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  • 1.
    Alverbratt, Catrin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Berlin, Johan
    Högskolan Väst, Institutionen för individ och samhälle, Avd för socialpedagogik och sociologi.
    Åström, Sture
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Kauffeldt, Anders
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Carlström, Eric
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    A New Working Method in Psychiatric Care: the impact of implementation2016Ingår i: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, nr 3, s. 295-304Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 2.
    Anberg Högeryd, Susanne M.
    et al.
    NU-sjukvården, Trollhättan.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet2014Ingår i: International Journal of Nursing and Midwifery, E-ISSN 2141-2456, Vol. 6, nr 2, s. 16-23Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 3.
    Andersson, Ann-Christine
    et al.
    Jönköping University,The Jönköping Academy for Improvement of Health and Welfare, Jönköping.
    Ainalem, Ingrid
    Centre for Innovation and Improvement (CII), Region Skane, Malmo.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Kristianstad.
    Janlöv, Ann-Christin
    Kristianstad University, Kristianstad.
    Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.2016Ingår i: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, nr 1, s. 44-52Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 4.
    Andersson, Ann-Sofi
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Rydell, Annelie
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Strategier som personer använder för att förbättra sömnen efter genomgången sömnskola i primärvården: En kvalitativ intervjustudie2014Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund:

    Studier visar att sömnproblem är vanligt och prevalensen ökar. Tidig upptäckt och adekvat hjälp är viktigt. Sömnskola med kognitiv beteendeterapi (KBT) visar på bra långtidseffekter, men få personer med sömnproblem får tillgång till dessa sömnskolor. Distriktsköterskan inom primärvården har möjlighet att ge stöd vid sömnproblematik. Genom ökad kunskap om vilka strategier som främjar god sömn ges distriktsköterskan bättre möjlighet att stödja personer med sömnproblem. Syfte: Att beskriva vilka strategier personer använder sig av för att förbättra sömnen efter genomgången sömnskola. Metod: Studien har en kvalitativ ansats där semistrukturerade intervjuer genomfördes med tio informanter som genomgått sömnskola. Intervjumaterialet analyserades med kvalitativ innehållsanalys. Resultat: Vid analys av intervjumaterialet framkom tre kategorier och åtta subkategorier som bildar studiens resultat. Hanterar tankar på nytt sätt inkluderade tre subkategorier: att omformulera negativa tankar, att acceptera sin sömn samt att våga minska på sömnmedel. Utövar aktiviteter som främjar sömnen inkluderade två subkategorier: att öka sin fysiska aktivitet och att göra avspänningsövningar. Anpassar miljön för att främja sömnen inkluderade tre subkategorier: att reducera sömnstörare, att anpassa sovrumsmiljön samt att reducera koffeinintag och alkohol. Konklusion: Studien visar att sömnskola med KBT, enligt informanterna, gav kunskap och verktyg för att hitta strategier som hjälpte dem att sova bättre och att känna sig mer nöjda med sin sömn. Ökade utbildningsinsatser för primärvårdens distriktssköterskor i sömnkunskap och KBT, skapar bättre förutsättningar för att tidiga och effektiva insatser görs

  • 5.
    Andersson Glemring, Annika
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Hurtig, Helena
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Motivationsfaktorer för fysisk aktivitet hos äldre2013Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund; antalet äldre i Sverige ökar och får en högre medellivslängd. En viktig förutsätt-ning för att bevara sin hälsa är att kunna röra på sig och att vara fysiskt aktiv. Distriktsskö-terskans förmåga att anpassa information, modeller och strategier till individens nivå och livs-värld har en avgörande betydelse för vårdarbetet.

    Syfte; syftet med arbetet var att identifiera faktorer som kan motivera den äldre människan till att vara fysiskt aktiv.

    Metod; en empirisk enkätstudie genomfördes på en motionsanläggning i en medelstor stad i västra Sverige. Studien riktade sig mot äldre personer fyllda 65 år och deltagandet var frivil-ligt. Enkäter placerades ut i styrketräningslokal och i badhus under fyra veckor. Datamateri-alet analyserades genom kvalitativ innehållsanalys.

    Resultat; enkäten besvarades av 73 personer mellan 65-97 år. Analysen resulterade i tre hu-vudkategorier och 16 underkategorier. Huvudkategorierna var; faktorer som motiverar den äldre till fysisk aktivitet, faktorer som motiverar den äldre till ökad fysisk aktivitet och hinder hos den äldre för fysisk aktivitet.

    Konklusion; i studien har vi funnit användbara motivationsfaktorer och även hinder för att den äldre människan ska vara fysiskt aktiv. Det visar på att det finns möjlighet att med enkla medel ge fysisk aktivitet en större plats i distriktssköterskans preventiva och behandlande arbete. Förslag på vidare forskning kan vara att driva projektarbete med de äldre på grupp-nivå.

  • 6.
    Andersson, Katarina
    et al.
    Sävelången Family Practitioner and Child Health Centre, Alingsås, Sweden.
    Shadloo, Mandana
    Rent-A-Nurse Centre, Uddevalla, Sweden.
    Rudolfsson, Gudrun
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Growing as a Human Being€”: Obese Adolescents' Experiences of the Changing Body2016Ingår i: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 31, nr 1, s. e53-e62Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the presented study was to describe how obese adolescents experience themselves and their bodies and how their views changed as a result of participation in a weight loss program. A total of five adolescents were interviewed in this qualitative study. Data were analyzed by means of content analysis. One main theme emerged, “Growing as a human being”, which comprised four themes based on 13 sub-themes. Being part of a weight loss program was a time of transition that led not only to weight reduction but also to a higher level of well-being and a feeling of dignity.

  • 7.
    Andersson, Madeleine
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Ståhl, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Att stödja patienter med diabetes typ II till egenvård2015Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Diabetes type II is a chronic disease and the most common form of diabetes. It is a metabolic disease that involves chronic hyper glycemia. The disease is a global health concern given the risks of developing complications and high mortality. To understandthe disease andknow whatself-caremeans is important to be able to manage the disease in an independent way. To get a good self-care the patient needs to be motivated and have a willingness to take responsibility for their own self-care.

    Aim:

    The purpose of this study was to describe how the district nurses support patients with diabetes type II to get self-care.

    Method: An inductive and qualitative study was set up. Twelve districts nurses were interviewed and a qualitative content analysis was chosen as the method of analysis for this study.

    Results: The results of the study resulted in six main categories; listening to see the person, support for change, conditions for a good self-care, individualizing information and cooperate for good self-care. And one main theme: Self-care- take control over your own life.

    Conclusion: The conclusion of the study's results describe that: to promote a good self-care requires that the district nurses create a good relationship with patients by seeing the patient as a whole with a personal responsibility for their health.

  • 8.
    Andersson, Oskar
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Rosengren, Jessica
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    God man i vården av personer med psykiska funktionsnedsättningar: En kvalitativ intervjustudie2015Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Trustee is an actor who a specialist nurse in psychiatry may cooperate within the care of people with mental disabilities. Trustee works as a deputy to a person who himself cannot protect their own interests. Mental disability is a reason why trustee is held by the Swedish courts. There are no new measurements of how many people's with mental disabili-ties that have a trustee, but research shows that this insert is a common occurrence for these people. No previous research has been found which describe trustee's impact on the nursing care of people with mental disabilities.

