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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.
    Aasen, Elin M.
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Nilsen, Halvard K.
    Clinic of Cancer and Rehabilitation, Møre og Romsdal Hospital Trust, Aalesund (NOR).
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Helberget, Lindis K.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Kjelsvik, Marianne
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    From open to locked doors - From dependent to independent: Patient narratives of participation in their rehabilitation processes2021In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 30, no 15-16, p. 2320-2330Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The present study aimed to explore patients' experiences of participating in their rehabilitation process in the context of specialised rehabilitation in Norway.

    BACKGROUND: The rights of patients to participate in their care and treatment is an ideology that underlines newer international and Norwegian public documents. However, there is a gap between policy statements and clinical practice, and a discrepancy between patients' and professionals' statements about patient participation in rehabilitation.

    DESIGN: A qualitative approach with a narrative design.

    METHODS: Eleven patients were individually interviewed to tell their stories about the rehabilitation processes. We utilised narrative analysis with a three-dimensional space narrative structure including temporality, sociality and spatiality. This study followed the COREQ checklist.

    RESULTS: The analysis identified two throughout plots: 'person-centred culture' and 'time', and three plots which constructed how the patients participate in change through the rehabilitation process: (a) dependent-'open doors'; (b) motivation from within; and (c) independence-'locked doors'.

    CONCLUSIONS: Patient participation in rehabilitation was dependent on person-centred cultures in the unit and on different aspects of time. The dialogue and the power balance between the patients and the health personnel changed as the rehabilitation progressed. Motivation for rehabilitation had to come from within patients. The paternalistic ideology did not seem to dominate the specialised rehabilitation unit in the present study.

    RELEVANCE TO CLINICAL PRACTICE: This study gives new insight into how patients participate in change in the rehabilitation process. This can be valuable for healthcare professionals and governments. Insight into how the lack of person-centred focus can harm the rehabilitation process, and a deeper understanding of the meaning of time in the rehabilitation process is essential. These results may provide a stimulus for discussions on how patients might participate in their rehabilitation process.

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  • 3.
    Aasen, Elin Margrethe
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Dahl, Berit Misund
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Ottesen, Aase Marie
    Aalborg University (DNK).
    Strunck, Jeanne
    Aalborg University (DNK).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vestgarden, Lisbeth Alnes
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Tengelin, Ellinor
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Health Sciences, Rehabilitation Science, Mid Sweden University.
    Scandinavian Online Cancer Information as Expressions of Governmentality2022In: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. Publish Ahead of Print, p. 1-13Article in journal (Refereed)
    Abstract [en]

    We compared online distributed information provided to patients with cancer in Scandinavian countries through the lens of governmentality. A secondary comparative qualitative analysis was conducted. Discourses in online patient information showed differences in governmentality techniques across the countries: Norway used a paternalist approach, Denmark an educative approach, and Sweden an individualistic approach and expected the patients to make the “right” decisions. Online information for patients with cancer in Denmark and Norway showed high professional and health care system involvement, whereas in Sweden, there was high patient involvement. There was almost no use of the person-centered approach among the online discourses

  • 4.
    Abdallah, Amira
    et al.
    University West, Department of Health Sciences.
    Abdi Goukmahi, Sima
    University West, Department of Health Sciences.
    Ungas sexuella hälsa: En systematisk litteraturöversikt om skolsköterskans samt barn och ungdomars perspektiv2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Good health includes sexual health fulfilled and preserved through respect for the individual's sexual rights. Sexuality has no fixed definition and can be influenced by factors such as biological, social, cultural, and religious. The school nurse has a vital role butlacks the tools and skills to hold conversations about sexual health with children and adolescents. Research shows that the school nurse lacks knowledge, tools and cooperationregarding teaching about sexual health. Other studies show that children and adolescents want school nurses to be more included in sexual and reproductive health education. The aim wasto shed light on sexual health from the perspective of school nurses and children and adolescents. Method: A systematic literature review with an inductive approach was chosen based on Polit and Beck (2020). Eight qualitative studies were analyzed based on qualitative content analysis according to Lundman & Graneheim (2017). The results are presented in three themes: Perspectives on how sexual health is communicated, shared and mediated; Communication in conversations and Obstacles in conversations. Conclusion: The school nurse's work with sexual health continues to be complex and there is a need for knowledge and development in various areas. In addition, children and young people lack up-to-date and adapted information for today's meaning of sexual health and for their level of development. The meeting and conversation about sexual health between the school nurse and children and young people is made possible by adapted spaces for the school nurse's work, maintenance of integrity and confidentiality, choice of attitudes and language in the meeting and the skills of the school nurse. In addition, cultural and religious backgrounds influence children's and young people's perception of sexual health, therefore it is important to give them the opportunity to talk about it.

  • 5.
    Abdel Ahad, Nahla
    et al.
    University West, Department of Health Sciences.
    Lundberg, Sofia
    University West, Department of Health Sciences.
    Att leva med typ 2 diabetes: en scoping review om patienters perspektiv2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes Mellitus is a disease that 537 million adult people lived with in 2021. Themost common type of diabetes is type 2 diabetes (T2D) which is found in 95 percent of those with diabetes. The disease can be defined as a metabolic disorder in the body that leads to the body's cells being unable to satisfy themselves glucose, resulting in glucose accumulating in the blood and producing elevated blood sugar values. Living with T2D means an increased risk of dying. In 2021, the diabetic disease resulted in 6.7 million deaths. There is also a risk of developing diabetes-related complications, both acute and long-term, which can lead to an impaired quality of life. Person-centered care is a central part of health care, by working based on the person's wishes and needs, the person's self-care is improved and strengthened. Performing self-care can reduce both morbidity and mortality, as well as increase health and well-being. Self-care can be, for example, following recommendations on diet and physical activity. However, self-care can be difficult as the result can be seen only in the long term, which causes motivation to drop.

