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  • 1.
    Aadland, Lena
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ekelund, Anna-Karin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Livet efter att ha drabbats av en hjärtinfarkt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Cardiac care has developed during the last years. The lengths of stay for patients who have suffered a myocardial infarction have been shortened thanks to more effective medical treatment. The short period of care means that patients have to absorb a lot of information on limited time and they may have difficulties absorbing everything before they leave the hospital.

    The aim of this study is to highlight how men and women experience and manage their daily lives three to 12 month after a myocardial infarction. The study is literature based including both qualitative and quantitative studies.

    The analysis revealed three themes with subthemes: 1) to no longer be able to rely on the body 2) managing daily life 3) support. It turns out that men and women have numerous emotional experiences and that fatigue plays a big role in their recovery. Men and women deal with their situation differently. Family and friends mean a lot in the rehabilitation and nurses play an important role in supporting those affected and this is an area with a lot of work to develop.

    Conclusion: Nurses need knowledge and understanding of how patients manage and experience their situation after a myocardial infarction, as well as learning the importance of meeting each individual differently, depending on where he or she is in life and what his or her nearest environment look like. A more individualized follow-up and rehabilitation over time need to be developed.

  • 2.
    Abrahamsson, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Härnälv, Matilda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med långvarig smärta vid fibromyalgi: en litteraturbaserad studie om kvinnors upplevelser2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Fibromyalgia is a chronic disease that is difficult to treat and diagnose. The illness is of unknown etiology. The majority of the ill is women. Aim: The aim of this study was to describe women ́s experiences of living with long term pain associated with fibromyalgia. Method: A literature -based study was performed. The database Cinahl was used in the search process. This study includes 11 qualitative articles that have been analysed by a review template. The analysis resulted in two categories "experiences of a changed me" and "experiences of social life" with six subcategories. Results: The consequences of fibromyalgia were that the family life, spare time, social life and working life changed in different ways. The articles also showed that women with fibromyalgia did not receive the understanding they needed from their families or the environment. Conclusion: Women with fibromyalgia feel that they do not get understanding from the outside world. It is important that health care professionals understand and acknowledge these individuals' subjective experiences so that they can give professional care and support.

  • 3.
    Adam, Christina
    et al.
    1 St. Savvas Anticancer Hospital, Athens, Greece.
    Patiraki, Elisabeth
    National and Kapodistrian University of Athens, Athens, Greec.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Radwin, Laurel
    Research Health Scientist, Center for Health Care Organization and Implementation Research, Boston VA Health Care System, Boston, MA USA.
    Charalambouss, Andreas
    5Cyprus University of Technology, Department of Nursing Studies, Limassol, Cyprus and Docent, University of Turku, Department of Nursing Science, Finland.
    Charalambous, Melanie
    Cyprus Ministry of Health, Nursing Services, Educational Sector, Nicosia, Cyprus.
    Berg, Agneta
    University West, Department of Health Sciences, Section for nursing - graduate level. 7Kristianstad University, Kristianstad.
    Sjövall, Katarina
    8Skane University Hospital and Medical faculty, Lund University, Sweden.
    Katajisto, Jouko
    Statistician University of Turku, Department of Mathematics and Statistics, Turku, Finland.
    Stolti, Minna
    University of Turku, Department of Nursing Science, Turku, Finland.
    Suhonen, Riitta
    1University of Turku, Department of Nursing Science/Turku University Hospital and City of Turku, Welfare Division, Turku, Finland.
    Quality of nursing care as perceived by cancer patients: A cross-sectional survey in four European countries2017In: Balkan Union of Oncology. Journal, ISSN 1107-0625, Vol. 22, no 3, 777-782 p.Article in journal (Refereed)
    Abstract [en]

    Purpose: To explore and compare cancer patients’ perceptions on the quality of nursing care in four European countries. Methods: Data were collected in Cyprus, Finland, Greece and Sweden. The sample comprised 596 hospitalized cancer patients. The quality of nursing care was measured using the “Oncology Patients’ Perceptions of the Quality of Nursing Care Scale” (OPPQNCS). Patient characteristics were also collected. Analysis of variance was used to examine the effects of country on the perceptions of the quality of nursing care. Results: Patients’ age ranged from 18 to 86 years, and 58% were male. The comparison of cancer patients’ perceptions regarding the quality of nursing care between the four countries showed a statistically significant difference in the total OPPQNCS scores (p <0.001) as well as in the subscales responsiveness (p <0.001), individualization (p<0.001), co ordination (p<0.001) and proficiency (p<0.001). The Cronbach’s alpha coefficient for the OPPQNCS ranged between 0.89 and 0.95. A multivariate analysis of variance for the OPPQNCS controlled by respondents’ demographic characteristics revealed that only the patient’s country was significantly related with the patients’ perceptions of quality care. Conclusion: Quality of nursing care as perceived by cancer patients was high, but differed between the four countries. The impact of the clinical status of cancer patients on the quality of nursing care and managerial factors such as staffing/nursing care delivery models that influence the ability of nurses to offer high quality care should also be explored by more focused studies.

  • 4.
    Adamovic, Eleonora
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Dervisic, Elma
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nybakad sjuksköterska: En litteraturbaserad studie om nyutexaminerade sjuksköterskors upplevelser2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Different studies show that stress is a common feeling that newly graduated nurses experience during the first period in the profession. What causes the stress are high expectations that they have on themselves and the expectations from colleagues, as well as the fear of making a mistake while working as a nurse. Newly graduate nurses go through five stages of development from being novice to expert. The aim of this study was to describe work experiences of newly graduate nurses in hospital ward settings. The research method was a literature study based on ten qualitative articles. Articles were analyzed by using the method of Friberg (2012). Four main themes were identified: experiences of leadership; experiences of the relationship with colleagues; experiences of support; experiences of knowledge level. Colleagues and managers must respond to the needs of newly graduated nurses in an adequate way to create a friendly and supportive working environment, which in turn can contribute to the professional development of the newly graduated nurse. Nursing education should prepare students for professional careers in terms of socialization, leadership and organization.

  • 5.
    Ademi Salihi, Valjbone
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Buleshkaj, Arjola
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienter med psykisk ohälsa och deras upplevelser av kontakten med vårdpersonal inom hälso- och sjukvård2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is defined differently depending on the context, ranging from symptoms of anxiety and depression to schizophrenia. Mental illness among the population has increased since 1990. A survey done by the Central Bureau of Statistics in Sweden (2006) shows that issues such as anxiety are more common now than before. Twenty-three percent of women aged 16-84 said they had experienced symptoms of anxiety. Thirteen percent of the men aged 16-64 said they had experienced the same. Pre-conceived notions often meet people with mental health issues and there is a stigma surrounding them and their situation.

    Aim: The aim of the study was to examine how patients with mental illness experience their contact with health care professionals in health care.

    Method: The study was designed as a literature based study. Eleven articles were analyzed, nine articles were found by a systematic search and two articles were found in an unsystematic search.

    Results: This study showed two main themes and eight subthemes. The main themes were patients desire to have a good relationship and good interaction with health care professionals. The subthemes were patient confidence in health care professionals, a dedicated staff, patients desire to get person-centered care and to feel involved, to have good continuity in their health care and to have highly available health care professionals around them, to have a good dialogue, be actively listened to, competent health care professionals and being labeled.

    Conclusion: The conclusion is that patients that lack trust, commitment from health care professionals or continuity had bad experiences with the health care system. Patients needed to have a mutual relationship with the health care staff to have a good experience with the health care system.