    Aim:

    The aim of this study was to describe the specialist nurse in psychiatry experiences of a trustee in the care of people with mental disabilities in psychiatric outpatients.

    Method:

    The study was based on interviews with 10 specialist nurse in psychiatry, working in psychiatric outpatient. A qualitative content analysis was conducted.

    Results:

    In the present study the specialist nurse in psychiatry describe that trustee can be promoting in the care of people with mental disabilities. The nurses described that the trustee was a person who they could cooperate with and who also guarded the patient´s rights. Trus-tees could also be aggravating to the care when the cooperation was hampered by various fac-tors such as the trustee's personality and the patient opposed the insert.

    Conclusion:

    Trustee has an impact on the care of people with mental disabilities. There are opportunities for cooperation between the specialist nurse in psychiatry and the trustee that can promote a more full care of people with mental disabilities.

  • 9.
    Andersson, Viktoria
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Karlsson, Sara
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Distriktssköterskors upplevelser av att involvera närstående i omvårdnaden av patienter med diabetes typ 22015Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background;

    Approximately four percent of women and six percent of men in the Swedish population is estimated to have diabetes, 80-90% of those with diabetes type 2. Family focused care is of great importance in families where one member is suffering from a chronic illness. A family-focused approach to diabetes care supports positive family function. Health professionals should spend more time and attention to non-clinical factors such as social support.

    Aim;

    To identify primary health care nurses´ experiences of involving family members in the care of patients with diabetes type 2.

    Methods;

    Data was collected by written narratives from ten primary health care nurses working with patients with diabetes type 2 and qualitative content analysis was used for analysis of data.

    Results;

    The result was based on the theme Intimate as enhanced cooperation partner in the meeting, with categories Intimate as resource and Intimate as obstacle. Intimate as resource was divided into subcategories Lifestyle changes as a joint project, The creation of knowledge and security, A different point and Facilitation of communication in language problems. Intimate as obstacles were divided into Intimate taking over, Private conversations substances and Family conflicts.

    Conclusions;

    To suffer from diabetes type 2 sets high demands on the daily life of the patient. Primary health care nurses experiencing intimate as a resource in nursing care. In some cases primary health care nurses has experienced intimate as an obstacle in the meeting.

  • 10.
    Antonsson, H
    et al.
    Umeå University, Department of Nursing.
    Åström, Sture
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Lundström, M
    Umeå University, Department of Nursing.
    Graneheim, U H
    Umeå University, Department of Nursing.
    Skilled interaction among professional carers in special accommodations for adult people with learning disabilities.2013Ingår i: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, nr 7, s. 576-583Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Communicative difficulties affect interactions between people with learning disabilities and their carers. Despite such difficulties, however, some carers seem to interact successfully with people who have limited ability to communicate verbally and exhibit challenging behaviour. This study aims to illuminate skilled interaction among carers working in special accommodations for people with learning disabilities. Interactions between 16 caregivers and 11 residents with learning disabilities were recorded on video. Verbal and non-verbal interaction skills among the carers were identified. Four caring situations with people with learning disabilities were chosen to illuminate skilled interaction. The transcribed text was subjected to qualitative content analysis and core stories were created. The results show that skilled interaction between the carers and the people with learning disabilities is based upon being confirming, sharing daily life experience, giving time and space, and using congruent and distinct language. In this paper we present examples that offer concrete suggestions of how to promote successful interaction and create meaning in the shared day-to-day life in special accommodations for people with learning disabilities.

  • 11.
    Askarian, Zahra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Sjuksköterskans erfarenhet av undervisning om egenvård hos utlandsfödda patienter som har astma2014Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Asthma disease is a public health problem. The incidence of asthma can vary depending on the patient's ethnicity. There is a risk for patients who have language difficulties with non-Swedish background that do not always tell you about the extent of their problems, and/or to express their symptoms differently and or do not complete their treatments or the recommendations given on self-care. The language barrier can make following self-care advice difficult, even compliance to taking their medicine in a correct fashion. The nurse's perception of the patient lived situation, knowledge and to see the patient as a whole, can increase the nurses' knowledge and compliance in giving relevant information to the patient which he/she understand. This will in turn strengthen the patient's capability to follow advice and complete their prescribed health care regime. Purpose with study was to describe the nurse’s experience of teaching on self-care in patients with non-Swedish background with asthma. The study is based on qualitative method. Sex nurses interviewed in this study January and February 2014 in Gutenberg in Sweden. Inductive qualitative content analysis is used. The Results of this study are presented in three categories: experience of communication on self-care, experience of patient's self-care and experience of follow-up patients. I believe that nurses with a better understanding of patient who have a non-Swedish background can achieve higher compliance from the asthma patient which in turn can lead to effective self-care outcomes

  • 12.
    Avellán, Maria
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Örtendahl, Linda
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Livskvalitet hos kvinnor med urininkontinens: En kvantitativ studie2014Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Urininkontinens är ett stort folkhälsoproblem och många kvinnor är drabbade. Livskvaliteten påverkas ofta negativt vilket kan medföra ett lidande för kvinnorna. Syftet med denna studie var att undersöka hur urininkontinens påverkar livskvaliteten hos kvinnor som sökt hjälp inom primärvården. Metoden var en icke-experimentell tvärsnittsstudie med kvantitativ ansats. Data inhämtades från två vårdcentraler och totalt tillfrågades 187 kvinnor att delta i studien. Data samlades in med hjälp av ett validerat mätinstrument, urininkontinens och livskvalitet (ICIQ-UI SF), med en egenkonstruerad tilläggsfråga. Totalt deltog 132 kvinnor (71 %) i studien. Studien visade att medianåldern på deltagarna var 75 år med spridning 36-94 år. Studien visade att urininkontinens hade större negativ inverkan på livskvaliteten hos de yngre kvinnorna jämfört med de äldre kvinnorna. Frekvens, mängd och svårighetsgrad av urininkontinens inverkade i hög grad på kvinnornas livskvalitet. Hälften av kvinnorna hade inte fått behandling. De behandlade kvinnorna hade en signifikant lägre medelålder än de obehandlade. Behandling av urininkontinens hade inte någon signifikant effekt på kvinnornas livskvalitet. Anmärkningsvärt var att behandlade yngre kvinnor upplevde signifikant sämre livskvalitet jämfört med obehandlade yngre kvinnor. Trots behandling upplever kvinnorna försämrad livskvalitet vilket kan tyda på att de är underbehandlade. Det är viktigt att vårdpersonal är medvetna om hur kvinnor med urininkontinens upplever sin livskvalitet, detta för att kunna hjälpa dem på bästa sätt.