    Aim: The aim of this study was to highlight patients' perspectives of living with type 2 diabetes.

    Method: To answer the purpose of the study, scoping review was used. The method is used to map literature in a particular area. Data was retrieved from three different databases where 21 articles were considered to respond to the purpose of the study and met the inclusion criteria. The articles were then analyzed through a thematic analysis.

    Results: The result revealed four themes and nine sub-themes. The first theme is the importance of self-care, where it turns out that lifestyle change, barriers and digitalization affect self-care management. The second theme is the role of care, where it emerged that knowledge and relationship with health care is considered important for people with T2D. The third theme; social life, describes how people with T2D can be affected both positively and negatively by family and friends. The last theme the impact of the disease on the body and mind, emphasizes how the disease affects the person's well-being. It was clear that many people with T2D experience negative emotions related to the disease, such as worry, shame and frustration.

    Conclusion: The results of the study show that people with T2D can face many challenges in life that affect self-care management and well-being. It is clear that people with T2D experience the disease in different ways and have different needs. This suggests that health care should work to develop the person-centered approach

  • 6.
    Abdi, Fartun
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Khaloufi, Siham
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som hindrar sjuksköterskan inom hälso- och sjukvården från att göra en orosanmälan på barn2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It's a fundamental principal to protect children's rights. Through legislation, child abuse has been prohibited in many countries. Nurses working with children has a frontline role in identifying and reporting suspected or known child abuse. Mandatory reporting is one of the nurse's duty, reluctancy to report can lead to misconduct but it also leads to children suffering.

    Aim: The purpose of this degree project was to identify factors preventing nurses from mandatory reporting of children in health care.

    Method: A literature study based on using and analysing nine qualitative articles.

    Results: Three themes emerged in the result. The first theme was knowledge deficit, with two subthemes which were the need of education of signs and symptoms and the other subtheme was insufficient experiences. The second theme was nurses strained work environment with three subthemes. The first subtheme was the lack of routines, the second one miss information and the third one lack of cooperation and communication. The third theme consists of two subthemes, which were the lack of emotional support and the experience of fear. The results showed that nurses due to different factors relinquished from mandatory reporting. 

    Conclusion: The results highlighted that education and training was needed among nurses to gain knowledge on how to safeguard children and establish mandatory reporting. Thus, support from colleagues and managers agencies dealing with child safety was highly valued by nurses. Implementation of education, training and support could improve the cooperation in protecting children.

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  • 7.
    Abdishakur, Ilham
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mohamed, Mona
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av urinvägskateter och kateterassocierad urinvägsinfektion: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Health-related urinary tract infection is increasing every day as patients are treated with urinary catheters. Catheter-associated urinary tract infection does not only cause suffering, prolonged patient care time and increased health care costs, but also overuse of antibiotics. The most common reasons why urinary tract catheters needs to be used are difficulties in empty the bladder and control urinary production. When inserting a catheter into the bladder the recommended method is the aseptic one, and meticulous hygiene routines must be applied. Nurses are responsible for observing early signs of urinary tract infection, documenting and ask how the patient experiences the urinary catheter treatment. Aim: The aim of this study was to illuminate nurses' experiences of urinary catheter and catheter associated urinary tract infection. Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed to get a better understanding of nurses 'experiences. Result: The results of the analysis are two main themes: Insufficient handling affects the patient and Varying insight about their own ability and limitations. Conclusions: Lack of communication between physicians and nurses threatens patient safety. Nurses have their own responsibility to manage effectively urinary tract catheters to prevent health-related urinary tract infection. There is a need for increased knowledge about the management of urinary tract catheters and the consequences of a catheter-associated urinary tract infection. Time for training and reflection should be planned in departments. For example, there may be hospital-wide education offered, which could be obligatory.

  • 8.
    Abdulkader, Jasmin
    et al.
    University West, Department of Health Sciences.
    Wehlander, Linnéa
    University West, Department of Health Sciences.
    Vid livets slut: vuxna patienters upplevelser av palliativ vård2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Over 40 million people around the world suffer from incurable illness or injury each year and need palliative care. The patient experience of end-of-life care needs to be illustrated, to make the healthcare better. There is little knowledge about the social, psychological, and existential dimensions of palliative care. Therefore, it is of relevance that the nurse has knowledge about the patient’s experiences, to be able to offer a better care. 

    Aim: The aim of this study was to describe adult patients’ experiences of palliative care. 

    Method: The study was based on a literature study, that had a qualitative approach. Ten scientific articles were searched and selected from databases Cinahl and PubMed, with inclusion criteria's adults, English language, year 2012-2022. The articles were analysed using Friberg’s (2017) five steps process. 

    Results: Three major themes emerged: safety and its impact, the significance of the relationship to healthcare staff, and the impact of palliative care. The patients expressed the value of a good communication with the healthcare staff, to enable feeling safe, seen and understood. Patients better understanding of palliative care resulted in feeling secure. And through receiving practical help, they maintained autonomy and self-determination. 

    Conclusion: This study emphasized that patients' experiences of receiving palliative care is important to uptain a good quality of life. Whereas person-centered care, good communication skills, and good quality of care are central parts. 

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  • 9.
    Abdullahi, Nimo
    et al.
    University West, Department of Health Sciences.
    Belay, Luwam
    University West, Department of Health Sciences.
    Vid livets slut: Sjuksköterskans upplevelse av existentiella samtal med både patienter och deras anhöriga : En litteraturstudie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To work in Palliative Care can be difficult and challenging for nurses, in which they meet existential issues concerning life and death. This requires nurses to meet the patient's relatives to discuss these issues. Nurses have the responsibility to invite patients and their relatives to converse about existential issues.