  • 6.
    Adler, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Askeröd, Therese
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att möta barn och deras föräldrar inom hälso- och sjukvården2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research have shown children to be a large patient group within the health care sector. Nurses, should therefore, have knowledge about how to individually adapt meetings so it will be a positive experience for the child, the parents, and for themselves. Historically, this has not been the case and created immense care suffering for several families.

    Aim: The aim of this study was to illuminate nurses' experiences of meeting children and their parents within the health care sector.

    Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed. An analysis of nine scientific articles was carried out. The analysis resulted in three main themes and eight subthemes.

    Results: The main themes were: "To see the child as an individual", "to built trust", and "knowledge and experience are crucial". Knowledge were fundamental for creating a positive meeting.

    Conclusion: By individually adapting communication to the child and the parents, good conditions allowed for a trusting relationship to emerge. Time was needed to create a safe and trusting relationship. However, it did not always exist. With knowledge and experience the nurse could see the child as an individual and adapt the meeting to the child. It was the responsibility of the nurse to gain the necessary knowledge, and to reflect with colleagues was seen as an important source to attain new knowledge.

  • 7.
    Afroz, B.
    et al.
    Karlstad University, Division of Public Health Sciences.
    Moniruzzaman, S.
    Karlstad University, Division of Public Health Sciences.
    Stark Ekman, Diana
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Andersson, R.
    Karlstad University, Division of Public Health Sciences.
    The impact of economic crisis on injury mortality: The case of the 'Asian crisis'2012In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 126, no 10, 836-838 p.Article in journal (Refereed)
  • 8.
    Ahlström, Britt Hedman
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Wentz, Elisabet
    he Vårdal Institute, Swedish Institute for Health Sciences, Lund.
    Difficulties in everyday life: Young persons with attention-deficit/hyperactivity disorder and autism spectrum disorders perspectives. A chat-log analysis.2014In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, 23376- p.Article in journal (Refereed)
    Abstract [en]

    This study focuses on the everyday life of young persons with attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). There are follow-up studies describing ADHD, and ASD in adults, and residual impairments that affect life. Few qualitative studies have been conducted on the subject of their experiences of everyday life, and even fewer are from young persons' perspectives. This study's aim was to describe how young persons with ADHD and ASD function and how they manage their everyday life based on analyses of Internet-based chat logs. Twelve young persons (7 males and 5 females aged 15-26) diagnosed with ADHD and ASD were included consecutively and offered 8 weeks of Internet-based Support and Coaching (IBSC). Data were collected from 12 chat logs (445 pages of text) produced interactively by the participants and the coaches. Qualitative content analysis was applied. The text was coded and sorted into subthemes and further interpreted into themes. The findings revealed two themes: "fighting against an everyday life lived in vulnerability" with the following subthemes: "difficult things," "stress and rest," and "when feelings and thoughts are a concern"; and the theme "struggling to find a life of one's own" with the following subthemes: "decide and carry out," "making life choices," and "taking care of oneself." Dealing with the problematic situations that everyday encompasses requires personal strength and a desire to find adequate solutions, as well as to discover a role in society. This study, into the provision of support and coaching over the Internet, led to more in-depth knowledge about these young persons' everyday lives and revealed their ability to use IBSC to express the complexity of everyday life for young persons with ADHD and ASD. The implications of the findings are that using online coaching makes available new opportunities for healthcare professionals to acknowledge these young persons' problems.

  • 9.
    Ahlström, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vahtera Eliasson, Katarina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Skolsköterskors tillvägagångssätt för att stödja flickor i grundskolan vars vårdnadshavare begränsar deltagande i hälsofrämjande insatser2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background According to the Swedish law "skollagen" the school shall encourage all children’s development and strive to mitigate differences in pupils individual conditions to utilize their education. The role of the school nurse is to proactively prevent illness amongst the pupils. With some girls, absence is high in physical exercises and their presence in other activities that aim for increased health is limited. This absence affects these pupils’ ratings and limits their chances of having physical activities, but it also reduces their possibilities to interact in social activities within and outside school.

    Aim The aim of this study was to describe school nurses’ approach to strengthen girls who are in a situation where their guardians restrict their participation in health promotive activities.

    Method This is a qualitative, descriptive study based on individual semi-structured interviews with nine school nurses. The transcribed interviews were subjected to qualitative content analysis.

    Results The school nurses had an active approach to create a mutual understanding between the girls, their guardians and the school. This was conducted by strengthening of democratic appraisals, finding new ways to reach girls and their guardians and finally building and widening the school nurses’ own competence in the situation.

    Conclusions: The studie shows that school nurses make use of the steering documents that exists within the school system in order to strengthen girls’ equality rights. A prerequisite for the school nurse to influence guardians and girls was to create a good relation for all of them. The school nurses were interested in understanding the family’s situation and their life experiences as well as inform about the core values of the school in order to create mutual understanding and build a foundation for further work based on each family’s situation. In the role of a school nurse it was not found viable to reach results only by informing the guardians and girls. Instead the school nurses tried to reach an open discussion with respect for both parties.

    Only through such a dialogue the school nurses argued that they could reach out and create the right conditions for a positive change to support the girls’ equality rights.

  • 10.
    Ahlén, Åsa,
    et al.
    University West, Department of Nursing, Health and Culture.
    Andersson, Helena
    University West, Department of Nursing, Health and Culture.
    Eriksson, Helena
    University West, Department of Nursing, Health and Culture.
    Följsamhet till handhygien: En litteraturstudie2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Nightingale attention that hygiene was an important task to prevent health- related infection. Today there are guidelines how hand hygiene should be followed, to prevent health- related infection. Good knowledge and education in hand hygiene and its consequences if it’s not followed is of great importance. Hand hygiene should be performed before and after the clean and the unclean work with patients and materials. Health- related infection is an infection which can affect both employees and patients as a result of care, regardless of care service. Good compliance is when hand hygiene is carried out at an appropriate time, but several studies show that this is not followed. Aim The aim with the study was to describe nurse’s knowledge and compliance to hand hygiene. Method A literature review was used to analyze scientific articles related to the topic. Results The result showed that knowledge and education was an important factor to retain compliance to hand hygiene. Hand hygiene was performed as a routine, but this could be lacking when nurses where interrupted in their working moment. Another reason why hand hygiene was not performed was that some nurses experienced skin irritation as a result. Nurses used soap and water instead of hand disinfection. Compliance was better after than before patient contact. Conclusion The authors have noted that after the hygiene education increases compliance to hand hygiene. Regular education is seen as an important part to create and maintain procedures for hand hygiene.

  • 11.
    Ahrenkiel, Nina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Northman, Carina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att anmäla eller inte?: sjuksköterskors erfarenheter av att anmäla vid misstanke om barnmisshandel till socialtjänsten2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Each year there are thousands of children abused in Sweden. This can result in lifelong consequences not only for the children, but also for the society. Verified statistics show an increasing number of child abuse in Sweden in recent years. As per Swedish law, nurses are required to report child abuse, but despite the law requirement the studies indicated that reporting is not always done.

    Aim: The aim of this study was to describe nurses' experiences of reporting a suspected child abuse to social services.

    Method: A method to contribute to evidence-based nursing based on analysis of qualitative research was performed to deepen understanding. An analysis of eight qualitative research articles was carried out. The analysis resulted in four main categories and nine sub categories.

    Results: The main categories were: Worksite factors, barriers for not reporting, personal factors caused by the nurse, lack of or poor functioning cooperation with social services.

    Conclusion: This study indicates, that nurses need experience, training, support and information and also clear guidelines and feedback from social services.