  • 13.
    Axelsson, Malin
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Lötvall, Jan
    Krefting Research Centre, Institute of Medicine, Internal Medicine, Sahlgrenska Academy, University of Gothenburg.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Self-efficacy and adherence as mediating factors between personality traits and health-related quality of life2013Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 22, nr 3, s. 567-575Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose Personality traits are rather stable dispositions inadulthood, while self-efficacy and adherence may bemodified through targeted interventions. Health-relatedquality of life (HRQL) serves as a vital outcome measure.The present aim was to explore the function of self-efficacyand adherence as mediators for the influencing effect ofpersonality traits on HRQL in people with chronic disease.Methods An epidemiological sample of 786 personscompleted questionnaires on personality, general self-efficacy,adherence behaviour and HRQL. Data were statisticallyanalysed using descriptive statistics, correlationanalyses and path models.Results Self-efficacy mediated the effect of Extraversionand Conscientiousness on mental HRQL. Neuroticism hada direct effect on both physical and mental HRQL.Adherence partially mediated the effect of both Agreeablenessand Conscientiousness on mental HRQL.Conclusions The mental HRQL in people scoring low onExtraversion or low on Conscientiousness could beimproved by strengthening general self-efficacy. Increasingadherence in people scoring low on Agreeableness orConscientiousness could improve their mental HRQL, butthe improvement was small and may be of lesser clinicalrelevance. These results argue for personalized interventionsintended to positively affect health outcomes inpeople with chronic disease.

  • 14.
    Bagger, Marie
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Johansson, Jenny
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Sjuksköterskans upplevelse av att vårda barn i hemmet2015Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund;

    Som sjuksköterska inom kommunal hemsjukvård skall du i dag besitta de kunskaper som krävs för att kunna tillgodose patienter med en god och säker vård oavsett ålder. Allt fler sjuka barn vårdas i dag i hemmet med hjälp av hemsjukvården och antalet tros i framtiden öka. Det finns i dag ingen svensk forskning inom ämnet. Hur är sjuksköterskornas upplevelse av att vårda barn i hemmet?

    Syfte;

    Syftet med arbetet var att undersöka sjuksköterskans upplevelse av att vårda barn i hemmet.

    Metod; En intervjustudie genomfördes med åtta sjuksköterskor som arbetade inom hemsjukvården i fyra olika kommuner i västra Sverige. Textmaterialet från intervjuerna analyserades i sin helhet med hjälp av en kvalitativ innehållsanalys.

    Resultat;

    Analysen resulterade i tre kategorier och sju underkategorier samt ett tema. Följande kategorier framkom: Att känna sig otillräcklig, Att se den enskilda familjens behov, Att vara engagerad. Temat som framkom var betungande men givande

    Konklusion;

    Sjuksköterskorna kände sig otillräckliga att vårda barn i hemmet då de upplevde brist på kunskap och erfarenhet av att vårda barn. De upplevde även att familjen hade en stor och viktig roll vid vård av barn i hemmet och att det var viktigt att vara engagerad.

  • 15.
    Bergh, Anne-Louise
    et al.
    University of Borås.
    Friberg, Febe
    University of Stavanger.
    Persson, Eva
    Lund University.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Perpetuating ‘New Public Management’ at the expense of nurses’ patient education: a discourse analysis2015Ingår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 22, nr 3, s. 190-201Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study aimed to explore the conditions for nurses’ daily patient education work by focusing on managers’ way of speaking about the patient education provided by nurses in hospital care. An explorative, qualitative design with a social constructionist perspective was used. Data were collected from three focus group interviews and analysed by means of critical discourse analysis. Discursive practice can be explained by the ideology of hegemony. Due to a heavy workload and lack of time, managers could ‘see’ neither their role as a supporter of the patient education provided by nurses, nor their role in the development of nurses’ pedagogical competence. They used organisational, financial, medical and legal reasons for explaining their failure to support nurses’ provision of patient education. The organisational discourse was an umbrella term for ‘things’ such as cost-effectiveness, which were prioritised over patient education. There is a need to remove managerial barriers to the professional development of nurses’ patient education. Managers should be responsible for ensuring and overseeing that nurses have the prerequisites necessary for providing patient education as well as for enabling continuous reflective dialogue and opportunities for learning in practice.

  • 16.
    Bergh, Madeleine
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Sjuksköterskans pedagogiska funktion och kompetens i mötet med närståeden2012Ingår i: Pedagogik inom vård och handledning / [ed] Pilhammar Andersson, Ewa, Lund: Studentlitteratur, 2012, 2., [rev.] uppl, , s. 172 s.s. 65-88Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 17.
    Bergh, Madeleine
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Carlson, Elisabeth
    Malmö högskola. Fakulteten Hälsa och samhälle.
    Friberg, Febe
    Sahlgrenska akademin vid Göteborgs universitet.
    Gedda, Birgitta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Häggström, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Pilhammar, Ewa
    Sahlgrenska akademin vid Göteborgs universitet.
    Pedagogik inom vård och handledning2012 (uppl. 2., [rev.] uppl.)Bok (Övrigt vetenskapligt)
  • 18.
    Bergman, Annika
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Våga välja lämna ifrån sig makten: att möjliggöra ökad delaktighet för patienter som behndlas med dialys2013Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 19.
    Bergqvist, Karin
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Johansson, Anders
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Att arbeta med tolk vid bedömningar: sjuksköterskors upplevelser av kvalitén2015Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    Studies show that when nurses are experiencing problems in the care of non-Swedish speaking patients, it is often due to obstacles in the communication. Studies also show that a prerequisite for adequate care is that there is a basis for a direct communication. Nurses perceive interpreters as an important link to the patient when they do not share a mutual language, the nurses perceive interpreters as a bridge in the conversation.

    Aim:

    The purpose of the study is to describe nurses' experiences of the quality of assessments done with the help of an interpreter.

    Method:

    The study was conducted through interviews with ten nurses, working at psychiatric clinics. Qualitative content analysis was used for the analysis, which resulted in five categories.

    Results:

    The analysis resulted in one theme: "it´s the interpreter who tells me and have not the feeling that the patient has" and five categories: "shades of the language", "conversation structure", "the interpreter's competence", "interpreting implementing" and "the interpreter's gender and origin". The nurses experience working with interpreters as a challenge. The difficulty of working with the help of an interpreter is that the nurse cannot see the spoken word in connection with the patient's body language. Communication through an interpreter also felt unnatural and the interpreter's participation is perceived as a filter.

    Conclusion:

    The quality of the assessments were not perceived as good with the interpreter as without, however, there was no risk to patient safety.

  • 20.
    Berlin, Johan
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avd för socialpedagogik och sociologi.
    Carlström, Eric
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Göteborgs universitet, Sahlgrenska akademin.
    Samverkansövningar: Om lärande och nytta2015 (uppl. 1)Bok (Övrigt vetenskapligt)
    Abstract [sv]

    Den här studien handlar om samverkansövningar med särskilt fokus på fullskaleövningar mellan polis, räddningstjänst och ambulans. För att lyckas i en komplex situation behöver personalens förmåga att samverka organisationsövergripande utvecklas och förfinas.