    Aim: To describe the nurse’s experience of existential conversation with both patients at the end of life and their relatives.

    Method: The study was based on a qualitative literature study with ten scientific articles. The articles were searched from databases Cinahl and PubMed. Friberg’s five-step model was used to analyze the articles.

    Results: Through the analyses, three major themes were formed: The experience of communication in existential conversation described meaningful and important to be attentive and active listening. The experience of vulnerability described the feeling of fear, anxiety and despair and the feeling of inadequacy and powerlessness. The experience of factors that influence existential conservation that described the lack of time and own experience and experienced colleagues who provide better conditions to perform the conversations.

    Conclusion: Nurses experienced different emotions while providing an existential conversation. Conservation about existential needs to alleviate the patients and their relatives' suffering experienced as meaningful. While the feeling of inadequacy and powerlessness to alleviate the patient’s suffering and the feeling of fear, anxiety and despair about their own death and life created negative emotions in nurses that lead them to feel more vulnerable.

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  • 10.
    Abdulle, Hafsa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Abdulazisova, Marijam
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Demens: En familjesjukdom: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a growing health problem that not only affects the individual but also their relatives. Symptoms cause impairment to varying degrees making life difficult for both the individual and their relatives. At first the demented person may be able to cope by himself but often need assistance from family member and healthcare the further down into the disease. Aim: The aim of the study was to describe experiences of being a relative of a person afflicted with dementia, Method: A literature-based study was performed based on ten scientific qualitative studies. Result: Three themes with seven subthemes emerged from the analysis: to get support, a changed relationship and a need for information and education. Conclusion The results showed that a change happens within the relationship to the demented person and that relatives needed support from different places and information and education to manage the changes and their health. The result clearly shows that being a relative to a demented person comes with hardships and changes to one daily life. To be able to withstand the hardships and changes relatives need support throughout the entire disease. They also need information and education about the disease itself but also about death and its process. The nurse has a vital role to support and provide tools for the relative’s wellbeing

  • 11.
    Abrahamsson, Anna-Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Severinkangas, Martin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patienter som riskerar att falla mellan stolarna: En kvalitativ intervjustudie om specialistsjuksköterskans erfarenheter av att vårda patienter med prediabetes inom primärvården2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Prediabetes is a condition where the blood sugar levels are higher than normal but below the level that allows the use of diabetes as diagnosis. If not addressed, there is an increased risk of developing type 2 diabetes, which increases the risk of cardiovascular disease and premature death. The incidence of type 2 diabetes is increasing rapidly worldwide and is expected to affect 592 million people by 2035. Preventing diabetes is therefore of great importance in reducing diabetes-related costs for both the individual and the society.

    Aim: Specialist nurse´s experiences in caring for patients with prediabetes within primary care

    Method: Qualitative interview study with inductive approach where seven semi-structured interviews were conducted. The interviews were transcribed and analyzed with qualitative content analysis.

    Results: From the analysis seven subcategories and three categories emerged, to identify patients with prediabetes, the specialist nurse role and responsibility and we can do more. The specialist nurses described their caring for patients with prediabetes as an important mission considering the health of the patient but also considering the society and health center perspective. The experiences of the specialist nurses showed that efforts for patients with prediabetes had low priority within primary care. By creating clearer guidelines the specialist nurse's perception was that the care towards patient with prediabetes would be better and more equal. They felt that the knowledge and the instruments already exist, but the resources were missing.

    Conclusion: By creating clearer guidelines on the care of patients with prediabetes the experience of health could be strengthened, and the prevalence of type 2 diabetes could be reduced. More directed control of the primary care towards these patients would give more equal care and set a higher priority for prediabetes within the health center.

  • 12.
    Abrahamsson, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Edvardsson, Linnéa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av arbetsrelaterad stress på akutmottagningen: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to the World Health Organization, stress is a threat to global health, where there is an increase in healthcare personnel. Previous studies show that the nurses in the emergency room are extra vulnerable. Internationally, major challenges in modern emergency department are seen as a result of overcrowding and extended stay times.

    Aim: The purpose was to examine the nurse's experiences of stress in work at the emergency department.

    Method: A qualitative literature study was selected to describe nurses' experiences of stress following traumatic events in emergency department. Qualitative studies increase the understanding of the individual's experiences and needs, and how this affects the individual's health.

    Results: The result shows that stress at the emergency department is a common problem. Complex care situations, high workload, lack of experience and conflicts in the working group were factors that lead to stress. Effects on physical and emotional health also emerged. Stress can affect the nurse and the quality of care.

    Conclusion: The nurse at the emergency department is often exposed in a work environment where stress is common. Therefore, it is important for the nurse to receive support from work management and colleagues in order to be able to handle situations that may lead to impaired patient safety as well as the health of the nurse.

  • 13.
    Abrahamsson, Moa
    et al.
    University West, Department of Health Sciences.
    Nilsson, Ann
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter av samtal om sexuell hälsa och sexualitet med vuxna patienter: En litteraturöversikt2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual health is an important aspect of people's general experience of health and wellbeing. Conversations about sexual health and sexuality are included in nurses overall nursing responsibilities and can be linked to several areas of competence within nursing. Nurses has a key role in identifying and addressing illness and problems related to sexual health. Despite this, patients express lack of information and dialogues with nurses about sexual health and sexuality. In order to contribute to a good and satisfactory nursing from a holistic perspective and promote patients' health and well-being, it is necessary that nurses include conversations about sexual health and sexuality in their professional practice.