  • 12.
    Ahrenstedt, Sofia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ryd, Anna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskors kommunikation med barn som vårdas på sjukhus och dess närstående: En litteraturbaserad studie av kommunikationens betydelse på sjukhus2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    In the communication with children it is important to take in consideration the child´s age, maturity and willingness to take an active part in the process of communication. The nurse should have a positive approach to the child and it's next to kin. On the other hand, if the nurse has a negative approach and is unable or unwilling to show empathy or understanding, the cooperation with the child will not be efficient. Children can find the hospital environment scary, threatening but also exciting. Regardless, the child has a need of adult company and support. The aim of the study is to emphasize the importance of communication in the caring relation between the nurse and the child and their next of kin. The method used is a study based on nine, qualitative studies published in scientific publications. The result of the study: A nurse should consider four categories in communication with children; to create a sense of security and trust by chatting, to give the child an opportunity to participate in communication, to make the child involved by use of play and laughter and to use clear, trustworthy communication. Conclusion: Good communication is critical in the care of children and their next of kin in giving a good experience of hospital care. This should every nurse be aware of in the meeting with children and their next of kin.

  • 13.
    Akhtar, Mojtaba
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahlström, Emilia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes upplevelser av sjuksköterskans kommunikation, stöd och bemötande i palliativ vård i hemmet2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care is an approach that aims to increase both the quality of life of patients and related parties, as far as possible, to relieve suffering and promote health at the end of life. Palliative care is based on teamwork, where relatives play an important role. Participation from related parties have a large significant role which is emotionally and physically exhausting. Communication and language is prerequisite understanding the experiences and realities of health and suffering.

    Aim: The purpose of this study was to illuminate the relatives experiences of nurse communication, support and treatment in a palliative care in the home.

    Method: The method is a systematic literature review of the basis of qualitative research, contributing to evidence-based nursing. A total of eight scientific articles have been used on studying closely related experiences.

    Results: The results show that relatives were in need of support from the nurse to participate in care. As well as communication and response from the nurse was important in how relatives experienced support and how this contributed to a good quality of care. The results are divided into two main themes and seven sub-themes.

    Conclusion: Inadequate communication and response from the nurse emerges and this led to the suffering and feeling of abandonment and disappointment among of the relatives. More research is needed on the basis of relatives perspectives because they became more involved in the care. Nurses need to increase their knowledge and understanding of communication and treatment of disease process and the dying process, as this can allow for better care. The relatives felt the support from the nurse as important.

  • 14.
    Aksana, Sukhanava
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wilck, Samuel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans preoperativa omvårdnadsåtgärder för att lindra patientens oro och ångest: en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anxiety is a common and unpleasant emotional state that affects many patients while waiting for surgery. Anxiety is described as an undesirable feeling of nervousness caused of a potential threat. It is an uncomfortable state of mind and can elicit physiological responses. Adequate nurse interventions that relieve anxiety improve the patient's condition, which lead to better recovery.

    Aim: The purpose of this study was to describe the preoperative care, that can alleviate the patient's anxiety associated with surgery. Method: The method of study is a literature review of 12 scientific articles, of which 11 quantitative and one qualitative which cover nursing interventions that can alleviate preoperative anxiety. The search took place in the databases PubMed and Cinahl. This study was based on Friberg's model for the literature review.

    Results: Result of the study presents three categories that contain different care interventions to alleviate the patient's preoperative anxiety: auditory, physical, and informational. Six care interventions are described in total. Music and aromatherapy proved to be simple and cost-effective care interventions. Acupuncture, hand massage and heating can be considered more expensive in comparison, because they require additional staff training, equipment and require more time. Person-centred information helps the patient to better understand the upcoming operation, which is seen as a way to promote and protect the patient's well-being. Conclusion: Nurses should understand that it is important to reduce preoperative anxiety in patients. It is equally important that nurses can balance patient care needs and appropriate nursing interventions for each patient. Through active listening and attention to non-verbal signals from patients, nurses understand better the patient's needs and can decide which care interventions can reduce anxiety.

  • 15.
    Aksöz, Josef
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Katarina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    "Vi bygger järnvägen medan vi åker på den": En studie om arbetsrelaterad stress inom socialtjänsten, enheten för ekonomiskt bistånd2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Occupational stress is a growing problem in caring professions, with consequences such as mental and physical ill health for the individual, which in turn can lead to increased long-term sick leave. Research shows that long-term sickness caused by mental illness can be associated with working conditions, where individuals who work in caring professions tend to be more vulnerable.

    Aim: The aim with this study was to illuminate the social workers' experience of occupational stress within the unit of financial aid in the social service.

    Method: A qualitative study was performed where six respondents participated in interviews. Content analysis was used to analyze the interviews. 

    Results: Three themes emerged during the analysis; to feel pressure in the work situation, to feel support and to feel wellbeing. The result shows that workload and lack of time were factors that caused stress at work. A promoting factor was colleagues at work. Social workers experienced the tasks at work as meaningful but could sometimes feel insufficient.

    Conclusion: The findings of this study point out that social workers experience stress at work and it affects their physical and mental health. This study wants to increase knowledge of occupational stress which can be a profit for social workers in the financial aid. Prevention can help social workers to improve their health and wellbeing. New findings in this study point out that social workers highlights the absence from work as a contributing factor to experience stress at work.

  • 16.
    Alatalo, Ida
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Andersson, Karin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kampen mot barnlösheten: kvinnors upplevelser av infertilitet. En studie av självbiografier2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Fertility problems in women often cause mental stress. Feelings that women describe during the infertility investigation is jealousy, sorrow, guilt, pain, and anxiety. These women need support and encouragement from the nurse during the investigation. Therefore it is important that nurses understand the women's experiences. Previous studies on women's experiences of infertility are based on interviews. Therefore, this study will focus on women's own stories about their experiences during infertility investigation.

    Aim: The aim of the study was to describe women's experiences of infertility during the time the investigation is in progress.

    Method: The study was based on narratives, which in this case means an analysis of biographies. Three autobiographies were analyzed according to Dahlborg-Lyckhages (2006) description of analysis of narratives.

    Results: Four themes and seven subthemes emerged from the analysis. The results show that women's experiences are characterized by being inadequate, feeling guilt, envy, and the nurse's attitudes that can give sense of desperation or hope. The women's experiences affect their everyday lives and their emotions make them isolate themselves.

    Conclusion: Motherhood is a central part of the woman's life and identity, to be infertile is perceived as to major pressure that may result in mental stress. To reduce the infertile women´s suffering and mental stress it is important that the nurse shows empathy and understanding

  • 17.
    Albihn, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Larsson, Sanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnors upplevelser av livskvalitet efter genomgången hjärtinfarkt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    To suffer a myocardial infarction is a dramatic even that might influence a human´s quality of life. Women and men´s symptoms may differ and this might delay treatment for women. This gives women a worse prognosis and also affects their quality of life.

    Aim

    The aim was to describe women´s experiences of quality of life after myocardial infarction.

    Method

    To study the selected area a literature review was used. It consists of five qualitative and four quantitative studies.

    Results

    Three themes and six sub-themes emerged. The themes were social well-being, a second chance and uncertainty for the future. The sub-themes were support from family and friends, support from health care, hope and meaning with life, a new start, fear and stress.

    Conclusion

    The social network increased quality of life in women as it gave feelings of security, love and belonging. The women discovered that life didn´t consist of work only but contained more meaningful things like helping others and do things they didn´t think they could manage anymore. Many of the women experienced decreased quality of life related to fear of suffering a new myocardial infarction. Information and education should be individualized relevant to the patient´s specific situation

  • 18.
    Albinsson, Birgitta
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Bergström, Lena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Närståendes upplevelser av mötet med personal i hemsjukvården i den palliativa vården2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Being cared for in your own homes by staff from the home health care the last days of your life has become more common and will probably be gradually expanded. When a person becomes seriously ill, they usually get support from their families.