    Det övergripande syftet med denna studie var att studera hur samverkan övas och hur övningarna leder till lärande och nytta. I studien gjordes inledningsvis en forskningsöversikt. Utifrån den har ett antal centrala begrepp tagits fram som varit till hjälp när vi följt svenska samverkansövningar genom intervjuer och observationer. Den samlade analysen har sedan legat till grund för konstruktionen av en ny övningsmodell, 3NS, trenivåsamverkan. Den bygger på erfarenheter vi gjort i studier av traditionella övningar.

    De 3NS-övningar som genomfördes bestod av två praktiska moment och tre seminarier. Varje moment följdes av ett utvärderande seminarium som syftade till att deltagarna själva skulle reflektera och utveckla sitt handlingsmönster. De båda praktiska momenten var identiska. Det gav de övande tillfälle att repetera och metodiskt prova nya angreppssätt. Det första övningsmomentet genomfördes enligt de rutiner som normalt tillämpas och styr handlandet vid en skarp händelse. Det andra övningsmomentet föregicks av ett självkritiskt seminarium där deltagarna själva identifierade vad som kunde förbättras till nästa övningsomgång.

    Forskningsprojektet har genomförts 2011-2014. Totalt har 19 samverkansövningar studerats, varav 16 fullskaleövningar. I studien har totalt 97 intervjuer och 125 timmar observation genomförts. En enkät (CLU-instrument) har utvecklats, vilken besvarats av 272 övningsdeltagare.

    Studien visar att kollaborativa moment vid övningar bidrar till att deltagarna lär sig mer och har större nytta av övningar. 3NS-övningarna uppfattades förbättra lärandet med 26 procent och nyttan med 17 procent jämfört med traditionella övningar. Samverkansövningar gynnas av att de övande själva analyserar sina svagheter. Repetitiva inslag där de övande prövar alternativa strategier förbättrar beredskapen inför skarpa händelser.

  • 21.
    Berlin, Johan
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avd för socialpedagogik och sociologi.
    Carlström, Eric D.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Göteborgs universitet, Sahlgrenska Akademin, Institute of Health and Care Sciences.
    The Three-Level Collaboration Exercise: Impact of Learning and Usefulness2015Ingår i: Journal of Contingencies and Crisis Management, ISSN 0966-0879, E-ISSN 1468-5973, Vol. 23, nr 4, s. 257-265Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the study was to examine the emergency personnel’s perception of the effects of exercises, with regard to learning and usefulness. The exercises were quasi-experimental and constructed in such a way that employees from different organizations overlapped each other’s tasks. This was accomplished by: having asymmetries included in the scenarios, repeating exercise procedures and testing different strategies, which were discussed at joint seminars. The exercises were compared to a similar study, published in this journal, of nonquasi-experimental but merely traditional exercises. Surveys were distributed and collected from emergency personnel in connection with seven exercises. At the exercises, 94.3% of the personnel thought that the exercises had a focus on collaboration (traditional exercises, 75.6%).

  • 22.
    Björkqvist, Lena
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Klasson, Kristina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Att skapa trygghet: Distriktssköterskors erfarenheter av att vårda äldre personer i hemmet2014Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Att en äldre person känner sig trygg när han/hon vårdas i sitt hem är av stor betydelse för vårdens kvalitet. Syftet med studien var att beskriva hur distriktssköterskor skapar trygghet till äldre personer som vårdas i sitt hem. Studien är baserad på nio intervjuer med distriktssköterskor. Studien analyserades med hjälp av en kvalitativ innehållsanalys. Analysen resulterade i temat:

    Att se hela människan bakom sjukdomen vilken innefattar fem subteman: Att skapa tillit och relation, Att möta personens behov, Att se och stärka patientens egna resurser, Att vara med patienten och Att vara tillgänglig, visa kompetens och intresse. I resultatet framkom att distriktssköterskor upplevde att trygghet skapades genom att bekräfta personen som vårdades i sitt hem. Trygghet skapades också genom att visa ett genuint intresse och engagemang för personen. Genom att själv vara trygg i sin profession ingavs förtroende som gjorde att personen kunde känna tillit. Slutsatser som dras är att distriktssköterskor måste möta personen som person, se dennes behov och stärka hans/hennes resurser.

  • 23.
    Blomgren, Annelie
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Engström Andreasson, Annika
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Sjuksköterskans strategier för att hjälpa patienten till en god egenvård: En kvalitativ innehållsanalys2015Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund:

    Många patienter med kroniska sjukdomar såsom astma/KOL, diabetes och hjärtsvikt/hypertoni kommer hem allt tidigare från en sjukhusvistelse och behöver därför mer support, råd och hjälp från sjuksköterskan inom primärvården för att kunna hantera sin sjukdom.

    Syfte:

    Syftet med studien var att beskriva sjuksköterskans strategier för att skapa så goda förutsättningar som möjligt för en bra egenvård hos patienten.

    Metod

    : En kvalitativ studie genomfördes. Åtta sjuksköterskor med specialistansvar som astma/KOL, diabetes eller hjärtsvikt/hypertonisjuksköterska på vårdcentral intervjuades. En kvalitativ innehållsanalys av insamlad data genomfördes.

    Resultat:

    Ur det analyserade intervjumaterialet växte fyra kategorier med vardera tre tillhörande subkategorier fram. De fyra kategorierna som framkom var: Att utgå ifrån patientens behov, Att se hela individen, Att nå patienten genom användning av hjälpmedel och Att komma vidare när det inte blir som planerat. Som en röd tråd genom dessa kategorier går sjuksköterskans roll i att vägleda patienten i genomförandet av en god egenvård.

    Slutsats:

    Samtliga sjuksköterskor i studien framhåller vikten av att se och möta patienten på dennes nivå. Detta för att nå fram till patienten och kunna stötta och ge den hjälp och de redskap patienten behöver i genomförandet av egenvård.

  • 24.
    Boman, Åse
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Fathers involved in children with type 1 diabetes: finding the balance between disease control and health promotion2013Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Background:

    Type I diabetes is a chronic disease that places great demands on the child and family. Parental involvement has been found to be essential for disease outcome. However, fathers’ involvement has been less studied, even though high paternal involvement has been correlated with less disease impact on the family and higher quality of life among adolescents.

    Aim: The overall aim of the study was to explore and analyze constructions of fathers’ involvement in their child’s everyday life with type 1 diabetes from an ecological and health promotion perspective. Four specific aims were applied: 1) explore and describe discourses in health care guidelines for children with type 1 diabetes in Nordic countries, focusing on parents' positioning (I), 2) analyze how Swedish pediatric diabetes teams perceived and discussed fathers’ involvement in the care of their child with type 1 diabetes, and to discuss how the teams’ attitudes toward the fathers’ involvement developed during a focus group process (II), 3) explore and discuss how fathers involved in caring for their child with type 1 diabetes experience support from their pediatric diabetes team in everyday life with their child (III), and 4) analyze how involved fathers to children with type 1 diabetes understand their involvement in their child’s daily life and to discuss their perceptions from a health promotion perspective (IV).

