Background: In palliative care, nurses are often faced with ethical dilemmas where the patient's need for symptom relief, autonomy, and participation can be difficult to balance. The work environment can be characterized by emotional strain and limited resources, which can affect the ability to provide high-quality, person-centered care. The nurse's primary task is to create care encounters that reduce suffering and promote well-being, while also considering the patient's wishes and the impact of family members.

Aim: To describe nurses' experiences of ethical dilemmas in palliative care.

Method: A general literature review with a qualitative design, based on 10 original articles. A qualitative, manifest content analysis according to Graneheim and Lundman (2004) was used.

Results: Two main categories were identified: Care organization and Emotional strain. These were further divided into a total of 6 subcategories.

Conclusion: Nurses in palliative care often face ethical dilemmas that impact both their workload and emotional well-being. Issues in the healthcare organization, such as inadequate communication and lack of staff, contribute to increased ethical stress and feelings of inadequacy. To improve the work environment and strengthen the nurse's professional role, increased organizational support, better collaboration within the care team, and training in handling ethical dilemmas are needed. 

Background: Sri Lanka has a history of almost 30 years of civil war and previous economic collapse. Its exposed geographical location makes the country vulnerable to natural disasters such as floods and cyclones, which were not least evident during the tsunami of 2004. This has contributed to several disaster situations with many casualties and increased strain on the healthcare system. The nursing role is put to test in these situations, and the possibility of nursing is affected. Aim: Explore Nurses' experience of caring for people in disaster-stricken areas in Sri Lanka. Method: A qualitative interview study with inductive approach was conducted. Three nurses were interviewed with semi-structured interview method. The interviews were analysed with reflexive thematic analysis from Braun & Clark. Result: Four themes got developed with help from sub-themes. The themes were: “Hands-on Disaster Response”, “Challenges in Disaster Management”, “Emotional Resilience and Professional Dedication” and “Psychological and Emotional Struggle”. Conclusion: Positive and negative experiences emerged from the study results. Previous experiences have led to the development of working methods and necessary preparations. Nurses' work was dedicated despite emotional impact, shortage of materials and personnel along with unsafe environments. Key Words: Complex Humanitarian Emergency, Disasters, Disaster Nursing, Nurse, Sri Lanka

Bakgrund: DM2 är ett globalt hälsoproblem. Sjukdomen kräver en effektiv egenvård och behandling för att förebygga komplikationer. Egenvården består av livsstilsförändringar, kontroller samt medicinskbehandling av sjukdomen. Vid diabetesvården krävs det att sjuksköterskan är kompetent och har kunskap för att utföra patientutbildning och ge den stöd och hjälp som behövs och har därmed ett viktigt uppdrag i en effektiv och säker egenvård för denna patientgrupp.  

Syfte: Beskriva vuxna patienters erfarenheter av egenvård vid DM2.  

Metod: Allmän litteraturstudie med kvalitativ ansats. Studien har analyserat data med tematisk analys från Braun och Clarke på 9 vetenskapliga artiklar för att identifiera teman. Använda databaser är CINAHL och PubMed.  

Resultat: Två teman skapades. Första temat var “Hantering av det nya livet” med två subteman “Utmaningar och strategier i egenvården” och “Att uppleva negativa känslor mot sin sjukdom”. Det andra temat var “Behov av stöd och hjälp” med två subteman “Att känna behov av stöd och hjälp” och “Patienters erfarenheter av stöd från vården”.  

Slutsats: Personer som drabbats av DM2 upplever utmaningar inom egenvården. Det finns ett behov av ökad kunskap och stöd till patienter med DM2. Vården som ges bör vara personcentrerad och tillämpas utifrån patientens egna behov och förutsättningar.  

Nyckelord: Egenvård, Diabetes typ 2, Patienter, Erfarenheter.  

Background: Type 2 diabetes is a common disease that affects millions of people worldwide and israpidly increasing in prevalence. People living with the disease are at risk of serious complications,which makes self-care an important resource. Effective self-care is largely based on advice andsupport from the nurse, with the aim of understanding the disease and adapting to lifestyle changes.Aim: The aim of this study is to describe people's experience of self-care in type 2 diabetes.Method: The study was conducted as a literature review of eight qualitative articles in accordance withPolit and Beck's nine-step model. The data collected was analyzed based on Braun and Clarke'sthematic content analysis.Results: Two main themes emerged in the analysis; motivating factors for self-care and barriers to self-care. Within the first main theme on motivating factors for self-care, three subthemes emerged; supportfrom relatives, hope and acceptance and fear of complications. Within the second main theme onbarriers to self-care, three additional subthemes emerged; lack of knowledge, lack of resources andadapted diet.Conclusion: This study shows that self-care in people with type 2 diabetes is influenced by perceivedbarriers and motivating factors. Patients' experiences can be used to clarify common barriers andresources that may be relevant for nursing care planning. Improved self-care for patients with type 2diabetes requires individual adaptations in self-care support that reduce the occurrence of knowledgeand resource deficiencies and strengthen the possibilities for socio-cultural adaptations and motivation.

Background: Proper nutrition during pregnancy is vital for mother and baby. Inadequate intake can lead to complications like anaemia, preeclampsia, and neural tube defects. In Subsahara, these issues persist due to poor diet and limited nutrient access. Organizations like the WHO have developed guidelines to support antenatal clinics in improving care standards.

Objective: To describe challenges among pregnant women in Subsahara attending antenatal care regarding nutritional intake

Method: A qualitative literature study was conducted according to Polit and Beck’s nine-step model. Data were analyzed by following Braun and Clarke’s thematic analysis. 

Result: Ten original academic journal articles with a qualitative or mixed methods approach made up the results. Four themes were identified: The woman's external influences, Perceptions of pregnancy, Lack of healthcare contact and Experiences of treatment. Additionally, eleven subthemes emerged.

Conclusion: Nurses are pivotal to building trust and improving care through cultural competence, communication, and individualized education. Enhancing health literacy and collaborating with traditional caregivers can promote inclusive maternal healthcare. Further research should explore barriers and facilitators to improving antenatal care.

Background: The nursing profession aims to incessantly develop and conduct good care. The nurse has an important mission within pediatric oncology and composes a central function in the alleviation of suffering for children and their families. During a child’s hospitalization the nurse has a responsibility to face, include and encourage children and families to interaction and participation in the child’s care, according to family-centered care.

Aim: The aim of this study was to describe nurses’ experiences and perceptions of encountering and providing care for families with children diagnosed with cancer. 

Method: A literature study with an inductive approach based on 10 qualitative articles that were analyzed through a thematic analysis.      

Results: Two themes emerged: Challenges in the profession and The importance of the caregiving relationship. Additionally, five related subthemes were identified. 

Conclusions: The experiences of nurses within pediatric oncology are many. Generally, nurses are negatively affected by their work with feelings such as anxiety, worry and fear. In parallel, nurses describe how they develop meaningful and close relationships with children and families. Which are permeated by sympathy and compassion, aiming to achieve good family-centered care. These experiences give rise to further research, to better understand the nurses’ needs within their profession.