    Purpose:

    The purpose of this study was to describe the relatives ' experiences of meeting with staff from home care in who is working with palliative care. Three women and two men were interviewed individually in their own homes.

    Method:

    The study was conducted with a qualitative approach, based on Graneheim and Lundman’s content analysis. The analysis resulted in four different conclusions: to feel secure, to feel involved, be able to be at home and to be I good hands.

    Results:

    The study showed that the families think that the attitude and the commitment from the staff to the family and the person being cared for was the most important. The families had a positive experience and felt secure when there was continuity in the home care staff group. Staff with sensitivity and competence for the task was desirable for the relatives. To personally be able to maintain the responsibility to look after the person in need of care, and being involved, was a high priority, this while the support from the home care continued.

    Conclusion:

    It is important that the staff in home health care reflects on their approach when care is provided in the home. Because the staffs are guests and the caretaker and the relatives are hosts. In This study we wanted to highlight the families point of view, which can lead to that the staff have a better attitude and that will give the relatives a higher sense of wellbeing

  • 19.
    Aldegren, Emelie
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Pettersson, Maria
    University West, Department of Health Sciences, Nursing Programme.
    Cancer förändrar allt!: Kvinnans upplevelse av bröstcancer2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One of ten women in Sweden will at some point in her life get breast cancer. In today's society, more women than ever before suffer from breast cancer, but the chance of survival increases. As a nurse, it is important to have knowledge about the woman's experiences of breast cancer in order to provide as optimal and individualized care possible.

    Aim: The aim of the study was to elucidate how the woman experience the first time with breast cancer.

    Method: A literature-based method is used to bring out the woman´s experiences of getting breast cancer. The results of the studies were analyzed using a qualitative content analysis consists of five steps. The analysis resulted in four themes and twelve subthemes.

    Results: The results showed that the woman are in great need of support, feeling anxiety and fear, experiencing an altered self-image, and that treatment hinders.

    Conclusion: The conclusion showed that regardless of the situation, it was important for the woman that someone always was there for them as support. An important aspect was the need for information to reduce fear and anxiety. Breast cancer affecting the whole of the woman's lives and she strove to reclaim as much as possible of her previous life. This could be difficult because of fatigue and other major changes the woman experienced after the treatments, both physically and mentally.

  • 20.
    Aldegren, Sandra
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Mäntylä, Nina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Icke-farmakologiska metoder för att lindra postoperativ och procedurrelaterad smärta hos små barn2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Non-pharmacological methods refer to a variety of methods that does not involve the use of drugs but makes the pain more tolerable and makes the child feel more in control. Children and pain has for long been diminished and not enough research has been conducted to find better methods to relieve the common postoperative and procedural pain among children. There is lacking knowledge among nurses about non-pharmacological methods that relieve pain in children. The child’s experience of health care and nurses can be negative by not relieving there pain.

    Aim:

    The aim was to explore the non-pharmacological methods used to relieve postoperative and procedural pain in children, aged 0-5 years.

    Method:

    A literature review was conducted, based on both qualitative and quantitative research. Eleven studies were analysed, critically reviewed and the results were compiled into five categories.

    Results:

    The five categories were distraction, breastfeeding and breast milk, sensory stimulation, pacifier and sucrose and water. The result shows that some non-pharmacological methods are effective in relieving postoperative and procedural pain. Breastfeeding and a combination of sucrose and pacifier were most effective on infants. Parental attendances were also important for the children, all ages to make them feel more secure and safe.

    Conclusion:

    The results showed that distraction methods used on children aged 4-5 years, studied in this literary review, were ineffective. The results showed that non-pharmacological methods such as breastfeeding and a combination of sucrose and pacifier are effective in relieving pain in infants and new-borns

  • 21.
    Alfredsson, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Andersson, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Föräldrars upplevelser av att leva med ett barn med självskadebeteende: en litteraturbaserad studie med grund i analys av kvalitativ forskning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Deliberate self-harm are a growing problem among young people in Sweden. It's not only the child that suffers from the behaviour, even the whole family. Parent´s need the right support from the healthcare staff for their own wellbeing, but also to be able to give good support for their child. Par-ent´s experiences are of importance for the nurse in the healthcare of the child and their families. The aim of this study was to describe parent´s experiences of living with a child with a deliberate self-harm behavior. In this literature study ten qualitative articles were analyzed using the method of Friberg (2012). Eight articles were found by a systematic search and two articles were found in an unsystematic search. This study showed four main themes and ten subthemes. Main themes were parent´s experience of support, parent´s experience of different feelings, parent´s experience of fam-ily relations and parent´s experience of parenting. Subthemes were to experience lack of support from healthcare staff, to need support from the environment, to feel guilt and shame, to feel concern and fear, to experience chock, to communicate with their child, to experience a different relation-ship in the family, to maintain trust in the relationship between parent and child, wanting to protect their child, to feel unsecure in their parenting. Conclusion were that parent´s need better support from the healthcare staff and from others in their environment. Nurses need more knowledge about parent´s experiences to be able to understand their needs and to be able to support them.

  • 22.
    Ali, Ayan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cederrand, Robert
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet blir vad du gör det till: En litteraturstudie om att leva med hjärtsvikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Heart failure is one of the most common diagnoses in Swedish health care. Approximately 250 000 people in Sweden are estimated to have a heart failure and approximately 30 000 new patients are diagnosed every year. Heart failure is a serious illness with server symptoms and high mortality. The aim of this study was to illustrate patients with heart failures experiences of quality of life. The method that was used is a literature-based study of 12 qualitative articles that was based on their results. The included articles were published between 2003-2014. The majority of the participants were in the scale between NYHA-II-III. The result shows that patients with heart failure experienced symptom burden that limited their daily life. They described a constant struggle between the illness and the feeling of maintaining the roll they once had. The most important thing was to find strategies to maintain the quality in life and to have good spirit and positive thought. The result was presented in four themes: When the body sets limits, feelings taking over, captive in your own home and an uncertain future. The conclusion that can be drawn from the results of this study is that the experience of quality of life is highly individual and depends mostly on how the experience of the disease is being managed by the individual.

  • 23.
    Ali, L.
    et al.
    Gothenburg University, Psychiatric and Mental Health care, The Institute of Health and Care Science, Sahlgrenska Academy.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences.
    Skärsäter, Ingela
    Sahlgrenska University Hospital,Department of Psychiatry.
    Daily life for young adults who care for a person with mental illness: A qualitative study2012In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, no 7, 610-617 p.Article in journal (Refereed)
    Abstract [en]

    This study describes the daily life and management strategies of young informal carers of family members or friends with mental illness. Twelve young adults (three men and nine women; 16-25 years old) in Sweden were voluntarily recruited between February and May 2008. Data collected through eight individual semi-structured interviews and one focus group interview were analysed using qualitative content analysis. The findings revealed nine subthemes that were further grouped into three main themes: showing concern, providing support and using management strategies. Participants lived in constant readiness for something unexpected to happen to the person they cared for, and their role in the relationship could change quickly from family member or friend to guardian or supervisor. Supporting a friend was considered as large a personal responsibility as supporting a family member. Their management strategies were based on individual capacities and their ability to step aside should the situation become too demanding. These young informal carers need support in caring for the mentally ill. As the internet becomes increasingly fundamental to daily life, support could be provided most effectively through person-centred web sites. © 2011 Blackwell Publishing.