    Material and methods: A qualitative and inductive approach was applied. Data were collected and analyzed during 2010-2012. The sample consisted of three pediatric guidelines originating from Norway, Denmark and Sweden (I), three Swedish pediatric diabetes teams (PDTs) (II), and 11 (III) and 16 (IV) fathers of children with type 1 diabetes who scored high involvement on the Parental Responsibility Questionnaire. Data were collected through repeated focus group discussions with the PDTs (II), online focus group discussions (III) and individual interviews (III, IV) with the fathers. Three analysis methods were applied: analysis of discourses (I), Constructivist Grounded Theory (II, III) and content analysis (IV).

    Findings: The findings illuminated the complex interaction between the pediatric guidelines, the PDTs and the fathers. Fathers highly involved in their child’s daily life experienced different levels of tension between the general recommendations and their personal experiences of living with a child with type 1 diabetes (III). The fathers regarded their involvement in their child’s diabetes care as additional to their general parenting, and a fine balance was identified between a health promotion perspective and a controlling involvement. The common denominator between the highly involved fathers was their use of parental leave (IV). The PDTs initially perceived fathers’ involvement as gendered and balanced on the mother’s agement, but as focus was set on fathers’ engagement the PDTs increased their awareness of this and started to identify and encourage their engagement II). At the macro-level, parents’ voices were diminished in Nordic pediatric diabetes guidelines in favor of an expert discourse (I).

    Conclusions: Fathers’ involvement concerning a child with type 1diabetes is constructed in a complex way, based on an interaction between the fathers’ perceptions of their additional involvement and the support provided by the PDTs; the PDTs’ perceptions of the fathers’ involvement; and how parents/fathers are constructed in pediatric diabetes guidelines. In order to promote the health and well-being of children with type 1 diabetes, fathers’ involvement needs to be taken into account in the pediatric guidelines as well as in clinical practice. 

  • 25.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Bohlin, Margareta
    Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.
    Eklöf, Mats
    University of Gothenburg, Gothenburg.
    Forsander, Gun
    University of Gothenburg, Gothenburg.
    Törner, Marianne
    University of Gothenburg, Gothenburg.
    Conceptions of Diabetes and Diabetes Care in Young People With Minority Backgrounds.2015Ingår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 25, nr 1, s. 5-15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Adolescents with type 1 diabetes (T1DM) need stable self-care routines for good metabolic control to minimize future cardiovascular health complications. These routines are demanding, and might be particularly challenging in underprivileged groups. The aim of this study was to gain in-depth knowledge on the experience of adolescents with T1DM and a non-Swedish background regarding factors that might influence their ability to take care of themselves; in particular, factors that might influence diabetes management routines, their social situation, and the support they receive from caregivers. We interviewed 12 adolescents with T1DM and minority backgrounds. The results indicated resources and constraints in the adolescents' social context and in the health care organization. The adolescents developed conceptions that helped to explain and excuse their self-care failures, and their successes. These findings highlight the importance of integrating T1DM as part of the individual's personal prerequisites. We discuss implications for the organization of diabetes care for adolescents.

  • 26.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap NHV.
    Dahlborg-Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Swedish pediatric diabetes teams' perception of fathers' involvement: A Grounded Theory study2013Ingår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 15, nr 2, s. 179-185Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose of this study was to analyze how Swedish pediatric diabetes teams perceived and discussed fathers' involvement in the care of their child with type 1 diabetes. It also aimed to discuss how the teams' attitudes towards the fathers' involvement developed during the data collection process. The Constructivist Grounded Theory design was used and data were collected during three repeated focus group discussions with three Swedish pediatric diabetes teams. The core category of the teams' perception of fathers' involvement emerged as: If dad attends, we are happy – if mom doesn't, we become concerned. Initially the teams balanced their perception of fathers' involvement on the mother's role as the primary caregiver. In connection with the teams' directed attention on fathers, in the focus group discussions, the teams' awareness of the importance of fathers increased. As a consequence, the team members began to encourage fathers' engagement in their child's care. We conclude that by increasing the teams' awareness of fathers as a health resource, an active health promotion perspective could be implemented in pediatric diabetes care.

  • 27.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Borup, Ina
    Nordic School of Public Health, Gothenburg.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Parents' discursive resources: Analysis of discourses in Swedish, Danish and Norwegian health care guidelines for children with diabetes type 12012Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, nr 2, s. 363-371Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The incidence of diabetes type 1 in children, the most common metabolic disorder in childhood, increases worldwide, with highest incidence in Scandinavia. Having diabetes means demands in everyday life, and the outcome of the child's treatment highly depends on parents' engagement and involvement. The aim of this study was to explore and describe discourses in health care guidelines for children with diabetes type 1, in Sweden, Norway and Denmark during 2007-2010, with a focus on how parents were positioned. As method a Foucauldian approach to discourse analysis was applied, and a six-stage model was used to perform the analysis. The findings shows a Medical, a Pedagogic and a Public Health discourse embedded in the hegemonic Expert discourse. The Expert discourse positioned parents as dependent on expert knowledge, as recipients of education, as valuable and responsible for their child's health through practicing medical skills. This positioning may place parents on a continuum from being deprived of their own initiatives to being invited to take an active part and could result in feelings of guilt and uncertainty, but also of security and significance. From this study we conclude that guidelines rooted in the Expert discourse may reduce opportunities for parents' voices to be heard and may overlook their knowledge. By broadening the selection of authors of the guidelines to include patients and all professionals in the team, new discourses could emerge and the parents' voice might be more prominent. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.

  • 28.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap.
    Hanås, Ragnar
    Uddevalla Hospital.
    If dad comes, we are happy - if mom fails to appear, we become desperate: A Grounded Theory study of Swedish diabetes teams perecption of fathers’ involvement in their child's everyday life2011Ingår i: 4th International Research Seminar on SALUTOGENESIS and meeting of the IUP-GWG-SAL: May 30-31, 2011, University West, Trollhättan, Sweden, 2011, s. 1-12Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: Since parental involvement is essential to the outcome of diabetes type 1 treatment in childhood and high paternal engagement in everyday life promote the child's health, it is of value to explore how professionals, the diabetes teams (DT), perceive fathers' involvement in their child with diabetes type 1.

    Method: The study design was Constructivist Grounded Theory and data was collected by Repeated Focus Groups discussions with three Swedish pediatric diabetes teams, between May 2010 and January 2011.

    Results: The core category for the diabetes teams' perception of fathers' involvement was If dad comes, we are happy – if mom fails to appear, we become desperate. The core category relied on three subcategories. Societal and cultural context where DTs perceived fathers involvement as having specific properties and specific areas of responsibility, Balancing where the DTs balanced the father's involvement against the mother's engagement and Becoming aware where the DTs raised awareness of the fathers from being a indistinct parents-unit till to identify and appreciate the father's engagement.

    Conclusions: Perceiving fathers as equal caregivers, and becoming aware of fathers as a health resource, could support an active health promotion perspective in pediatric diabetes care. 

