, the number is increasing every year. 92 000 people live at home and according to previous research 35 000 live alone. Research shows that informal support is important for the person with dementia. Living without informal support can then be difficult and there is little knowledge about this. Aim: The aim of the literature review was to investigate the experience of living alone with dementia. Method: A literature review of qualitative articles was compiled with an inductive approach. Data was collected in the databases Cinahl, Medline and PsycInfo. Eight articles with qualitative method were included in the result. Data analysis was conducted according to Friberg's 5-step model. Result: Four main themes were identified in the literature review: loneliness, limitations, meaningfulness, and fear. Conclusion: Individuals living alone with dementia have similar experiences as those with dementia who have an informal caretaker at home. A significant difference is the perception of loneliness that is great among most people living alone with dementia, but the experiences differ between individuals.

This article is a literature review about global catastrophic risks. Its contribution is to give an overview of the research field in general and highlight the main potential catastrophic areas linked with recent studies. In many movies and TV shows, we can see our civilization collapse in various ways: Gigantic asteroids hit the earth and obliterate all life, nuclear wars emerge, artificial intelligence evolves and starts wars with humans, pandemics spread, and other kinds of catastrophic events with mass death or extinction of all life happen. Thus, even if these are extreme events and fiction, we should raise the question how likely it is that one or more of these events can occur in the near and far future. Although calculated probabilities of impact are low for the future such as tomorrow, in 10, 100 or a million years from now, this could actually be reality. Nevertheless, why should we care about the risks of these global catastrophic events today and what could be done to prevent or reduce the risk of a global catastrophe? In this paper we will discuss core content, such as different risks and ways to reduce them internationally, as well as the scientific context of the field. In fact, there are events that can be catastrophic on a global scale and happen in the near future, even if we do not know exactly when. Hence, specific risk assessment and proper mitigation strategies are necessary in order to maintain the human population. This article states that serious research is a basis for decision makers in particular, who invest funds in countermeasures.

The shear failure mechanisms of flexural reinforced concrete (RC) members is highly complex; its precise details cannot be explained with simple analytical relationships, and are the topic of considerable scientific debate. The studies described and examined the three most used shear theories in the world – the fixed angle truss model (45°TM), the variable angle truss model (VAT), and modified compression field theory (MCFT). These three theories rest on the assumption that a beam loaded in shear behaves as a truss. However, this assumption is applied in different ways in various codes. In this thesis, three major standards, each of which uses a different implementation of these theories (CEN, 2005; ACI-318, 2008; CSA-A23.3, 2009), were used to predict the shear force capacity of a RC railway bridge that was strengthened in flexure with near surface mounted (NSM) carbon fibre reinforced polymers (CFRP) and then tested to failure. The data obtained in this test indicated that the codes underestimated the real shear behaviour of the bridge. There are some accepted reasons for such inaccuracies, namely the use of empirically derived equations in the ACI (2008) and CSA (2009) standards and the omission of the concrete contribution in CEN (2005). Moreover, the NSM reinforcement material used exhibits elastic behaviour until the point of failure; it was found that the use of such materials introduces further decreases the accuracy of the models’ predictions. The strains that developed in the area of the bridge where shear failure was expected were monitored throughout the test using a specially-developed photographic method. The results obtained with this method were promising, especially for research purposes, since it generated reliable data using relatively affordable tools.The use of FRP for shear strengthening introduces further complications to the problem of shear in reinforced concrete members because