  • 24. Ali, Lilas
    et al.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Sjöström, Nils
    Skärsäter, Ingela
    Need and usage of support among young informal carers of persons with mental illness: a mixed method study2013In: Horatio, European Psychiatric Nursing Congress 2013. Stepped care provided by psychiatric nurses in different parts of the world. Abstract book. / [ed] Neslihan Keser Özcan & Hülya Bilgin, 2013, 94- p.Conference paper (Refereed)
  • 25.
    Ali, Lilas
    et al.
    Gothenburg University, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences.
    Sjöström, Nils
    Sahlgrenska Academy, Institute of Health and Care Sciences.
    Skärsäter, Ingela
    Halmstad University, School of Social and Health Sciences.
    Support for young informal carers of persons with mental illness: A mixed-method study2013In: Issues in Mental Health Nursing, Vol. 34, no 8, 611-618 p.Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore how young (16-25 year old) informal carers of a person with a mental illness experience and use support. In a mixed method approach, we interviewed 12 young carers, and 241 completed a self-administered questionnaire. While the young carers strive to maintain control, their main support seems to be others in their lives, who often define the situation differently. The carers said web-support, counseling, and group counseling might be helpful, yet very few had any professional support. Young carers are greatly in need of support and it should be provided.

  • 26.
    Ali, Lilas
    et al.
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Linköpings universitet.
    Elf, Michael
    Göteborgs universitet.
    Skärsäter, Ingela
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Young caregivers that support and care to people with mental illness2010In: Nordic Conference of Mental Health Nursing, 2010Conference paper (Refereed)
  • 27.
    Ali, Lilas
    et al.
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Linköpings universitet.
    Skärsäter, Ingela
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Unga vuxna som ger stöd till personer med psykisk ohälsa: hur påverkas de närståendes liv?2010In: Familjefokuserad omvårdnad.: Den tredje nordiska konferensen, Kalmar, Sverige 22-23 september 2010, 2010Conference paper (Refereed)
  • 28.
    Ali Omar, Sadiya
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av att leva med hemodialys: en systematisk litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    In Sweden there are almost 1100 people per year who suffer from chronic renal failure. Chronic kidney disease is a serious and progressive disease that causes uremic symptoms. Without proper treatment, the disease can lead to death. The goal of haemodialysis treatment is to improve the patient's quality of life by preventing or alleviating uremic symptoms, as well as slowing down the deterioration of kidney function and possible complications and consequences of kidney failure. Living with haemodialysis involves major physical, psychological and social changes in the patient's life which causes suffering

    Aim

    The aim of this study is to highlight patients' experiences of living with haemodialysis

    Method

    A literature review was performed, based on eight qualitative articles. A content analysis was made according to Friberg's four steps

    Results

    The results show three main themes and eight subthemes which describe the patient's experience of living with haemodialysis. Results show that patients experienced loss of freedom because of the bound and dependence they felt to haemodialysis and the competence of the hospital staff. The treatment also resulted in limitations on the patient's life, which resulted in changes in the physical, psychological and social aspects of the patient's life. To be able to handle the changes, the patients developed different strategies, such as finding strength and faith in religion and the family, and many patients hoped to get a kidney transplant.

    Conclusion

    Nurses have continuous contact with patients in haemodialysis. These patients need physical, psychological, social and existential/ spiritual support. By knowledge and increased understanding of the patient's individual experience of their illness and treatment, the nurses may more easily relieve the patient's suffering, promote health and increase their well-being and create a good healthcare relationship.

  • 29.
    Ali, Shukri
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Aly, Carolina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av utbrändhet: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Burnout due to work-related stress is increasing in the society. Many studies concern the causes and effects of burnout, but rarely concern the experiences of those who are living with burnout. The aim of this study was to examine the experience of living with burnout. The concepts of health, suffering, burnout, stress and coping are briefly described in the background. The method that was used is a literature-based study with the analysis of qualitative research. This study is based on eight qualitative articles. Six themes emerged; Physical experiences, Psychological experiences and Existential experiences, Work experiences, Experiences of relations in private life and Experiences of demands and expectations. The results shows that burnout affects a person on many different levels. Dealing with burnout involves a range of varieties of symtoms, physical as well as psychological and social. Physical symtoms that appeared among the participants were for instance fatigue, brain fog, headache and palpitations. Social and relational problems as bad conscience, low self- esteem and feelings of inadequacy were experienced. Emotional disturbances and existential reflections were common amongst those who were suffering from burnout.

  • 30.
    Almqvist, Lina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lyckhage, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att skämmas över sitt barn: Föräldrars upplevelse av att leva med barn med självskadebeteende2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is a growing problem in society and is increasingly seen in younger people. Deliberate self-harm is seen as a complication of mental illness. Self-harm means that people intentionally injure themselves as a habit and with more or less severe de-gree, but with no intention to take their own life. Aim: The aim of the study is to illustrate parents’ experiences of their child’s deliberate self-harm behavior. Method: A literature-based study based on analysis of ten qualitative articles. Results: The results are presented in three main themes and ten subthemes. The first main theme is "A roller coaster of feelings", with three subthemes "First battle", "Feelings of guilt and shame" and "Anxiety and fear". The second main theme is "Parenthood and family rela-tionship" with four subthemes "Changing positions of power", "Parents in conflict", "Not being enough as a parent" and "A changed relationship". The last main theme is "Parents ex-perience of support" with three subthemes "The insufficient support", "Feeling seen" and "To get support from the surroundings". Conclusion: Health care professionals need to create a good relationship with both parents and patients, which can be done by meeting the parents' feelings and being responsive.

  • 31.
    Alpsten, Kristina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barn och ungdomars erfarenheter från vårdsituationer på sjukhus: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The UN Convention on the Rights of the Child, CRC, claims that children should be heard in decisions about themselves. Children also have the right to play. This need to be applied in healthcare environment. Swedish laws and guidelines for children's healthcare confirm this. What do children themselves propose as important support to participate? Aim The aim of this study was to describe children and young people's experience in healthcare environment. Method A literature-based study of nine qualitative academic articles was conducted. 556 children altogether were asked about their experience from healthcare environment. Results The result is presented by five themes: To be afraid and sad To feel comfort and safety To understand To be included in decisions To know the nurse Conclusion Children and young people in healthcare environment feel discomfort and insecurity. They need help with symptoms and fear. If the nurse is perceived as a "bad nurse", the child is exposed to feel helpless. A child need a certain amount of comfort, playing and contact with peers to be motivated to participate. When invited to ask questions and express their worries, they want to be involved. Children want to participate in decisions about themselves. The nurse has a key role to involve the child. Confidence is built through technical skills in achieving procedures, good communication and personal attributes, such as being helping, kind, friendly and humorous.

  • 32.
    Alsen, Pia
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Thörn, Susanna
    Primary Health Care, Sollentuna, Sweden.
    Nordqvist, Linnea
    Primary Health Care, Munkedal, Sweden.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Men’s Experience of Difficulties during First Year Following Myocardial Infarction: Not OnlyFatigue2016In: Health, ISSN 1949-4998, Vol. 8, 1654-1667 p.Article in journal (Refereed)
    Abstract [en]

    Recovery from a myocardial infarction (MI) can be a very difficult process and some patients are also stricken by fatigue. The aim of the study was to describe the difficulties experienced by men with fatigue during the first year following their MI. The study was conducted using qualitative content analysis of semi-structured interviews with nine men in working age (mean age: 55 years) with verified fatigue (≥12 of 20 on the Multidimensional Fatigue Scale with a mean of 17) one year after their MI. During the first year after the MI the men suffering from fatigue experienced various difficulties in terms of both themselves and the care received. The analysis generated three themes with difficulties described by the interviewed men. 1) Going through involuntary change: not recognizing their body and the inability to recognize themselves. 2) Lacking individualized care: To be denied satisfactory health care treatment and to be denied respectful treatment. 3) Not being seen in the light of the social context: The MI affects the whole family and caregivers do not pay attention to the family. In order to make both the patient and relatives feel secure and cared for, it is essential that caregivers be aware of the importance of providing individualized care over time with particular attention for the patient’s social context.