    Aim: The aim of this literature review was to examine nurses' experiences of conversations about sexual health and sexuality with adult patients.Method: The literature review withheld 12 scientific articles of both a qualitative and quantitative approach. The articles underwent a quality review and analysis. Articles have been systematically searched in the databases Cinahl and PubMed/Medline.

    Results: Nurses experiences of conversations about sexual health and sexuality with adult patients are presented under three categories: "Difficult to talk about sexual health and sexuality", "Unfavourable working environment" and "Clear priorities".

    Conclusion: Sexual health and sexuality are topics that many nurses find difficult to raise during conversations with patients. It is necessary for nurses to be self-aware and reflect on their own norms, attitudes and beliefs linked to patients' sexual health and sexuality. Nurses needs additional understanding, of their professional responsibility and knowledge of sexual health, to promote a person-centred care. Furthermore, it is essential that nurses are providedwith conditions such as time, private spaces, and written guidelines/routines in their working environment.

  • 14.
    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.

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  • 15.
    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
    Cyprus 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. Kristianstad University, Kristianstad.
    Sjövall, Katarina
    Skane 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
    University 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, p. 777-782Article 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.

  • 16.
    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.

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  • 17.
    Adamsson, Jenny
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Malmqvist, Annika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser som påverkar nattsömnen hos patienter med cancerdiagnos: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: World Health Orginazation (WHO) reported that cancer is the second leading cause of death globally with estimated 9.6 million deaths in 2018. Sleeplessness is a common problem for people with a cancer diagnosis. Humans sleep around eight hours a day which adds up to a third of life. It is the responsibility of nurses to see to the nursing of patients, including sleep. Limited sleep can lead to a greater risk of contracting immunological diseases. In Swedish hospitals there are few guidelines for handling sleeplessness with patients, therefore a study regarding factors influencing sleep negatively is important for the nursing profession.

    Aim: The aim of this study was to describe experiences that influence night sleep for patients with a cancer diagnosis.

    Method: The method for this study is a literature review using quantitative and qualitative articles.

    Results: Among the factors that influence sleep, the most common were pain, urinary and bowel issues, depression, anxiety, social constraints and cancer related loneliness.

    Conclusion: The conclusion of the study is that more guidelines regarding sleep is necessary for the development of nursing.

  • 18.
    Adelbrant, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I väntan på organtransplantation: En tillvaro i skärselden2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Since the first successful organ transplant in 1954 performed by the surgeon Joseph Murray this procedure has become the most effective treatment of organ failure. Although the majority has a positive attitude towards organ transplantation, the supply does not meet demand. As a result of this the patients sometimes must wait years for a new organ and some of them dies while waiting.

    The aim of this study was to describe patients experiences of waiting for an organ transplant and the method used was a literature study.

    Result shows that these patients went through physical, psychological and financial changes during the waiting time. Patients described mixed emotions and different ways of perceiving hope. They long for a "normal" life and the waiting gets harder over time. It's essential for the patients that both they and their next of kin gets repeated and continuously information during the waiting time.

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  • 19.
    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.

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  • 20.
    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.

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  • 21.
    Adolfsson, Per
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindqvist, Åsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Humor i byggandet av vårdrelationen mellan sjuksköterska och patient: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Humour has been a part of mankind since ancient time and affects the human being in several ways. Communication is essential in creating a relationship and humour may improve the possibility that a nurse and a patient succeed in building a therapeutic relationship.

    Aim: The aim of this literature review was to illuminate humour in the therapeutic relationship between nurse and patient.

    Method: The method used was a literature review. Systematic searches were conducted in the databases Cinahl and PubMed where eight articles were found, a ninth article was found by a non-systematic search. The articles were then analyzed through Friberg's five-step model for literature reviews.

    Results: Four themes occurred. Humour as a brick in building a bridge in the therapeutic relationship, Experiences and effects of humour in the therapeutic relationship, Barriers and fears when using humour in the therapeutic relationship and Gender and humour in the therapeutic relationship. The result suggests that humour is useful in building a therapeutic relationship and is being used frequently, yet there are times when nurses hesitate to use humour due to the lack of experience. There also occurred a difference in how humour is used due to the gender of the patient.

    Conclusion: Humour is mainly a positive experience in the therapeutic relationship and should be used as it makes communication easier and makes it easier for nurses and patients to bond. The way using humour differs in gender must be considered by the nurse.

  • 22.
    Afroz, B.
    et al.
    Karlstad University, Division of Public Health Sciences.
    Moniruzzaman, S.
    Karlstad University, Division of Public Health Sciences.
    Ekman, Diana Stark
    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, p. 836-838Article in journal (Refereed)
  • 23.
    Afzali, Meysam
    et al.
    University West, Department of Health Sciences.
    Eitz, Nathalie
    University West, Department of Health Sciences.
    Patienters upplevelser av egenvård vid diabetes typ 2: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Diabetes type 2 is a public health problem that has increased throughout the world. Around 536.6 million people worldwide are affected by diabetes of which 95 % have diabetes type 2. In Sweden, there are approximately 460 000 people that have the diabetes type 2. Self- care is there for an important part of the treatment. Lifestyle changes are crucial for the health and well-being of individuals with Diabetes type 2, including dietary modifications and increased physical activity. By taking care of oneself through lifestyle changes, the risk of severe complications can be reduced. 

    Aim

    The aim of this study was to describe patients experiences of self- care in diabetes type 2.