introduces two new failure modes: debonding at the concrete interface and fibre rupture of the FRP. Extensive research has been carried out on FRP shear strengthening around the world. Much of the data gathered in these studies has been compiled in a database. By analysing this large database, it was found that the effectiveness of FRP shear strengthening is influenced by many factors, including the properties of the FRPs, the FRP strengthening configuration used, the nature of the beam’s cross-section, the shear span to depth ratio, the presence of stirrups, and the nature of the tensile reinforcement. Analysis of this database also demonstrated that most of the studies reported in the literature had focused on investigating the influence of the properties of the FRPs and the different configuration systems, and that the other factors mentioned above have been sparsely investigated if not totally ignored. The strengthening configuration and the amount of fibres influence the failure mode of the FRP and the shear force that it can carry. It appears that the side-bonded and the U-wrapped configurations are most prone to failure by debonding. This is consistent with the findings of various small experimental programs, and was confirmed by analysis of the larger dataset. These findings are relevant because failure of the FRP by debonding is more complex mechanism than is the rupture of the fibres mechanism. As is shown in this thesis, the extent to which the FRP variables (properties and strengthening configuration) can affect the point at which failure occurs and the mode by which it happens is dependent on the quantity of stirrups and tensile reinforcement in the beam, to the position of the load in relation to the size of the cross section (shear span to depth ratio), the type of strengthening configuration, the concrete and FRP properties. For design purposes, it is important to predict the shear failure of FRP shear strengthened beams with as much accuracy as possible. Therefore, a design model for debonding of the shear strengthening of concrete beams with FRP was developed and the limitations of the truss model analogy were highlighted. The fracture mechanics approach was used to analyse the behaviour of the bond between the FRP composites and the concrete. In this model, of the parameters examined, the fracture energy of concrete and the axial rigidity of the FRP are considered to be the most important. The effective strain in the FRP when debonding occurs was determined and the limitations of the anchorage length over the cross section were analysed; ultimately, a simple iterative method for shear debonding was proposed. Since the model’s predictions were considered satisfactory but not really precise, an extensive review of the literature was conducted. All of the significant theoretical models for predicting the shear capacity of FRP strengthened RC beams that have been reported over the years were analysed and commented on, and their predictions were compared to the results recorded in a preliminary experimental database. The predictions of the models that are most widely used in design were compared to the experimental results reported in the database; the model developed by the author was evaluated alongside these more established models. All of the models, including that presented in this thesis, were found to generate inaccurate predictions, but two models have been calibrated so as to provide safe estimates of the FRP shear capacity. Finally a new model for FRP shear strengthening was proposed for use in engineering. The new model was developed on the basis of an analysis of the contents of the database of experimental findings. The model incorporates several design equations adopted from various models and is set up for engineering use. The predictions of the shear force carried by the FRP strengthening material are found to be conservative. / Godkänd; 2011; 20110328 (gabsas); DISPUTATION Ämnesområde: Konstruktionsteknik/Structural Engineering Opponent: Professor Giorgio Monti, University of Rome, Italy Ordförande: Professor Björn Täljsten, Institutionen för samhällsbyggnad och naturresurser, Luleå tekniska universitet Tid: Fredag den 29 april 2011, kl 13.00 Plats: F1031, Luleå tekniska universitet