  • 33.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Illness perception and fatigue after myocardial infarction2009Doctoral thesis, comprehensive summary (Other academic)
  • 34.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Fatigue after myocardial infarction - a two-year follow-up study2013In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 11-12, 1647-1652 p.Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To investigate changes in self-reported fatigue and depression from four months to two years following a myocardial infarction, as well as to explore gender differences, identify the incidence of fatigue without coexisting depression and finally predict health-related quality of life at a two-year follow-up. Background: Depression and fatigue are associated with decreased health-related quality of life after myocardial infarction. Although there is a close relationship between fatigue and depression, it has been shown that symptoms of fatigue can occur without coexisting depression. Design: Quantitative and longitudinal design. Methods: Participants (n = 155) were asked to complete the following questionnaires: the Hospital Anxiety and Depression Scale, the Multidimensional Fatigue Inventory-20 (MFI-20) and the Short Form Survey (SF-36) following myocardial infarction (after four months and two years). Descriptive statistics, paired t-tests and multiple regressions were carried out. Results: In the entire group, self-reported fatigue had decreased from four months to two years after myocardial infarction. After two years, 18% of respondents reported depression together with fatigue and 30% reported fatigued without depression. Women scored higher than men on the fatigue dimensions reduced activity, reduced motivation and mental fatigue. Moreover, the physical dimension of health-related quality of life two years after myocardial infarction was predicted by experienced general fatigue at four months. Conclusion: Fatigue with or without coexisting possible/probable depression remains as a significant symptom two years after myocardial infarction in nearly half of the entire group. Relevance to clinical practice: Fatigue is a problem following myocardial infarction. Therefore, systematic screening and early identification of patients experiencing symptoms of depression and fatigue after myocardial infarction are important for suitable care planning. In contemporary coronary care, strategies aimed at relieving fatigue should be developed. ᅵ 2013 Blackwell Publishing Ltd.

  • 35.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Living with incomprehensible fatigue after recent myocardial infarction2008In: Journal of Advanced Nursing, ISSN 0309-2402, Vol. 64, no 5, 459-468 p.Article in journal (Refereed)
  • 36.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brändström, Yvonne
    Uddevalla Hospital, NU Hospital Group, Department of Medicine.
    Karlsson, Björn
    AstraZeneca R&D, Mölndal.
    Persson, Lars-Olof
    University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Fatigue after myocardial infarction: Relationships with indices of emotional distress, and sociodemographic and clinical variables2010In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 16, no 4, 326-334 p.Article in journal (Refereed)
    Abstract [en]

    Fatigue and depressive symptoms are relatively common among patients recovering from myocardial infarction (MI). The symptoms of depression and fatigue overlap. The present study aimed at identifying patient fatigue and at examining the incidence of fatigue, particularly without coexisting depression, after MI. The sample comprised 204 consecutive patients who had completed the questionnaires Hospital Anxiety and Depression Scale and the Multidimensional Fatigue Inventory–20 after MI (1 week and 4 months). The results showed that fatigue had decreased after 4 months compared with the time of MI onset. Compared with the general population, patients reported significantly higher levels of fatigue. Furthermore, fatigue was associated with depression, but 33% of the sample reported fatigue without coexisting depression after 4 months. In order to prevent or treat patients' symptoms of fatigue after MI, the concepts of fatigue and depression should be assessed separately so as to exclude overlapping effects.

  • 37.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brändström, Yvonne
    Uddevalla Hospital, NU Hospital Group, Department of Medicine.
    Karlsson, Björn W.
    AstraZeneca R and D, Mölndal.
    Persson, Lar-Olof
    Göteborg University, Sahlgrenska Academy, Institute of Health Care Sciences.
    Illness perceptions after myocardial infarction: relations to fatigue, emotional distress, and health-related quality of life2010In: Journal of Cardiovascular Nursing, ISSN 0889-4655, Vol. 25, no 2, E1-E10 p.Article in journal (Refereed)
    Abstract [en]

    Background and RESEARCH Objective: Health-related quality of life (HRQoL) is impaired in patients after a myocardial infarction (MI), and fatigue and depression are common health complaints among these patients. Patients' own beliefs about their illness (illness perceptions) influence health behavior and health outcomes. The aim of the present study was to examine illness perception and its association with self-reported HRQoL, fatigue, and emotional distress among patients with MI. Subjects and Methods: The sample consisted of 204 patients who had had MI and who completed the questionnaires during the first week in the hospital and 4 months after the MI. The questionnaires used were the Illness Perception Questionnaire, Multidimensional Fatigue Inventory, Hospital Anxiety and Depression Scale, and the Short Form Health Survey (SF-36). Results: Patient's illness perception changed over time from a more acute to a more chronic perception of illness, and beliefs in personal and treatment control of MI had decreased. Furthermore, these negative beliefs were associated with worse experiences of fatigue and lowered HRQoL. Conclusions: Patients' illness perceptions influence health outcomes after an MI. Supporting MI patients in increasing their perception of personal control could be a primary nursing strategy in rehabilitation programs aimed at facilitating health behavior, decreasing experiences of fatigue, and increasing HRQoL. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.

  • 38.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Persson, Lars-Olof
    Sahlgrenska Academy at Göteborg University, Institute of Health and Care Sciences.
    Patients' illness perception four months after a myocardial infarction.2008In: Journal of Clinical Nursing, ISSN 0962-1067, Vol. 17, no 5A, 25-33 p.Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim of this study was to explore patients' illness perception of myocardial infarction four months after a myocardial infarction. BACKGROUND: An important task for research on recovery from myocardial infarction is to understand the factors that influence an individual's adherence to secondary preventive strategies. Perceptual, cognitive and motivational factors have been found to influence adherence to a secondary preventive regimen. METHOD: Twenty-five patients were interviewed four months after a myocardial infarction. In accordance with grounded theory methodology, data collection and analysis were carried out simultaneously. RESULTS: The findings can be understood in light of two core categories: 'trust in oneself ' vs. 'trust in others'; belief in one's own efforts to control the illness; and 'illness reasoning', lines of thought about illness identity. In searching for relationships, six categories describing variation in illness perceptions of a myocardial infarction emerged: (i) 'sign of a chronic condition - feasible to influence'; (ii) 'sign of a chronic condition - uncontrollable'; (iii) 'acute event that can recur - feasible to influence'; (iv) 'acute event that can recur - uncontrollable'; (v) 'unthinkable acute event'; and (vi) 'non-recurring acute event'. CONCLUSION: The more reflective patients perceived the heart attack as a sign of a chronic condition; they also devoted time for reasoning about the possible causes of their illness. This is in contrast to patients who were less reflective and viewed their myocardial infarction as an acute event, which they avoided thinking about. The findings contribute to our understanding of variation in illness perceptions. RELEVANCE TO CLINICAL PRACTICE: The examination of how individuals perceive myocardial infarction may help health-care professionals individualize secondary preventive strategies, thereby improving adherence to health-care regimens. Nurse-patient discussions could begin with identification of the patient's variations of reflectiveness concerning his/her illness.