    Method

    A literature review based on ten qualitative scientific articles, retrieved from databases PubMed and Cinahl. The literature has been analyzed based on Fribergs five-step analysis, which resulted in two themes and five subthemes. Results the primary factor, self-care is susceptible to emotional influences and concerns regarding the possibility of future complications. Patients perceived changes in physical activity and diet as challenging, influenced by their motivation and cultural background. Support and motivation from healthcare providers, family members, and other social connections can foster self-care. Being well-informed about their condition held significant importance. By exhibiting empathy towards each patient's unique encounter with diabetes, we can empower them to take charge of their own care. 

    Conclusion

    Patients with type 2 diabetes have different experiences and perceptions of self-care. Modified diet and increased physical activity can be both positive and negative experiences. Challenges with physical activity and barriers related to lifestyle and culture affect the implementation of changes. Understanding the importance of lifestyle modifications is crucial for patients' self-care. Social and professional support plays a significant role in helping patients manage these changes. Person-centered care and nursing support are essential for promoting health and self-care in individuals with type 2 diabetes.

  • 24.
    Aggestam, Lena
    et al.
    University West, Department of Engineering Science, Division of industrial engineering.
    Johansson, Madeleine
    Department of Adult Psychiatry, NU-Care Hospital, Lärketorpsvägen, 461 73 Trollhättan (SWE).
    Kylén, Erik
    MedFilm AB, Staveredsgatan 20, 461 31 Trollhättan (SWE).
    Stenholm, Joel
    MedFilm AB, Staveredsgatan 20, 461 31 Trollhättan (SWE).
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics. School of Business Economics and IT, University West, Gustava Melins Gata 2, 461 32 Trollhättan, Sweden.
    The Development and Evaluation of an Animated Video for Pre- and Postoperative Instructions for Patients with Osteoarthritis: A Design Science Research Approach2024In: Geriatrics, E-ISSN 2308-3417, Vol. 9, no 19, p. 1-11Article in journal (Refereed)
    Abstract [en]

    Osteoarthritis (OA) is a condition in the hip or knee joints that develops during a long period of time and sometimes needs hip or knee joint replacement surgery when pain gets too intense for the patient. This paper describes how an animated video for pre- and postoperative instructions for patients with osteoarthritis was designed. The design science research (DSR) approach was followed by creating a web-based animated video. The web-based animated video is used to support surgical departments with education for patients suffering from OA. In the web-based animated video, information about OA surgical treatment and its pre- and post-arrangements was included. The relevance, the rigor, and the design cycles were focused on, with some iterations of and improvements in the animations. Even after implementation, there was a feedback-loop with comments from the surgeons and their patients. Moreover, as more departments will use the web-based animated video, they want to make their special mark on it, so that further changes will be made. This paper presents the design and successful implementation of an animated video for pre- and postoperative instructions for patients with osteoarthritis, tightly linked to the patient journey and the workflow of healthcare professionals. The animated video serves not only as a tool to improve care but also as a basis for further scientific research studies. 

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  • 25.
    Aggestam, Lena
    et al.
    University West, Department of Engineering Science, Division of industrial engineering.
    van Laere, Joeri
    School of Informatics, University of Skövde, Box 408, 54128 Skövde (SWE).
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    How to Apply and Manage Critical Success Factors in Healthcare Information Systems Development?: †2023In: Systems, ISSN 2079-8954, Vol. 11, no 9, p. -17, article id 469Article in journal (Refereed)
    Abstract [en]

    Studies on Critical Success Factors (CSFs) in Healthcare Information Systems (HIS) development projects have traditionally often been limited to retrospectively identifying CSFs in a finished project. In this paper, we focus on how to prospectively apply and manage CSFs in HIS projects. Based on a holistic perspective and systems thinking, an inductive research strategy was applied and a single in-depth case study was conducted. The findings include detailed descriptions that contribute to further understanding of how to prospectively apply and manage CSFs in HIS projects. The analysis reveals that CSFs must be applied differently and managed on various system levels. Furthermore, it shows how interactions exist between different system levels, both in the case of a specific CSF and between different CSFs on various system levels. Our analysis framework and findings indicate new directions for future research: how to prospectively apply and manage CSFs in HIS development projects can now be investigated both in a more holistic way and more in detail. Finally, healthcare practitioners can use the descriptions as practical checklists for guiding them in how to realize situational adaptation of CSFs in HIS projects across different system levels.  

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  • 26.
    Ahang Lindgren, Mona
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kulldorff, Elsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av att utbilda nydiagnostiserade patienter med diabetes mellitus typ 1 på sjukhus: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 1 is a lifelong chronic disease, which means constant contact with health care. Newly diagnosed patients with diabetes mellitus type 1 are admitted to hospital for approximately four days, during which time they and their relatives receive sufficient education to cope with everyday life at home.

    Aim: To illuminate nurses' experiences of educating newly diagnosed patients with diabetes mellitus type 1 in a hospital environment.

    Method: Six qualitative, two quantitative and two mixed-method articles were analysed. The studies took place in a hospital environment where nurses played a vital role in education about type 1 diabetes mellitus.

    Results: Three themes emerged; Continuous staff training, which demonstrated that lack of time was the main reason for not having continuous staff training, Individualizing patient education, which illustrated the importance of individualized education for encouraging both patients and relatives to become more involved in the care and Working in a multi-professional team, which enabled nurses to individualize and take a person-centred approach to patient care.

    Conclusion: Overall, nurses cite lack of time as a common reason for inadequate care as well as the absence of education for both patients and nurses. Individualizing patient education with regard to age, family situation and previous knowledge increases the likelihood of a safe and secure discharge. In order to create safe patient care, multi-professional collaboration is necessary to allow nurses to focus on providing individualized and person-centred care.