En psykossjukdom medför att perceptionen av världen och andra människor förändras. Patienter med en psykossjukdom upplever sig ha sämre livskvalitet och hälsa än andra individer i samhället och de upplever ofta lidande på grund av sin sjukdom. Sjuksköterskor upplever blandade känslor i samband med vård av patienter med en psykossjukdom, men deras grundläggande uppgift är trots detta att främja hälsa, förebygga sjukdom, återställa hälsa och att lindra lidande. Syftet med denna studie är att belysa hur patienter med en psykossjukdom upplever vården på en psykiatrisk slutenvårdsavdelning, ur ett patientperspektiv. Studien är en systematisk litteraturstudie och data analyserades med en induktiv latent innehållsanalys. Resultatet visade att patienternas upplevelser kan beskrivas i fyra områden: rädsla och osäkerhet påverkar interaktionen med andra; tvångsåtgärder: skrämmande men nödvändiga; självbestämmande, delaktighet och välbefinnande; samt vårdpersonalen är avgörande för patienternas upplevelser. I studien diskuteras rädsla och osäkerhet; att vårdpersonalen och upplevelserna påverkar attityden till behandlingen; vårdpersonalens betydelsefulla roll när patienten har svåra symtom; individualiserad vård och god kommunikation bidrar till ökat välbefinnande samt att mer kompetens hos vårdpersonal kan minska bruket av tvångsåtgärder. Studiens slutsats är att sjuksköterskor har en central roll i patienternas upplevelse av vården. De har ansvar för att interaktionen med patienten och relationsbyggande fortlöper samt att användandet av tvångsinsatser motiveras och enbart sker när det är absolut nödvändigt, annars finns risk att behandlingsresultat och följsamhet av behandling efter utskrivning påverkas negativt. / A psychosis means that the perception of the world and other people change. Patients with a psychotic disorder perceive themselves as having poorer quality of life and health than other individuals in the community and they often experience suffering because of their illness. Nurses experience mixed feelings while caring for patients with a psychotic disorder, but in spite of this a nurse’s fundamental duty is to promote health, prevent disease, restore health and to alleviate suffering. The purpose of this study is to highlight how patients with a psychotic disorder experience health care in a psychiatric inpatient ward, from a patient perspective. The study is a systematic literature review and data were analyzed using an inductive latent content analysis. The results showed that patients 'experiences involved four areas: fear and insecurity affects the interaction with others; coercive measures: scary but necessary; autonomy, participation and welfare, and nursing staff is crucial for patients' experiences. In the study, several areas were discussed about the patient's experiences: fear and insecurity; that care staff and experiences affect the attitude to treatment; healthcare personnel's important role when the patient experience severe symptoms; individualized care and good communication contribute to increased well-being, and that more skills in healthcare professionals can reduce the use of coercive measures. The study's conclusion is that nurses have a central role in the patients' experience of the health care. They are responsible for the interaction with the patient and for keeping the building of the nurse-patient relationship in progress. They are also responsible so that the use of coercive action is justified and only occurs when it is absolutely necessary, otherwise there is a risk that the treatment results and adherence to treatment after discharge are adversely affected.

Although they lead to several potential sustainability benefits, product-service systems are not intrinsically sustainable. Therefore, this thesis investigates the factors designers should consider in order to ensure sustainable results. A systematic literature review on product-service system and sustainability is combined with three interviews with product-service system providers. The results are analysed through the application of the Framework for Strategic Sustainable Development. The results of the systematic literature review show that there is no unified definition of sustainable product-service system and multiple approaches to address sustainability in product-service system design. By adopting the Framework for Strategic Sustainable Development, a definition of sustainable product-service system and a list of design criteria are developed. This thesis suggests which overarching aspects product-service system designers should consider to integrate a strategic sustainability perspective. The outcome of this thesis supports designers in understanding what a sustainable product-service system could be and what elements it should embed. By combining the definition and the list of criteria, designers can apply a systematic and strategic approach to integrate sustainability in product-service system offerings.