  • 39.
    Alverbratt, Catrin
    University West, Department of Health Sciences, Specialist Nursing programme.
    Implementation of a New Working Method in Psychiatric Care2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: The implementation of evidence-based methods in hospital settings is challenging and multifaceted. There are several different factors that may affect implementation processes, of which the organisational culture may be one. It is well known that conservative organisational culture can hinder implementations; accordingly, a mix of different organisational cultures is preferable. Aim: The aim of this thesis was to follow the implementation process of an ICF-based assessment tool regarding cultural differences associated with the implementation in a psychiatric clinic. As part of the project, an assessment tool based on the International classifi cation of functioning disability and health (ICF) was developed and implemented. Method: In Study I, three Swedish expert groups participated and analysis of inter-rater reliability was conducted through simulated patient cases. In Study II, data were collected through focus group interviews pre- and post-implementation of the ICF-based assessment tool; thereafter, data were analysed using directed content analysis guided by Normalization Process Theory (NPT). Data from 109 nursing staff who completed the organisational values questionnaire (OVQ) and resistance to change (RTC) were investigated, and the association between the OVQ and RTC was examined with regression analysis (Study III). Patients n=50 representing the intervention hospital and n=64 representing the control hospital answered the Empowerment scale (ES) and Quality in psychiatric care (QPC-IP) (n=45 from intervention hospital and n=64 from control hospital). Staff n=37 at the control hospital answered the OVQ which was presented as descriptive data (Study IV). Results: Inter-rater reliability of the ICF-based assessment tool (DLDA) displayed acceptable kappa values (Study I). The DLDA tool showed the potential for empowering patients. Furthermore, it was considered useful for dialogues, refl ection and for identifying patients’ strengths. Nonetheless, it was diffi cult to implement it in practice due to contributing factors such as time pressure, heavy workload, stress and lack of routine in using the tool (Study II). The intervention hospital was characterised by an organisational culture of trust, belongingness and fl exibility, i.e. a human relation culture. One ward (I.W.3), however, was not dominated by a human relation culture. This ward had an almost equal mix of different cultures (human relation, open system, internal processes and rational goal) (Study III). The results of Study IV were non-signifi cant; however, it indicated that intervention ward 3 proved to be the most prominent ward regarding patient participation and empowerment among the intervention group. The results suggest hospital wards with equal mix of different cultures is more successful than cultural polarisation. Conclusion: Only one of fi ve wards succeeded in implementing the DLDA successfully (ward 5). Ward number three was the most successful of the inpatient intervention wards. The intent of the DLDA method was considered to be good and its use in a psychiatric nursing context can provide structured support in order to improve the dialogue with the patient, but it was not used in practice in all the studied wards. The organisational culture of the intervention hospital was dominated by human relation properties, however with one exception, ward number three. The results tentatively show that organisational culture may affect outcomes of implementation processes. Consequently, it appears that an equal mix of different cultures are more auspicious than cultural polarisations. The results seems to confi rm previous research, where one ward with a balanced mix of different cultures succeeded best to implement DLDA, of the wards representing psychiatric inpatient care. Ward number three did also show the best results in terms of empowerment and patient participation of the intervention wards. Further research aims to continue developing and conducting psychometric testing of the DLDA tool. The DLDAs impact on patient assessed empowerment and patient participation requires studies on larger populations than the current study

  • 40.
    Alverbratt, Catrin
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    A new working method in psyciatric care: the impact of implementation2016In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, no 3, 295-304 p.Article in journal (Refereed)
    Abstract [en]

    An equal mix of organizational cultures is important for a successful implementation process. The aim of this study was to examine the implementation of a new working method in psychiatric hospital wards, representing different cultural characteristics. Descriptive quantitative data were collected at two hospitals (intervention and control). The results revealed one ward characterized by a mix of organizational cultures. This ward, compared with other intervention wards, showed the best results regarding patient assessed empowerment and participation. The result shows tentatively that organizational culture may have an impact on the implementation processes.

  • 41.
    Alverbratt, Catrin
    et al.
    University West, Department of Nursing, Health and Culture.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Åström, Sture
    University West, Department of Nursing, Health and Culture. Umeå universitet.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies.
    The process of implementing a new working method - a project towards change in a Swedish psychiatric clinic2014In: Journal of Hospital Administration, ISSN 1927-6990, ISSN 1927-6990, Vol. 3, no 6, 174-189 p.Article in journal (Refereed)
    Abstract [en]

    The implementation of evidence-based methods in hospital settings is difficult and complex. The aim of the present study was to highlight the implementation process concerning a new working method, i.e. a new assessment tool, based on the International Classification of Functioning Disability and Health (ICF), among psychiatric nursing staff on five participating wards at a Swedish county hospital. Descriptive, qualitative data were collected through focus group interviews pre- and post-implementation. Data were analysed using directed content analysis, guided by Normalization Process Theory (NPT). The results revealed that just one of the five participating wards met the criteria for a successful implementation process. The results confirm previous studies showing the difficulty of implementation. Although participants agreed with the intention of the model, they were reluctant to apply it in practice. The implementation process seemed to be influenced by factors such as: time pressure; heavy workload; stress; lack of routines in using the tool; lack of nursing staff; as well as cultural characteristics and resistance to change.

  • 42.
    Anberg Högeryd, Susanne M.
    et al.
    NU-sjukvården, Trollhättan.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet2014In: International journal of Nursing and Midwifery, ISSN 2141-2456, Vol. 6, no 2, 16-23 p.Article in journal (Refereed)
    Abstract [en]

    Obstetric units have become larger, with patients being knowledgeable and demanding. Also, established team works at maternity wards require that midwives are secure in their role. A descriptive study with a phenomenological approach was used. A maternity unit in a hospital located in Western Sweden was chosen. Five expert midwives with vast experience of obstetric care who worked in a maternity unit were interviewed. Data were collected by audio-taped interviews. The data were analysed by means of Giorgi’s phenomenological method. The results showed that security was constituted by an inherent sense of security as well as confidence in self and in life. Education and practical group training in the workplace provided theoretical knowledge and practical experience. Support for others in the working team and open communication also constituted security. Also, clear leadership, guidelines and routines provided a framework and had a positive effect on expert midwives’ sense of security. When security was absent, midwife became worried, the joy and harmony diminished. In order to ensure midwife security and ultimately safe patient care, it was important to allow time for rest, to reflect on and evaluate their work. Expert midwives can create the prerequisites for their professional security. Several constituents combine to shape midwives’ sense of professional security; an inherent sense of security, own knowledge and experience, team collaboration, visible and clear leadership.

  • 43.
    Andersson, Angelica
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Olsson, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att leva med demenssjukdom: Diagnostiserade personers erfarenheter2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As the population is getting older, the number of people with dementia is steadily increasing. This places great demands on nursing staff, both in the treatment and care of these persons. Instead of only focusing on the diagnosis and its symptoms, is important to ensure the individual needs. Aim: The aim of this study was to elucidate diagnosed person's experiences of living with dementia. Method: Ten qualitative articles were analyzed. The analysis resulted in four themes and twelve sub themes.

    Results: The result showed that family, relatives and friends are playing an important role in the quality of life for persons with dementia. Difficulties arose because of the symptoms of the disease, which could lead to social isolation. It was considered paramount to still be able to perform meaningful activities. On the other side the result showed, that both people and the environment were considered as impedimental factors, leading to feelings of lost dignity. The diagnosis could be met through acceptance or denial. This created different types of strategies in daily life. Many times fears arose about the future and the fear of getting worse was often greater than the fear of death.Conclusion: Dementia entails many difficulties and challenges, both for the person with dementia and the surrounding people. It's necessary to adapt both environment and treatment, so that person with dementia can continue to live a normal life as possible. We can achieve this by offer support and help, both physically and psychologically, without offend or cause distress.