  • 27.
    Ahlqvist, Cassandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lopez, Daniel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att belysa personers erfarenheter av fysisk aktivitet vid depression: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Depression is a common mental disorder worldwide, that embrace more than 264 million people. Depression can lead impaired ability to perform everyday tasks such as work and school. Previous research has shown that physical activity can reduce depressive symptoms. The aim of nursing is for the patient to experience health. It can be fulfilled by the nurse supporting and teaching patients to find tools and motivating patients to self-care.

    Aim The aim of this study was to illuminate people's experience of physical activity in case of depression.

    Method A literature review based on the content of eight qualitative studies. Analyzed using a qualitative content analysis based on a five-step model to understand the experiences of depressed individuals.

    Results The findings revealed two main themes and five subthemes. The first theme was motivation has meaning with three subthemes to feel resistance, own and others influence, self-confidence has an impact. The first theme describes factors that either enabled or prevented individuals from performing physical activity. The second theme was contributing to recovery with two subthemes symptoms are alleviated and leads to recovery. The second theme describes that physical activity contributes to the recovery of depression, for example by increasing well-being.

    Conclusion The results of the literature study show that experiences of physical activity are largely positive among individuals with depression, such as improvement of depressive symptoms and increased well-being. In some cases, the depression aggravated, which manifested itself through stress and anxiety. Support from the environment was a factor that could motivate to physical activity.

  • 28.
    Ahlqvist, Clara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lundqvist, Lovisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet efter en brännskada: en litteraturstudie ur ett patientperspektiv2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Burns are a global problem and more people survive today. After a burn injury a long rehabilitation time can wait, both physical and psychological and little is known about the patients' experiences after a burn injury. 

    Aim: The aim of this study is to illuminate patients' experience of life after a burn injury. 

    Method: A method is used to contribute to evidence-based nursing, based on analysis of qualitative research. Data was collected from analyzing eleven scientific articles. 

    Results: Two themes with five sub-themes emerged. Results show that patients' experience increased vulnerability in relation to changes in the skin, the changed appearance and the mental stress. The feeling of pain, itching, stigmatization and anxiety are some of the experiences that create problems in everyday life. They also found that the experience of support and acceptance by the burned was part of the process of returning to life. 

    Conclusion: The result showed that suffering from a burn causes remaining problems after the injury. The patients needed support to be able to accept what happened and return to life.

  • 29.
    Ahlqvist, Malin
    et al.
    University West, Department of Health Sciences.
    Skoglund, Patricia
    University West, Department of Health Sciences.
    Sjuksköterskors upplevelser av att möta våldsutsatta kvinnor inom sjukvården2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Women are exposed to violence in intimate relationships much more than men and this is a global health problem. Nurses have a responsibility to identify violence in intimate relationships and meet these women in a professional way. Previous research indicates a lack of response from nurses towards women who experience violence in close relationships.

    Aim: The aim was to describe nurses´ experiences of meeting abused women in healthcare.

    Method: A literature-based study where eight articles have been analyzed through qualitative design with the support of Friberg's five-step model. 

    Results: The results showed that nurses experience a strong emotional impact in the meeting with the vulnerable women. They were worried about both women and themselves, which affected them privately. They had to suppress their feelings and they experienced professional dilemmas. It also emerged that lack of time and lack of knowledge was an obstacle to asking the vulnerable women the question. When knowledge and experience existed, a feeling of security was created.

    Conclusion: Based on this result, the conclusions can be drawn that nurses need additional knowledge about the topic of violence to feel secure in their professional role to meet and identify the women. It is also clear that nurses need strategies to deal with the emotional impact and to have clear guidelines for how the question of violence should be asked. 

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  • 30.
    Ahlstrand, Katarina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nordlander, Isabel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att ha lämnat allt: En litteraturstudie om ensamkommande barns erfarenheter av att vara asylsökande2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During the recent years a great amount of unaccompanied children have arrived to Sweden. They constitute a vulnerable group since they lack the protection of an adult. Previous research shows that they often have traumatic experiences and suffer from mental health problems. Nurses need to be aware of these issues to be able to provide good care for the asylum seeking children. Aim: The aim of this study was to describe the experiences of unaccompanied children seeking asylum. Method: A literature review based on the content of six qualitative studies, four quantitative studies and two studies of mixed method. Results: The findings revealed four main themes; Being a survivor, Almost in safety, Mental vulnerability and Creating a new life. The results show that the children have survived war and persecution and have had to leave their families to search for safety. They have a great fear of being sent back and express a need for support and encouragement. It also appears that many of the children feel lonely and isolated and that a significant part suffer from mental health problems such as Post Traumatic Stress Disorder, depression and anxiety. The children strive to create a new network and to succeed. Conclusion: To be able to help unaccompanied children with traumatic experiences and consequences thereof, it is important for the nurse to build a relation based on trust. It is useful for nurses to engage a life-world perspective, since it includes a holistic view of the children and their lived reality.

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  • 31.
    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, p. 23376-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.

  • 32.
    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.

  • 33.
    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.

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  • 34.
    Ahmed, Huda Taher
    et al.
    University West, Department of Health Sciences.
    Wehlie, Hodan
    University West, Department of Health Sciences.
    Sjuksköterskans erfarenheter av genomförd munvård inom äldreomsorgen: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bad oral health amongst elderly is very common. Diseases have a bad effect on oral health. Not caring for elderly person's oral health affects the ability to speak, eat and smile. Tooth ache,caries, gingivitis, and fungus are a few diseases that can occur due to bad oral health. The patient's suffering is something that can be prevented. Nurses have a responsibility to improve oral health amongst elderly. Therefore, it's a subject that needs to be lifted. The aim of this literature study was to describe nurses' experience of completed oral care within elderly care.