Bakgrund: Allt fler människor migrerar till Sverige och de flesta av dem kommer att komma i kontakt med sjukvården. Därför är det viktigt för sjuksköterskor att de är utrustade med kulturell kunskap.  Det ligger i en sjuksköterskas intresse att identifiera behovet som föreligger i situationer med patienter med en annan kulturell bakgrund för att kunna ge ett professionellt bemötande och en god omvårdnad. Syfte: Syftet med studien är att beskriva sjuksköterskans erfarenhet av transkulturell omvårdnad. Metod: En litteraturöversikt som är baserad på 15 vetenskapliga artiklar, varav 13 är kvalitativa och en kvantitativ samt en mixed method. Artiklarna hittades i databaserna Cinahl och PubMed. Resultat: Ett av det stora problem sjuksköterskor står inför är den kulturella mångfalden som är nödvändigt att sjuksköterskan är utrustad med kulturell kunskap. Sjuksköterskans erfarenheter som utmaning, brist kunskap om kulturella kompetens, osäkerhet, svårigheter att bedöma smärta, självkännedom och språkbarriär är de faktorer som beskrivs av sjuksköterskor som vårdar patienter med annan kulturell bakgrund. Att sjuksköterskan inte har kulturell kompetens kan leda till att relationen med patienten inte skapas. Slutsats: Kulturkompetens inom omvårdnad är en viktig aspekt vid omvårdnad av patienter med olika kulturer. Kulturell mångfald bland patienter är en av de utmaningar som sjuksköterskor står inför. Sjuksköterskor anser att vården av kulturellt olika patienter är en svår utmaning på grund av brist på kunskap om patientens olika kulturer. Sjuksköterskor behöver ha kulturell kunskap så att de kan ge individuell omvårdnad när de möter människor med olika åsikter, idéer och värderingar om hälsa, ohälsa och omvårdnad. På grund av detta finns det ett stort behov av ökad kunskap och fortbildning av transkulturell omvårdnad för att förbättra kulturella färdigheter inom sjuksköterskeutbildningen. / Background: More and more people are migrating to Sweden and most of them will come in contact with health care. It is important for the nurses that they are equipped with cultural knowledge. It is in the interest of a nurse to identify the need that exists in these nursing situations, such as security and safety, in order to be able to provide a professional treatment and a good nursing care. Aim: the aim of this study is to describe the nurse’s experience of transcultural nursing Method: a literature review based on 15 scientific articles, of which 13 are qualitative and one quantitative, one mixed method with both qualitative and quantitative. The articles were found in the databases CINAHL and PubMed. Results: One of the major problems nurses face is the cultural diversity that requires the nurse to be equipped with cultural knowledge. The nurse's experience as a challenge, lack of knowledge, uncertainty, religion, difficulties in assessing pain, cultural differences, seeing the individual and language barrier are the factors described by nurses who care for patients with different cultural backgrounds. The fact that the nurse does not have cultural competence can lead to the relationship with the patient not being created. Conclusion: Cultural competence in nursing is an important aspect in the care of patients with different cultures. Cultural diversity among patients is one of the challenges faced by nurses. Nurses believe that the care of culturally different patients is a difficult challenge because of a lack of knowledge about the patient's different cultures. Nurses need to have cultural knowledge so that they can provide individual care when they meet people with different opinions, ideas and values about health, illness and nursing. Because of this, there is a great need for increased knowledge and training of transcultural nursing in order to improve cultural skills in nursing education.

Bakgrund: Arton procent av Sveriges befolkning lider av långvarig smärta, men hur stort mörkertalet är vet man inte. Av den äldre befolkningen har 54% kvinnor och 38% män långvarig smärta. Smärtan påverkar flera faktorer, allt från sämre välmående och fysisk trötthet, till påverkan på socialt liv och arbete. Kostnaderna för samhället beräknas varje år kosta 87.5 miljarder kronor i direkta och indirekta kostnader. Komplementär- och alternativmedicin är ett samlingsnamn för behandlingar som inte ingår i den traditionella medicinska behandlingen, bland annat massage, akupunktur, transkutan elektrisk nervstimulering (TENS), kognitiv beteendeterapi (KBT) och meditation/yoga. Syfte: Att beskriva patienters upplevelser och positiva effekter av alternativ- och komplementärmedicin vid långvarig smärta.  Metod: Studien genomfördes i form av en litteraturöversikt och baserades på 14 vetenskapliga artiklar med kvalitativ eller kvantitativ ansats. Sökningarna gjordes i databaserna CINAHL och PubMed.  Resultat: Tre huvudteman framkom i resultatet vilket var ökat välbefinnande, smärtlindring och ökad rörelseförmåga. Studierna visade att patienterna upplevde god smärtlindring och ökad livskvalité både fysiskt och psykiskt vid behandling med komplementär- och alternativmedicin. Patienter som inte uppnått smärtlindring genom den traditionella vården upplever god smärtlindring med hjälp komplementär- och alternativmedicin.  