Abstract Background: Previous studies show that ADHD is associated with lower educational attainment, lower level of employment and increased risk for stressful life events. No previous studie was found that compared conditions before and after diagnosis was set. The aim of this study was to examin if a neuropsychiatric diagnostic assessment and support afterward had any impact on the life situation for adult persons with ADHD regarding occupational outcome, economical status and social support. Method: A sample of 214 adults participated in the study. Data were collected from the participants’ medical records. Statistical analyses were applied to identify possible changes before and after a neuropsychiatric examination. Results: Changes were seen in occupational outcome, economical outcome and in the help received from the community before and after the examination. Conclusions: Neuropsychiatric examinitions starts a process that could lead to a better socialeconomical situation for the person with ADHD.

SAMMANFATTNING Bakgrund: Akutsjukvården har genomgått stora förändringar de senaste decennierna vilket inneburit att kraven på sjuksköterskan höjts. Den kliniskt verksamma sjusköterskan inom akutsjukvård utsätts dagligen i sitt arbete för påfrestande händelser och stress. Vissa av dessa händelser kan upplevas som särskilt påfrestande och kan föranleda krisstöd i olika former. För att motverka stressrelaterade resttillstånd kan olika former av krisstöd nyttjas. Syfte: Syftet med studien var att kartlägga vad sjuksköterskor inom akutsjukvård upplever som en särskilt påfrestande händelse, hur ofta det förekommer och vilken typ av krisstöd som erbjöds. Studien undersökte även om omvårdandsarbetet påverkades samt arbetsledningens inställning till krisstöd och om sjuksköterskorna ansåg att det kunde förbättras. Metod: En kvantitativ enkät med kvalitativa inslag valdes som datainsamlingsmetod.         198 enkäter skickades ut till sjuksköterskor vid ambulansen och två akutmottagningar i ett län i Mellansverige.100 enkäter kom in, svarsfrekvensen blev 51 %. En enklare form av innehållsanalys med deskriptivt anslag användes som analysmetod. Resultat: 55 % av sjuksköterskorna inom akutsjukvård har upplevt behov av krisstöd p.g.a. händelser relaterade till arbetet. Resultatet visar att ett flertal situationer upplevs som särskilt påfrestande händelser. De i särklass två mest angivna händelserna inkluderar situationer med barn och unga människor. Resultatet visar att behovet av krisstöd har starkt samband med antal yrkesverksamma år genom att behovet ökar beroende på hur länge personerna arbetet. Socialt stöd från kollegor s.k. kamratstöd var den stödform som respondenterna föredrog mest efter en påfrestande händelse. Slutsats: Särskilt påfrestande händelser hos sjuksköterskor inom akutsjukvård är vanligt förekommande, behovet av krisstöd är starkt sammankopplat med antal yrkesverksamma år. Ingen större skillnad mellan män och kvinnor förekom. Detta till trots förekom det sällan svårigheter att utföra omvårdnadsarbete efter en påfrestande händelse. Kollegialt stöd ansågs vara det bästa stödet. Nyckelord: Akutsjukvård, krisstöd, sjuksköterskor, särskilt påfrestande händelser, upplevelser. / ABSTRACT Background: Emergency medical care has undergone major changes in recent decades which have led to increased demands on nurses. The clinically active registered nurses in emergency care are daily exposed to stressful events and stress in their work. Some of these events can be experienced as particularly stressful and can lead to need for crisis support in various forms. To counteract stress related sequelae, various forms of emergency support is used. Objective: The aim of the study was to identify what nurses in emergency care experience as a particularly stressful event, how often it occurs and what type of crisis support that was offered. The study also examined whether the nursing practical was affected and the employer approach to crisis support and the nurses thought that it could be improved. Method: A quantitative survey with qualitative elements was chosen as a data collection method. 198 questionnaires were sent to nurses in the ambulance and two emergency departments in a county in Sweden.100 questionnaires were received, the response rate was 51%. A simpler form of content analysis with descriptive appropriation was used for data analysis. Results: 55% of nurses in emergency care have been in need of crisis support due to events related to the work. The result showed that several situations experienced as particularly stressful events. By far the two most mentioned events include situations with children and young people. The result shows that the need for crisis support was strongly associated with number of years worked, the need was greater the longer they worked. Social support from colleagues was the assistance that respondents preferred after a stressful event. Conclusion: Particularly stressful events for nurses in emergency care are common, the need for crisis support is strongly linked with number of years in the profession. No significant difference between men and women were present. It was rarely difficult to perform nursing work after a stressful event. Social support from colleagues was considered to be the best support. Keywords: Crisis support ,emergency care, nurses, experiences, stressfull events.