    The chosen method was a literature review with eight qualitative articles that had been reviewed with a quality template. Two main themes and five sub themes emerged. The two main themes were obstacles in nursing and strategies for improvement. The five sub themes were lack of knowledge, lack of time, lack of encounter, interprofessional collaboration and support from management. The care staff prioritized other tasks before oral care because oral care was a task that demanded time, knowledge, and experience. Increased knowledge and understanding of good oral health need to be highlighted because oral health is linked to general health.

  • 35.
    Ahmed, Shani
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Edow, Nasteho
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes upplevelser av sjuksköterskans stöd i palliativ vård: En litteraturstudie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care aims to improve the quality of life of patients who have life-threatening illnesses. When patients are diagnosed with serious illnesses, it is the intimate parties who are concerned about the patient's health. Intimate parties are the ones to provide care and therefore, they need social and emotional support from the nurses involved.

    Aim: To describe how intimate parties felt about nurses' support during palliative care.

    Method: A qualitative method was chosen as this was appropriate in addressing the aim of the study.

    Results: A literature based study was performed and ten empirical qualitative articles were analysed. The results were processed using the Friberg method of analysis. The result of this literature based study consists of two main categories of Emotional and Practical Support, as well as five subcategories. Intimate parties' sensations of being relieved and receiving tools that made it simpler to care for their loved ones were the focus of the practical help. Emotional support requires providing information as well as being present and supporting intimate parties after the patient has passed away.

    Discussion: A qualitative palliative care and sustained assistance for intimate parties before and after the death of the patient are dependent on intimate parties’ support

    Conclusions: During palliative care, it is crucial for the nurse to support the intimate parties. As a nurse, it is important to consider and respond to the needs of the intimate parties in order to provide them with the support they need in these hard times.

  • 36.
    Ahmeti, Arta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Torvaldsson, Ellinor
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelser av att vårda barn i palliativt skede: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children in a palliative stage must be cared for based on their individual needs. The nurse must have the ability to prevent suffering, treat the guardians and child with respect, compassion and be able to meet their needs. For the nurse to be able to give the best care, the four cornerstones in palliative care are a fitting guide. These being communication, supporting relatives, relieving symptoms and being able to work in teams.

    Aim: The aim of this study was to describe nurses' experiences of caring for children in a palliative stage.

    Method: This study was literature based on an inductive approach. Ten studies were analyzed using Friberg´s five steps.

    Results: After the analysis two new categories and six subcategories emerged. The main themes were the caring relationship between the child and the guardians and professional challenges in palliative care of children. The nurses perceived the importance of being able to communicate with the guardians and child, as well as being able to cope with their own emotions. Several nurses expressed lack of education.

    Conclusion: The nurses experience shows that they have a tough job with different challenges and tasks. The work is giving but straining and changes need to be made to make it sustainable for the nurses. Better conditions are needed, for example increased education in communication. With the right support, education and coping strategies the ability to provide the right care for the child and guardians is possible

  • 37.
    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.

  • 38.
    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.

  • 39.
    Akhlaghi, Taghi
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kjell, Alexander
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens upplevelse av att leva med trycksår: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Pressure ulcer are one of the most common healthcare injuries and is a challenge for healthcare professionals. A pressure ulcer occurs from pressure or shear or a combination of both and it is mainly the elderly who are at risk. Pressure-relieving aids are used to prevent the pressure ulcer. The patient's experience is important in the care in order to prevent the pressure ulcer. Not understanding the patient's experience can lead to missed care and actions which in turn can lead to serious consequences.

    Aim: To describe patient's experiences of living with pressure ulcers.

    Method: A literature study was performed. An analysis of eleven qualitative articles that focused on the patient's experiences of pressure ulcers were conducted.

    Results: Two main themes and six subthemes emerged. The result presents the two main theme: Physical impact and Mental impact. Physical impact describes that pressure ulcers are painful and limit patient's mobility, which leads to becoming dependent on nursing care. Mental impact describes that the pressure ulcer causes the patients to isolate themselves, become dependent of others and lead to feelings of hopelessness.

    Conclusion: Patients experienced that being dependent on others are difficult and they experienced feelings of worthless and incapable. The smell and pain of the pressure ulcer and its wound fluids impairs patient's self-esteem and wellbeing, resulting in social isolation and hopelessness.

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  • 40.
    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.

  • 41.
    Akkaya, Melina
    et al.
    University West, Department of Health Sciences.
    Cao, Michelle
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter kring hantering av egna känslor vid dödsfall: en litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There are around 90 000 deaths annually in Sweden, it is not unusual for nurses to encounter death in their work. Death can evoke many strong emotions; it is therefore of great importance that nurses’ can cope with their emotions. The aim of this study was to explore nurses' experiences in coping with their own emotions from patient deaths in inpatient care. The study was conducted as a literature-based study based on qualitative research. Ten articles from the databases Cinahl and PubMed, published 2013-2023 in English were included. The articles were analyzed using Friberg’s (2022) five step process. Two main themes were identified: coping strategies in case of death and aspects influencing the coping of emotions. The results showed that nurses coped with their emotions using different coping strategies which could be divided into three subthemes: coping with emotions through practical problem-solving, coping with emotions through distraction and coping with emotions by changing perspective. The results also showed that cultural and religious aspects affected the nurses coping, in both positive and negative ways. Some nurses found ways to cope with their emotions after they had gained experience within the field of deaths, while other nurses didn’t and expressed a feeling of not having enough knowledge about how to cope with their emotions. Therefore, nurses need education on how to cope with their feelings that occur in difficult situations such as deaths. 