Slutsats: Komplementär- och alternativmedicin kan vara ett alternativ till traditionell behandling och ibland även ett första alternativ av flera anledningar, bland annat för att undvika biverkningar från läkemedel. / Background: Eighteen of Sweden's population suffers from long-term pain. The unmeasured data in the presence is not known. Among the older population, 54% of women and 38% prevalence of men, have long-term pain. The pain affects several factors, everything from inferior well-being and physical fatigue, to the impact on social life and work. The costs for society are estimated to cost SEK 87.5 billion annually in direct and indirect costs. Complementary and alternative medicine is a collective term for treatments that are not part of the traditional medical treatment. Examples of treatments include massage, acupuncture, transcutaneous electrical nerve stimulation (TENS), cognitive behavioral therapy (KBT) and meditation/yoga. Aim: To describe patients' experiences and the positive effect of alternative and complementary medicine of long-term pain. Method: A literature review based on 14 scientific articles with qualitative or quantitative approach. Searches have been conducted in CINAHL and PubMed. Results: Three main themes emerged in the result, which was increased wellbeing, pain relief and increased mobility. The studies indicate that the patients experienced good pain relief and increased quality of life both physically and mentally during treatment with complementary and alternative medicine. Patients who have not achieved pain relief through traditional care, experienced good pain relief with complementary and alternative medicine. Conclusion:  Complementary and alternative medicine can be an alternative to traditional treatment and sometimes even a first alternative for several reasons, among other things to avoid side effects from drugs.

Bakgrund: Övervikt och fetma kan orsakas av arv, miljö och beteendemässiga faktorer och är en global epidemi. Övervikt kan leda till ohälsa och viktkontroll kan ge förbättrad hälsa, öka livskvalité och främja välbefinnande. Ur ett hälsoekonomiskt perspektiv är det av betydelse att sjuksköterskor arbetar hälsofrämjande med att stödja patienter att lyckas med viktkontroll genom egenvård. Syfte: Syftet var att beskriva olika typer av hälsofrämjande stöd från sjuksköterskor till patienter med fetma och övervikt som främjar egenvård och viktnedgång Metod: En litteraturöversikt där vetenskapliga artiklar sammanställdes till ett resultat. Data insamlades via databaserna CINAHL och Pub Med. Resultatet baserades på artiklar med såväl kvantitativ som kvalitativ ansats. Resultat: Sammanställningen av resultatet visade olika teman som kan sammanfattas i att sjuksköterskan kan bistå patienter med övervikt och fetma med hälsofrämjande stöd som främjar egenvård. Detta stöd kan erbjudas genom att ge patienterna kunskap och undervisning, skapa motivation hos patienterna genom kommunikation samt att bidra med uppföljning över tid avseende hälsofrämjande livsstilsförändringar. Sjuksköterskor kan även använda en hälsofrämjande arbetsmodell baserat på att kombinera kunskap, uppföljning och kommunikation som stöd till patienter för att främja egenvård. Slutsats: Denna litteraturöversikt bidrar med kunskap kring vilka metoder som påverkar sjuksköterskans hälsofrämjande arbete hos patienter med övervikt eller fetma. Sjuksköterskan har goda möjligheter att stödja patienter vid viktproblematik och en betydande roll för hur patienter med övervikt och fetma bemöts och vårdas. / Background: Overweight and obesity may be caused by genetics, environmental and behavioral factors and are a global epidemic. Overweight and obesity can lead to illness and health issues. Weight control may improve health, increase quality of life and promote well-being. From a health-economic perspective, it is important for nurses to promote health by supporting patients in order for them to succeed in weight control practices through self-care. Purpose: The purpose was to describe different types of health-promoting support by nurses for patients with overweight and obesity that promote self-care and weight loss. Method: A literature review in which 15 scientific articles were compiled into a result. The data was collected through the databases CINAHL and PubMed. The results are based on 15 articles with quantitative as well as qualitative approaches. Result: Nurses may assist patients with overweight and obesity by using healthpromoting support that promote self-care. Compilation of the results showed four different themes. In order to promote self-care by using health-promoting support, nurses can offer patients knowledge and education, create motivation among the patients through communication, as well as follow-up patients over time regarding their health-promoting lifestyle changes. Nurses can also use a combination of support to promote self-care. Conclusion: This literature review contributes with knowledge about which methods affect the nurse's health-promoting work in patients with overweight or obesity. The nurse has good opportunity to support patients with their weight problems and a significant role in how patients with overweight and obesity are treated.