  • 29.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordic School of Public Health NHV, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers' encounter of support from paediatric diabetes teams: the tension between general recommendations and personal experience2013Ingår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 21, nr 3, s. 263-270Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose of this grounded theory study was to explore and discuss how fathers involved in caring for a child with type 1 diabetes experienced support from Swedish paediatric diabetes teams (PDTs) in everyday life with their child. Eleven fathers of children with type 1 diabetes, living in Sweden and scoring high on involvement on the Parental Responsibility Questionnaire, participated. Data were collected from January 2011 to August 2011, initially through online focus group discussions in which 6 of 19 invited fathers participated. Due to high attrition, the data collection continued in eight individual interviews. A semi-structured interview guide was used, and the fathers were asked to share experiences of their PDT's support in everyday life with their child. A simultaneous and constant comparison approach to data collection and analysis allowed the core category to emerge: the tension between general recommendations and personal experience. This core category illuminates how the fathers experienced tension between managing their unique everyday life with their child and balancing this to meet their PDT's expectations with regard to blood glucose levels. The core category was supported by two categories: the tension between the fathers'and their PDT's knowledge, whereby fathers reported discrepancies between their PDT's medical knowledge and their own unique knowledge of their child; and the tension between the fathers'and their PDT's goals, whereby the fathers identified differences between the familys' and their PDT's goals. As a dimension of the core category, fathers felt trust or distrust in their PDT. We conclude that to achieve high-quality support for children with diabetes and to enhance their health and well-being, involved fathers' knowledge of their unique family situation needs to be integrated into the diabetes treatment.

  • 30.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers of Children With Type 1 Diabetes: Perceptions of a Father's Involvement From a Health Promotion Perspective2014Ingår i: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 20, nr 3, s. 337-354Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study describes how fathers of children diagnosed with type 1 diabetes understand their involvement in their child's daily life from a health promotion perspective. Sixteen Swedish fathers of children living with type 1 diabetes were interviewed. Manifest and latent content analysis was used to identify two themes: the inner core of the father's general parental involvement and the additional involvement based on the child's diabetes. The former was underpinned by the fathers' prioritization of family life and the fathers being consciously involved in raising the child, and the latter by the fathers promoting and controlling the child's health and promoting and enabling the child's autonomy. The results highlight that the quality of the fathers' involvement is essential in the management of a child's chronic illness. It is important for pediatric diabetes health care professionals to assess the quality of fathers' involvement to promote the child's health.

  • 31.
    Brink, Eva
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Alsén, Pia
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Validation of the Revised Illness Perception Questionnaire (IPQ-R) in a sample of persons recovering from myocardial infarction – the Swedish version.2011Ingår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 52, nr 6, s. 573-579Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    When people’s health is threatened, they generally develop illness perceptions to make sense of their illness. The Illness Perception Questionnaire (IPQ-R), developed by Moss-Morris et al (2002), has been widely used in many countries to measure such representations. However, since studies in this crucial research area are lacking in Sweden a Swedish version of IPQ-R was validated with a focus on the seven subscales: timeline acute/chronic, timeline cyclical, consequences, personal control, treatment control, illness coherence and emotional representations. Using confirmatory factor analysis, the aim of the present study was to validate the internal structure of the Swedish version in a sample of 202 persons (144 men and 58 women) who had been diagnosed with myocardial infarction four months earlier. Additionally, inter-correlations among the seven subscales and external concurrent validity were also investigated. The results of confirmatory factor analysis revealed that, in line with the English version of the IPQ-R, the specified seven-factor model had a satisfactory fit. One item was however not considered reliable and was therefore excluded from the instrument. The internal consistency (Cronbach’s alpha coefficients) and the inter-factor correlations were relatively similar to those reported in the validation study of the original English IPQ-R. In tests of concurrent validity, the seven IPQ-R subscales were, as hypothesized, mainly associated with external variables. To conclude, the Swedish version of the IPQ-R’s seven dimensions, with one item removed, (total 37 items) was found to be a reliable and valid measure of illness perception.

  • 32.
    Brink, Eva
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Skott, Carola
    University of Gothenburg, Institute of Health and Care Sciences.
    Caring about symptoms in person-centred care2013Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, nr 8, s. 563-567Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In the present article, we emphasize the symptom experience perspective in person-centred care and discuss barriers to implementation of this approach. There are obstacles to overcome: the diversity of understandings of symptoms in clinical settings, the current biomedical discourse and the incompleteness of symptom research. Since the 19th century, the bio-medical perspective has been powerful in conceptualizing symptoms in terms of pathology and diagnosis. Many diagnoses conjure up preconceived notions about the persons receiving them. This perspective may influence person-centred care negatively. Yet symptoms often mean something beyond the diagnosis. Recognizing this discrepancy, it is crucial that we consider a perspective that starts from each person’s symptom experience, thus complementing the biomedical perspective. Using the notion caring about symptoms, we advocate a person-centred approach that includes a symptom experience perspective. This requires that health-care professionals be skilled in listening to patient narratives and acquire knowledge about how symptom experiences can be individually expressed and interpreted. Listening to symptom experiences may give insights into the personal meaning of illness as well as information about bodily and social restrictions caused by symptom distress. In this way, caring about symptoms will improve the prerequisites for establishing person-centred care planning.

  • 33.
    Brämberg, Elisabeth Björk
    et al.
    University of Gothenburg, The Sahlgrenska Academy, Institution of Health and Care Sciences,.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Määttä, Sylvia
    Centre for Gender Equal Care, Göteborg, .
    Lack of individualized perspective: A qualitative study of diabetes care for immigrants in Sweden2012Ingår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 14, nr 2, s. 244-249Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study describes the care provided by a diabetes nurse specialist, and the care needs expressed by people with type 2 diabetes mellitus and an immigrant background. Clinical encounters between a diabetes nurse specialist and 10 people diagnosed with type 2 diabetes mellitus were observed and analyzed by means of qualitative content analysis. One theme, "the diabetes nurse specialist as the conductor of the visit", and four categories emerged from the findings, illustrating the power imbalance between the patients and the diabetes nurse specialist, as well as the lack of an individual perspective. Shifting from a medical perspective to one of openness towards the people's experiences provides a possibility for caregivers to empower patients suffering from type 2 diabetes mellitus. The medical perspective seemed to steer the visit towards curative activities. Thus, technique-centered care should be developed by including individualized care. © 2012 Blackwell Publishing Asia Pty Ltd.

  • 34.
    Brändström, Linnea
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Mazaz Pozveh, Nader
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Berggren, Ingela
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Nurses experience of collaboration between community healthcare and psychiatric in-patient care: a Swedish study2014Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Aim: The aim of the study is to examine register nurses experiences of collaboration between community healthcare and psychiatric in- patient care.

    Background: Register nurses indicate a need of routines in collaboration between community health care and psychiatric inpatient care in the western Sweden region.

    Method: Qualitative content analyses of focus group interviews.

    Results: Register nurses experienced the healthcare communication program as a big obstacle in a developing process of a collaboration plan. The deficiencies in collaboration between the register nurses were due to poor knowledge about each group of nurses working tasks.