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  • 42.
    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.

  • 43.
    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.

  • 44.
    Al Timimi, Amir
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Burman, Kristina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av hög arbetsbelastning i sjukhusmiljö2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nurse’s workload can be affected by the work environment and the type of tasks performed in the workplace. Health issues and work-related suffering can be seen when the workload in considered high.

    Aim: The aim of this study was to illuminate the nurse’s experiences of high workload in hospital environment.

    Method: The design was a qualitative literature study with inductive onset. The data was collected from interviews in articles. The articles were searched systematically in 3 databases: PubMed, Cinahl and PsycInfo. Nine articles were obtained through systematic searches and one article was obtained through a non-systematic search, which made the analysis material consisting of 10 articles. Friberg’s 5-step qualitative analysis was used in this literature study.

    Results: The result was categorized into 3 main categories and 7 sub-categories. The main categories were: To affect the work environment, to distribute work tasks, to understand the consequences of inadequacy. The sub-categories were: To maintain communication and cooperation between staff, to master knowledge, to deal with lack of time, to maintain staffing, to protect nursing measures, to be stressed and frustrated, to feel physical exhaustion.

    Conclusion: High workload for nurses in hospital environment was caused by a non-optimal work environment, high number of patients and high number of work tasks. The nurses experienced deterioration in health due to high workload. 

  • 45.
    Al-Ali, Ariana
    et al.
    University West, Department of Health Sciences.
    Ragnestål, Elin
    University West, Department of Health Sciences.
    Sjuksköterskans erfarenheter av att vårda personer som uppvisar beteendemässiga och psykologiska symtom vid demenssjukdom: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The world has an ever-increasing age of the population, something that will not change in the future. Therefore, the proportion of elderly people and dementia will continue to increase. Approximately 90 percent of people diagnosed with dementia exhibit behavioral and psychological symptoms of dementia (BPSD). These symptoms can be difficult for nurses to cope with. Nurses often meet these people in different care contexts and departments. Therefore, it is essential that nurse's experiences of caring for people with dementia come to light.

    Aim: The purpose was to describe the nurse's experiences of caring for people with BPSD. 

    Method: The study was based on a literature study of articles with qualitative methods. The articles were found through systematic literature searches in the databases Cinahl and Pubmed and were from 2013-2023, were peer reviewed and written in the English language. The articles underwent a quality assessment and were analyzed in a five-step process.

    Results: The results were presented in two main themes: Aspects that facilitate care for people with BPSD. Aspects that complicate the care of people with BPSD. This was followed by six subthemes: The importance of person-centeredness and environmental adaptation. The nurses' own emotional reactions. Early identification of symptoms. Difficulties in communicating with people with dementia. Lack of knowledge. Lack of time due to high workload.

    Conclusion: The findings of this study indicate that knowledge, education, the workplace organization, and training were fundamental parts in caring for persons with dementia.

  • 46.
    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

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  • 47.
    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

  • 48.
    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

  • 49.
    Albinsson, Isac
    et al.
    University West, Department of Health Sciences.
    Heina, Malin
    University West, Department of Health Sciences.
    Ungdomars erfarenheter av att leva med diabetes mellitus typ 1: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 1 is a metabolic disease and an increasing health problem throughout the world. It’s extremely common among children and adolescents. It’s a complex diagnosis to deal with and treatment of diabetes mellitus type 1 involves daily blood sugar control and insulin injections. 

    Aim: The aim of this study was to describe adolescents’ experiences of living with type 1 diabetes.

    Method: A qualitative literature-based method with an analysis of qualitative research was selected . Nine articles from 2013- 2022 were analyzed and included in the result.

    Results: The analysis resulted in three themes and nine subthemes. The themes that emerged were: (1) A changed life situation that awakens emotions (2) The need for a functioning safety net in the encounter with the outside world (3) Dealing with a new everyday life.

    Conclusion: The results revealed that young people with diabetes mellitus type 1 had a feeling that they needed to adjust their lives to be able to live with the disease. The majority of the adolescents sought independence, as it was their main objective. It was evident that one of the biggest difficulties that the adolescents faced were the feeling of being the one to “stand out”. The surroundings impact on the everyday life were both positive and negative.

  • 50.
    Albinsson, Jenny
    et al.
    University West, Department of Health Sciences.
    Björn, Elin
    University West, Department of Health Sciences.
    Upplevelsen av att vara närstående under covidpandemin.: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The corona pandemic led to visiting restrictions which means that relatives were involuntarily separated from their loved ones, creating suffering for both parties. The nurse has an important social responsibility to see and include relatives in the person-centered care. Aim: To describe the relatives’ experience of being close during the corona pandemic. Method: A qualitative literature-based study. The articles were searched in the CINAHL and PubMed databases, which after analysis according to Friberg’s 5-step model resulted in tenselected articles which constitute the result. Results: The literature-based study resulted in 3 themes; Powerlessness and frustration during the corona pandemic, Loss and grief in time of COVID-19, Feeling of gratitude and dignity during the pandemic and 8 sub-themes; Fear of loved ones, Separation and bereavement, Lack of time affected the communication, Lost identity, Limited farewell, Lost time at the end of life, Having trust in care staff, Being confirmed as a relative. Relatives experienced a loss of contact with care during the corona pandemic. The nurse's empathic ability was important and made a difference, especially in cases of death. The next of kin wants to be recognized by the nurse as the significant part they are in their loved ones' lives and the person-centered care.Conclusion: The relatives' experience of being able to participate and be present in their loved one's care is something the nurse should consider and encourage as an important part of the person-centered care.

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