Bakgrund: Depression är ett världsproblem i dagens samhälle och mer än 350 miljoner människor är drabbade. Negativa tankar, dålig självkänsla, orkeslöshet och apati kan vara en del av symtombilden. Fysisk aktivitet har en positiv inverkan på den mentala hälsan hos den friska människan och kan även rekommenderas som behandling vid depression. Personcentrerad vård innebär att personens egen upplevelse av sin unika situation sätts i fokus, på så sätt kan välbefinnandet öka och personen får mer inflytande i sin vård samt blir bekräftad och sedd. Syfte: Beskriva hur patienter med depression upplever fysisk aktivitet som behandling vid depression. Metod: En litteraturöversikt grundad på 16 vetenskapliga artiklar insamlade från databaserna CINAHL och PsycINFO. Dessa analyserades i fem steg och därefter skapades teman. Resultat: Patienter med depression upplevde förbättring av tillståndet med hjälp av fysisk aktivitet. Ökat psykiskt välbefinnande, distraktion av negativa tankemönster, förbättrat självförtroende och förbättrad sömn beskrevs. Hinder för utövning av fysisk aktivitet upplevdes vara prestationsångest och brist på självförtroende. Individanpassning, motiverande strategier, exempelvis strukturerade träningsprogram, samt upplevda positiva resultat upplevdes öka motivationen hos patienter med depression. Slutsats: Fysisk aktivitet har positiv inverkan på personer med depression och förbättrar välbefinnandet. Som sjuksköterska är det viktigt att kunna se bakomliggande orsaker till varför personer med depression ibland utför fysisk aktivitet i mindre grad. Genom individanpassade, motiverande och tydliga strategier kan optimala förutsättningar ges för att förbättra depressionen för dessa personer över tid. Genom att sjuksköterskan arbetar personcentrerat med att motivera och stödja till fysisk aktivitet kan personer med depression känna sig bekräftade, sedda, respekterade samt uppleva förhöjt psykiskt välbefinnande. / Background: Depression is a world-wide problem in today’s society and more than 350 million people are affected. The self-esteem can be affected negatively of depression and negative thoughts, lethargy and apathy can also be part of the symptomatology. Physical activity has a positive influence on mental health in healthy people and can be recommended as a treatment for depression. Personcentered care means that the persons own experience of their unique situation is put in focus, therefore can the wellbeing increase as well as the person gets more influence in their own care and also gets confirmed and seen. Aim: Describe how patients with depression experiences physical activity as a treatment for depression. Method: A literature review based on 16 scientific articles collected from CINAHL and PsycINFO. These were analysed in five stages and themes were created thereafter. Result: Patients with depression experienced improvement in their condition thanks to physical activity. Increased psychological wellbeing, distraction of negative thought patterns, increased self-confidence and sleep was described. Barriers for performing physical activity was described to be performance anxiety and lack of self-confidence. Individualized and motivating strategies, for example structured training programs, and also experiencing positive results increased the motivation in patients with depression. Conclusion: Physical activity has a positive impact on people with depression and increases wellbeing. It is important as a nurse to see underlying reasons why people with depression sometimes performs physical activity in a smaller extent. Through individualised, motivating and distinct strategies these people can recieve optimal conditions to improve depression over time. Through the nurses person centered work by motivating and supporting performance of physical activity, people with depression can feel confirmed, seen, respected as well as experience increased psychological wellbeing.