The world is facing the highest number of people to have been forced from their homes due to war and conflict. Providing a framework for integrated action is a common societal solution to managing the challenges of integration policy programmes. These programmes are intended to standardise services provided by a diverse set of agencies and areas, and are usually delivered by civil servants and volunteers. The aim of this study was to describe factors, as reported by civil servants and volunteers in a policy programme, that enable or hinder them in helping newly arrived immigrants to establish themselves in Swedish society. The results show that the participants have the prerequisites to enable newly arrived immigrants to make their own choices, strengthen their own motivation and develop their own social networks within their new situation. However, the participants were hindered from influencing the newly arrived immigrants’ housing situation. No consensus was achieved regarding more structural prerequisites such as societal efforts to counteract segregation, or more general community-based welfare solutions. The results support the view that there is a need for a more tailored approach with consideration for each person’s unique living situation.

Good health is a prerequisite for individuals to function in everyday life. The same applies to newly arrived immigrants, where good health is crucial for successful establishment. The aim of this study was to describe stakeholders’ experiences of how newly arrived immigrants’ health affects their opportunities to establish themselves in society. The study had a qualitative design where open-ended questions were analysed following Braun and Clarke’s guidelines for conducting a qualitative thematic analysis. The results consist of three themes: Mental health problems, disabilities, and tormenting concerns about absent family members; A precarious life situation related to housing, education, and income; and Deficiencies in responding to health challenges in organisations and in society. Stakeholders face health problems among newly arrived immigrants that they do not have the right skills to deal with. We argue for the presence of nurses in organisations working with newly arrived immigrants, and that nurses’ competence is necessary to capture their needs.

Sweden, like many other European countries, has received a large number of immigrants in the past few years. To tackle the challenge connected with this, a policy for integration including an establishment programme was adopted by the Swedish Government which speeded up the introduction of newly arrived immigrants into the labour market and social life. The implementation of the programme is performed by various stakeholders in the fields of the labour market, language education and non-governmental organisations.The aim of this study was to investigate challenges and barriers to integration from the perspective of stakeholders’ experiences of encounters with newly arrived immigrants. The study used open-ended data collected in a Delphi project targeting civil servants and volunteers working within the policy establishment programme, and a thematic analysis was conducted. The results indicate that focus on organisational structures, issues concerning resources and competence, and a more holistic approach to new arrivals’ existential situationare key areas to address to move towards successful integration.

The ability to appropriately attend to refugee health needs in the countries that are receiving them is an enormous institutional challenge. The varying practicalities of administering refugee health services can affect a refugee’s mental health outcome during the adjustment period to their new home country. This is a report on a study undertaken to overview Delphi method approaches used to investigate the consensus by experts on the issue of refugees’ social participation in health services. The review was conducted from March to December 2018 by two evaluators utilizing a systematic search strategy in presently available electronic databases. Only Delphi studies concerning forced adult refugee’s social participation in health services were included, while studies that focused on children, minorities, immigrants, migrants, asylum seekers, etc., as well as studies that did not utilize the Delphi technique, were excluded. Ten peer-reviewed articles were included in the final charting of the data. The results show that Delphi approaches regarding refugee social participation have focused on important factors important for providing quality health care, health care priorities, barriers preventing social participation, and research priorities. The experts make clear that bureaucratic procedures, cross-cultural communication and empowerment, be taken into consideration when creating policies, in practice and in research. The conclusion is that by emphasizing the tacit knowledge of experts, the Delphi method can contribute to a deeper understanding of policy priorities and responsive health services.

Primary health prevention regarding social participation for newly arrivedimmigrants is needed to address challenges when responding to the needs of suchimmigrants in their new and vulnerable situation. The aim of this study was to describe socialparticipation as reported by civil servants and volunteers working with newly arrivedimmigrants in Sweden. Open-ended data collected in a Delphi project targeting civil servantsand volunteers working within the policy establishment programme was used. Qualitativecontent analysis was conducted. The findings show that several interacting factors contributeto resources that create perquisites for “going native in the community” and “being part ofeveryday life” as points of perquisites for how civil servants and volunteers elaborate onsocial participation for newly arrived immigrants. A focus on the “here and now” and avoidingmeasures that “put life on hold” are two points of aspects that generate possibilities forpromoting social participation in health services.

De senaste decennierna har sjuksköterskeutbildningen i Sverige gått från en praktisk utbildning till en professionsutbildning. Professionsperspektivet har inneburit ett ökat fokus på studenternas utveckling av academic literacies (Lea & Street, 2006). I denna presentation redovisas ett högskolepedagogiskt projekt om litteracitetsutveckling på Röda Korsets Högskola (RKH). Det har involverat både studenter och lärare inom sjuksköterskeutbildningen.

Under samma period som utbildningen har professionaliserats har rekryteringen till högskolan breddats vilket lett till en förändrad studentgrupp inom sjuksköterskeutbildningen (Borglin & Fagerström, 2012). Studenter överlag upplever en svårighet med att utveckla en akademisk litteracitet (Ask, 2007). Svårigheterna kan bland annat kopplas till att studenterna har svårt att förstå vad som förväntas av dem i deras akademiska texter. Men inte bara studenterna ser det akademiska skrivandet som svårt. Många lärare som arbetar på RKH uttrycker att det är svårt att veta vad som är bra arbetssätt för att stödja studenternas litteracitetsutveckling.