    Conclusion: The findings contribute an understanding of the barriers in collaboration between register nurses in the Community healthcare and Psychiatric in- patient care. That requires improvement from the nurse managers to contribute well function routines.

    Implications for Nursing Management: Nurse Managers need to develop a more structured collaboration plan between units to create a better collaboration in caring of the patient

  • 35.
    Brändström, Linnéa
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Primary Health Care in Sollebrunn.
    Mazaz, Nader
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. The Psychiatric Clinic, Norra Älvsborg County Hospital, Trollhättan.
    Berggren, Ingela
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Nurse collaboration in community and psychiatric care: a Swedish study2015Ingår i: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 20, nr 6, s. 297-303Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim The aim of the study was to examine registered nurses’ (RNs) experiences of collaboration in the community health care and psychiatric inpatient care systems. Background RNs in one area in the west of Sweden have indicated the need for collaborative routines between the community health care and psychiatric inpatient care systems. Method Qualitative content analysis of focus group interviews. Results RNs felt the web-based health-care communication programme was a major obstacle to the development of a collaboration plan. The poor collaboration between RNs was due to the absence of knowledge about the duties of each nursing team. Conclusion The findings contribute to the understanding of the barriers to collaboration between RNs in community health care and psychiatric inpatient care, and highlight the need for nurse managers to ensure well-functioning routines.

  • 36.
    Carlström, Eric
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Middle managers on the slide2012Ingår i: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 25, nr 2, s. 90-105Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    – This article aims to examine middle managers in health care and how their role has changed in times of fiscal constraints. It seeks to focus particularly on how cost savings influence the position of middle managers in the organisation between governance and advocacy pressure.

    Design/methodology/approach

    – A total of 25 Swedish middle managers from public health care organisations during fiscal constraints were interviewed about what contributes to their positioning in the organisation.

    Findings

    – The loyalty of middle managers is tested in the "in between" role. Excessive loyalty, in any direction, can distance a middle manager from their expected position. In times of a weakening economy, middle managers are expected to be a tool that is used by the management to communicate savings, personnel reductions, redundancies and closures. This contributes to middle managers sliding out of their role in between.

    Practical implications

    – Middle managers' skills are within care itself. In times of cost savings, demands are placed on their ability to handle advanced management tasks. They need to gain a clearer insight into management control, understanding conflict management and leadership.

    Originality/value

    – The article explains not only why middle managers slide up (take on governance roles) and down (take on advocacy roles) in the organisation, which has been described previously. It also explains why middle managers slide out (abdicate responsibility) of the role between governance and advocacy during times of fiscal limitations.

  • 37.
    Carolusson, Anders
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Johansson, Catharina Tina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Att vara i stormens öga: psykiatrisjuksköterskors upplevelser av hot och våld2015Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Att arbeta som specialistsjuksköterska inom psykiatrisk öppen vård är ett utsatt yrke. Det har länge varit känt att hot och våld mot personalen förekommer inom psykiatri och missbruksvård, och tendensen att anmäla har troligen ökat under senare år. Hot och våld är vanligt på arbetsplatser, mer än 10 procent av de anmälda allvarliga arbetsolycksfallen orsakades av hot, våld och rån.

    Syfte: Att belysa sjuksköterskors upplevelse av hot och våld inom den psykiatrisk öppenvård.

    Metod: Data analyserades genom kvalitativ innehållsanalys med induktiv ansats. Tio intervjuer med psykiatrisjuksköterskor i psykiatrisk öppenvård utfördes.

    Resultat: Ur analysen framkom ett tema, Att vara i stormens öga och fyra understödjande kategorier, Bristfällig kommunikation, Övergivenhet och ensamhet, Maktlöshet och rädsla samt Erfarenhet och eftertanke.

    Konklusion: Brist i kommunikationen, kan vara en utlösande faktor för hot och våld. Detta handlar i flera fall om att sjuksköterskan för läkarens talan och lämnar information. Sjuksköterskor beskriver upplevelser av övergivenhet och ensamhet som grundar sig i brist på förståelse från chefer och kollegor efter en hotfull händelse Den utsatta sjuksköterskan drabbas även av tankar rörande familjens utsatthet vilket kan leda till känslor av maktlöshet och rädsla. Informanterna berättade att de kände sig tryggare med tiden, den erfarenhet de införskaffat genom yrkeslivet kunde sägas skapa säkerhetstänkande och utvecklad intuition.

  • 38.
    Charalambous, Andreas
    et al.
    Cyprus University of Technology, Nursing, Limassol, Limassol, Cyprus.
    Radwin, Laurel
    Veteran Administration Medical Center, Manchester, New Hampshire, United States.
    Stolt, Minna
    University of Turku, Nursing, Turku, Finland, .
    Katajisto, Jouko
    University of Turku, Mathematics and Statistics, Turku, Finland.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Kristianstad.
    Lemonido, Chryssoula
    National and Kapodistrian University of Athens, Nursing, Athens, Greece,.
    Patiraki, Elisabeth
    National and Kapodistrian University of Athens, Nursing, Athens, Greece,.
    Sjovall, Katarina
    Lund University, Department of Health Sciences and Skåne University Hospital, Lund, Sweden.
    Suhonen, Riitta
    University of Turku, Nursing, Turku, Finland.
    Hospitalized Cancer Patients' Perceptions of Individualized Nursing Care in Four European Countries2015Ingår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 38, nr 4S, artikel-id 0-160Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    As patients are different, only one way of delivering care is neither appropriate nor efficient. Care needs to be tailored according to individual characteristics in more general and extents to include individualized nursing care. Individualized care has a positive impact on patient outcomes and is therefore worth of studies and implementation in clinical practice. The aim of this study was to describe and compare hospitalized cancer patients' perceptions of individualized care, controlled by their socio-demographic characteristics, in four European countries. The quality of individualized nursing care was represented by hospitalized patients' perceptions of the (1) nurses' support of individuality and (2) receipt of individuality as measured by the two-part Individualized Care Scale (ICS). Patients' socio-demographic characteristicsincluded education, age, gender, type of hospital admission, previous hospitalization, and hospital length of stay. Data (n=599) were collected in Cyprus (n=150), Finland (n=158), Greece (n=150) and Sweden (n=141). Multivariate analysis of variance models were constructed. The main effect of country on perceptions of individualized care was analyzed using socio-demographic characteristics as covariates. The level of support of individuality was reported as moderate and receipt of individuality on care as good. The assessments were generally the highest by the respondents in Sweden and the lowest in Greece. Shortcomings in the individualized nursing care were found based on patients' assessments. This study revealed some between-country differences in patients' perceptions of care individualization, controlled by the sample characteristics, and allows the researcher to further analyze the possible reasons for these differences whether conceptual, differences due to the education, clinical practice or organization of nursing care and services

  • 39.
    Clausson, Eva K.
    et al.
    Kristianstad University, School of Health and Social Science.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Social Science.
    Challenges of Documenting Schoolchildren’s Psychosocial Health: A Qualitative Study2015Ingår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 31, nr 3, s. 205-211Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to explore school nurses’ experience of challenges related to documenting schoolchildren’s psychosocial health in Sweden. Six focus group discussions were carried out. Areas for discussions included questions about situations, especially challenging to document as well as what constrains and/or facilitates documenting psychosocial health problem issues. Qualitative content analysis was used for interpreting the data. The analysis resulted in one overarching theme: having to do one’s duty and being afraid of doing wrong; and three subthemes: uncertainty related to one’s own ability, concerns related to future consequences, and strategies to handle the documentation. School nurses relying on their intuition and using a structured documentation model may increase the opportunities for a reliable documentation. To further develop their professional skills with regular, clinical supervision can be of great importance. This in turn may increase contributions to research and development for the benefit of schoolchildren’s psychosocial health.