  • 44.
    Andersson, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Källvik, Eva-lena
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    En vän men ändå inte en vän.: En grupp distriktssköterskors beskrivningar av innebörden av att vårda patienter med svårläkta bensår.2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background

    Working in primary care with chronic leg ulcers is both time-consuming and difficult. There is a large category of patients with leg ulcers, that is expected to increase in a number of years, and many of them will probably come to a district nurse for help.

    Aim

    The aim of this study was to describe the district nurses' experiences of caring for patients with chronic leg ulcers in primary care.

    Method

    The approach was qualitative. The study was done with a phenomenological life-world approach. Seven district nurses working in primary care were interviewed. The phenomenological perspective focuses on the respondents’ own life-world and has openness to the interviewee's own experiences. The phenomenon we wanted to study was the district nurses’ experiences of caring for patients with chronic leg ulcers.

    Results

    In the study it emerges that district nurses feel that it is fun to work with this patient category, although the workload can sometimes feel heavy. There are often many long meetings, for a long period of time, and a relationship evolves between the district nurse and the patient. The nurses feel they have a different and deeper relationship with these patients and they experience the emergence of an unusual friendship.

  • 45.
    Andersson, Ann-Christine
    et al.
    Jönköping University,The Jönköping Academy for Improvement of Health and Welfare, Jönköping.
    Ainalem, Ingrid
    Centre for Innovation and Improvement (CII), Region Skane, Malmo.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Kristianstad University, Kristianstad.
    Janlöv, Ann-Christin
    Kristianstad University, Kristianstad.
    Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.2016In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 1, 44-52 p.Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe health care- and social service professionals' experiences of a quality-improvement program implemented in the south of Sweden. The focus of the program was to develop inter-professional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back-evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.

  • 46.
    Andersson, Annika
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Boundaries as mechanisms for learning in emergency exercises with students from emergency service organisations2016In: Journal of Vocational Education and Training, ISSN 1363-6820, E-ISSN 1747-5090, Vol. 68, no 2, 245-262 p.Article in journal (Refereed)
    Abstract [en]

    To prepare emergency response organisations for collaborative work in unpredictable and dynamic situations, various types of exercises are widely used. Still, our knowledge of collaboration exercises with emergency response students is limited. This study aimed to contribute to this field by exploring boundaries that emerged between collaborating organisations in exercise activities and how these boundaries could be understood for learning. Drawing on the Akkerman and Bakker framework of boundaries as learning mechanisms, this study explored an exercise, including full-scale scenarios and seminars with students from the police, ambulance and rescue services education in Sweden. Thematic analysis of interviews and observations illustrated boundaries that emerged regarding vocabulary, prioritisation, roles, knowledge gaps and overlapping responsibilities across organisations. Rather than dissolving boundaries, this article suggests that boundaries can be utilised in exercises to support the students to contextualise their knowledge in relation to the demands of collaborative work. The concepts boundary work and boundary awareness were suggested to capture more generally the dynamics of learning in exercise contexts.

  • 47.
    Andersson, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Lindström, Berner
    Making collaboration work: Developing boundary work and boundary awareness in emergency exercisesIn: Journal of Workplace Learning, ISSN 1366-5626, E-ISSN 1758-7859Article in journal (Refereed)
    Abstract [en]

    Collaboration in emergency work is challenging on many levels. The unforeseen and temporary nature of incidents presents basic challenges. Another important challenge is boundaries between specialized and autonomous emergency service organizations. We need to know more about how exercises are performed to increase the individuals and organizations preparedness for future joint response work. The aim of this study was to explore how boundary work is carried out at the incident site during exercises, and how boundary awareness is developed based on this boundary work. The analytic focus was on how boundaries were identified, negotiated and managed in the participants work. Empirically, full-scale exercises involving police, ambulance and rescue services and with repetition of practical scenarios and joint-reflection seminars are studied. Much of the work in the exercises was performed within distinct areas of expertise, in accordance with concrete routines, skills and responsibilities. Boundary work was often organized in the form of distribution of labour or creating chains of actions. The exercises shed light on challenges related to other aspects of emergency response,such as a lack of resources, diverging primary responsibilities, time-criticality and hazardous environments. The design allowed participants to explicate boundaries, test and discuss alternative solutions, and to visualize the effects of different solutions as the scenarios were repeated. The boundaries that were identified were often of institutional character, and were also related to the specific scenarios and to the actions taken in the activities. By integrating real-life experiences of collaborative work in the exercise, the exercise gained a certain meaning that was essential for the participants to develop boundary awareness.

  • 48.
    Andersson, Ann-Sofi
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Rydell, Annelie
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Strategier som personer använder för att förbättra sömnen efter genomgången sömnskola i primärvården: En kvalitativ intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Studies show that sleep problems are common and the prevalence is increasing. Early detection and adequate help is important. Sleep school with cognitive behavior therapy (CBT) demonstrates good long-term effect, but few people with sleep problems gain access to these sleep schools. District nurses in primary care have the opportunity to provide support for sleep problems. Through increased knowledge of strategies that promote good sleep gives the district nurse better opportunities to support people with sleep problems. Aim: To describe what strategies people use to improve sleep after completing the sleep school. Method: The study has a qualitative approach in which semi-structured interviews were conducted with ten informants. The interview material were analysed by using a qualitative content analysis. Results: The analysis revealed three categories and eight subcategories which form the result of this study. Manages thoughts in a new way included three subcategories: to reform negative thoughts, to accept ones sleep and to dare reduce the sedatives. Exercising activities that promote sleep included two subcategories: to increase their physical activity and to perform relaxation exercises. Adapts the environment to promote sleep included three subcategories: to reduce sleep disturbing items, to adapt bedroom environment and to reduce caffeine intake and alcohol. Conclusion: The study shows that sleep school with CBT, according to the informants, gave the knowledge and tools to find strategies that helped them sleep better and feel more satisfied with their sleep. Increased training for primary care district nurses in sleep knowledge and CBT, creates better conditions for early and effective intervention

  • 49.
    Andersson, Camilla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Mujic Baghernezhad, Kata
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Upplevelser av Nordisk vård ur ett mångkulturellt perspektiv: en litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The number of people with foreign background living in the Nordic countries has increased the last few years. This means that healthcare personnel meet more people with different languages, traditions and values.

    Aim: The aim of this study was to highlight experiences of encounters with Nordic health care among people with a foreign background.

    Method:

    The study was a literature study and based on 12 scientific articles, which were analyzed according to Friberg's model of qualitative analysis. The theoretical frame of reference that was used is Leininger's theory of nursing cultural care diversity.

    Result: The data analysis resulted in three themes that illustrated the experiences of Nordic healthcare and people with a foreign background. These themes were: receiving care on equal terms, to feel at home and to feel insecurity.

    Conclusion: Most of the people living in the Nordic countries with a foreign background were pleased with the healthcare, but a few areas were in need of improvement. Communication was always an issue for the individuals who did not speak the same language nor share the same traditions. It was therefore important that the caregivers were willing to be open-minded and work together to resolve cultural differences. It was also important to really observe the patient, to take into consideration the patients´ capacity and resources to help the patient.

  • 50.
    Andersson, Charlotta
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Marcusson, Hampus
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av att leva i sitt hem med hjärtsvikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden it is estimated that approximately 150 000 - 250 000 people suffer from heart failure. A better standard of living has made it possible for people to live longer with their health intact. Older age is associated with an increased risk of getting diagnosed with heart failure. It is estimated that some 30 000 people are diagnosed with heart failure each year

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