I samband med RKH:s flytt till Campus Flemingsberg startade RKH 2018 ett samarbete med Södertörns högskolas högskolepedagogiska enhet, studieverkstad och bibliotek om en introduktion till akademiskt skrivande. På Södertörns högskola pågår sedan några år en satsning på ämnesintegrerat akademiskt skrivande som omfattar arbete med att söka, värdera, läsa och skriva akademiska texter.

Syftet med momentet akademiskt skrivande inom RKH har varit att under första terminen och samtidigt med examinationen av ämnesinnehållet, introducera studenterna till det akademiska skrivandet. Olika aktiviteter som formativ respons har använts för att stimulera studenternas lärande och lägga en grund för deras fortsatta utveckling av akademisk och professionell litteracitet. Flertalet studenter säger att det varit givande att tidigt i utbildningen få starta lärprocessen gällande ett vetenskapligt förhållningssätt, även om många studenter uttrycker att det akademiska skrivandet är svårt.

En viktig del av samarbetet mellan högskolorna har varit att skapa förutsättningar för hållbarhet även vad gäller ämneslärarnas kunskaper om litteracitetsutveckling. Bland annat har workshoppar hållits med hela lärarkollegiet, inte bara med de lärare som arbetar på den aktuella kursen. Lärarna, som ofta implicit har lärt sig det akademiska skrivandet, har fått bekanta sig med verktyg och nyckelbegrepp för att diskutera text med studenter, och har funnit arbetssättet stimulerande. För hållbarheten i utbildningen gäller att alla lärare kan fortsätta att ge stöd i utvecklingen av studenternas litteracitet. Precis som studenterna har konstaterat i sina utvärderingar lär sig ingen ett väl utvecklat akademiskt och professionellt skrivande på första terminen.

Referenser

Ask, S. (2007). Vägar till ett akademiskt skriftspråk [Roads to academic written language] In Swedish. Växjö University, Växjö University Press. (No 115/2007)

Borglin, G., & Fagerström, C. (2012). Nursing students' understanding och critical thinking and appraisal and academic writing: A descriptive, qualitative study. Nurse Education in Practice, 12, 356-360. doi:10.1016/j.nepr.2012.04.009

Lea, M. R., & Street, B. V. (2006). The "Academic Literacies Model: Theory and Application. Theory Into Practice, 45, 368-377. doi:10.1207/s15430421tip4504_11

Introduction: In a global context of an increasing and aging population, along with environmental changes, nurses play an important role in relieving suffering among vulnerable people and groups in society. Sustainability in nursing contributes to sustainable development through providing an environment that is not detrimental to/protects present and future generations′ opportunities for good health. There is a global shortage of nurses, and it has been shown that, locally, every fifth newly graduated nurse considers leaving their new profession five years after graduation. The aim was to describe how nursing students’ thought about a sustainable professional life as nurses before their graduation.

Materials and Methods: A qualitative design with a written data set was used, and a thematic analysis was performed. One hundred five students (80 women and 25 men) in semester six out of six of the nursing education program participated.

Results: The analysis resulted in three themes: 1) to have an ethical foundation that guides the individual nurse in protecting the nursing care and developing the nursing care for their patients; 2) to be in a listening, reflexive and supportive workplace enabling a professional nurse to continuously grow and learn and 3) to be a proud professional nurse with integrity, not risking with their own health or personal professional development.

Conclusion: The nursing students describe their thoughts on the requirements for having a sustainable professional life as nurses as having a strong inner ethical compass to help guide, protect and develop the nursing care for the patients. In addition, it requires a workplace with a reflexive and supporting culture. However, the nursing students also put their own health and the opportunities for professional growth at the top of their priorities, and if these conditions are lacking, they will switch to another workplace.

The aim of this study was to describe family members' life situation and experiences of care in two different care settings, the patient's home or in hospital during the acute post-transplantation phase after allogeneic haematopoietic stem cell transplantation (HSCT). Data were collected through semi-structured interviews with 14 family members (seven women and seven men). An inductive qualitative content analysis was used to analyse the data. The majority of the family members' (n = 10) had experiences from home care. The findings show the family members' voice of the uncertainty in different ways, related with the unknown prognosis of the HSCT, presented as Being me being us in an uncertain time. The data are classified into; To meet a caring organisation, To be in different care settings, To be a family member and To have a caring relationship. Positive experiences such as freedom and security from home care were identified. The competence and support from the healthcare professionals was profound. Different strategies such as adjusting, having hope and live in the present used to balance to live in an uncertain time. The healthcare professionals need to identify psychosocial problems, and integrate the psychosocial support for the family to alleviate or decrease anxiety during HSCT, regardless of the care setting.

Over the past 20 years, considerable healthcare resources have shifted from an inpatient to an outpatient setting. To be in an outpatient setting or at home after allogeneic haematopoietic stem cell transplantation (allo-HSCT) has been shown to be medically safe and beneficial to the patient. In this study we describe patients' experiences of different care settings (hospital or home) and a new life situation during the acute post-transplant phase after HSCT. Semi-structured interviews were conducted with 15 patients (six women and nine men) 29-120 days after HSCT. An inductive qualitative content analysis was performed to analyse the data. The analysis resulted in four categories: To be in a safe place, To have a supportive network, My way of taking control, and My uncertain return to normality. The findings showed that patients undergoing HSCT felt medically safe regardless of the care setting. The importance of a supportive network (i.e. the healthcare team, family and friends) was evident for all patients. Both emotional and problem-focused strategies were used to cope with an uncertain future. Being at home had some positive advantages, including freedom, having the potential for more physical activity, and being with family members. The study highlights some key areas thought to provide more personalised care after HSCT.