  • 40.
    Dacau, Liliana
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Att utgå från patienten: "Distriktssköterskans hälsofrämjande arbete"2015Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund:

    Enligt kompetensbeskrivningen för distriktssköterskor, är distriktssköterskans ansvarsområde att arbeta förebyggande och hälsofrämjande. Trots detta visar tidigare forskning att distriktssköterskor inom primärvården har svårt att arbeta hälsofrämjande, vilket leder till att arbetet kan utebli.

    Syfte:

    Att belysa distriktssköterskors erfarenheter av hälsofrämjande arbete inom primärvården.

    Metod:

    Fem distriktssköterskor inom både privat- och offentlig primärvård intervjuades med hjälp av en semistrukturerad intervjuguide. Kvalitativ innehållsanalys användes som analysmetod till intervjuerna.

    Resultat:

    Distriktssköterskornas hälsofrämjande arbete utgår från patientens situation. De använder sig av motiverande samtal, lyfter livsstilsfrågan och får olika stöd för det hälsofrämjande arbete. Tid, prioritering av arbete och ekonomiska resurser utgör hinder för att arbeta hälsofrämjande.

    Slutsats:

    Trots upplevda hinder, har distriktssköterskor en stark strävan att arbeta hälsofrämjande, och därmed utifrån sitt ansvarsområde. Synen på förebyggande vård behöver förändras inom primärvården, för att möjliggöra ett mer hälsofrämjande perspektiv. Studiens resultat kan bidra till en ökad medvetenhet om betydelsen av distriktssköterskans arbete. Det kan i sin tur leda till en ökad möjlighet för patienter att få stöd i att förbättra hälsan.

  • 41.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Fredén, Lars
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Hassler, Sven
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Skyvell Nilsson, Maria
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Gränshinder: en kvalitativ och kvantitativ studie av samverkandesjukvård2014Rapport (Övrigt vetenskapligt)
    Abstract [en]

    The project "Health care interaction" among different care providers was introduced as a trial activity in the municipalities of Strömstad and Tanum in the spring of 2010. The aim of health care interaction is to provide citizens health care adapted to their specific need within shortest possible time frame; Is emergency care not needed, the aim is to avoid that the care seeker ends up in an emergency room at the hospital. In this study experiences from health care interaction is described with quantitative as well as qualitative data. Empirical data is based on available medical statistics, focus group interviews with nurses with long experience from pre-hospital emergency care and home health care, questionnaires data gathered from other health professionals involved in the activity, individual interviews with nurses and physicians at call centers for medical information, primary health care centers, home health care, pre-hospital health care and elderly care. The analysis of the data reveal opportunities and expectations among the personnel as well as their willingness to develop and improve the health care. It's also evident that the general impression among health care personnel is that increased interaction among health care providers improves the quality of the health care given. Health care interaction also contributes to improved opportunities for person-centered care with an increased degree of continuity and participation for the patient. The study also reveals that collaboration between colleagues promotes development of individual and collective knowledge. Conclusions drawn from the study is that the documentation and information system used in health care interaction needs to strengthen the participation of the care seekers as well as to improve in accessibility for the personnel involved. In order for health care interaction to evolve and develop through close follow-up and evaluation, a more transparent and uniform system for documentation is recommended. It's also concluded from the study that the call center for medical information (1177) as one of the major actors in the health care interaction program has the best potential to instigate an expansion and development of the health care interaction among care providers.

  • 42.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Gardvik, Anna
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Karlsson, Helena
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Törner Mulari, Jenny
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Young Women With Anorexia Nervosa2015Ingår i: SAGE Open, ISSN 2158-2440, E-ISSN 2158-2440, Vol. 5, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe how young women living with self-identified anorexia narrate about their lives by blogging. Thirteen Swedish blogs were chosen and analyzed by means of qualitative content analysis. The results described falling ill, the illness itself, and the path to recovery. Low self-esteem, depressed state of mind, and self-destructive behavior were typical signs at the start of the illness. The women’s lives were characterized by a need for controlling their body by tormenting it and by the illness demanding all their concentration and energy. The women suffered from the feeling of being a disappointment to their family members. The illness was like an enemy that had to be defeated with the help of family members, health care professionals, and by means of therapy. A turning point occurred when the women felt at their worst or had tired of the illness and could concentrate on something other than their body and the eating disorder. Suffering from self-identified anorexia was described as experiencing low self-esteem. The illness took all of the women’s time and energy. For a turning point to be reached, the women needed support from family, friends, and health care professionals, including the use of distractions.

  • 43.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Lindahl, Berit
    University of Borås, Caring Sciences.
    Living in liminality-being simultaneously visible and invisible: caregivers' narratives of palliative care.2013Ingår i: Journal of social work in end-of-life & palliative care, ISSN 1552-4256, Vol. 9, nr 4, s. 272-288Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Palliative care is an integral part of care and takes place in many settings-including the home, special accommodations, and hospitals. However, research shows that palliative care often ends with a death in the hospital due to the heavy burden on the primary caregiver. This study explores the meaning of being the primary caregiver of a close one who is terminally ill and is based on qualitative interviews with six primary caregivers of a terminally ill individual at home. The findings are discussed in the light of the theoretical concepts of liminality, lived body, and power. A potential impending risk exists of being abandoned when one is the primary caregiver to a close one who is terminally ill. This situation calls for professional caregivers to take responsibility and to respond to these, often unspoken, needs. This is particularly important concerning bodily care and the medical treatment regimen. In addition, when friends and relatives are absent, there is an ethical demand on professional caregivers to compensate for this lack and to compensate for this need. Palliative home care demands care that is person-centered-including the individual's history, family and loved ones, and individual strengths and weaknesses.

  • 44.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Work-Integrated Learning: A Didactic Tool to Develop Praxis in Nurse Education2014Ingår i: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 37, nr 1, s. 61-69Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Praxis is a concept that is both vague and overused in nursing science. Hence, a more stringent use of the concept praxis could help clarify the connections between theory and practice. The purpose of this theoretical article was to highlight the advantages of developing praxis in nursing education. By using praxis as a dialectic concept, nurse educators can make significant contributions to clinical practice by clarifying that theory and practice are perceived as 2 sides of same coin, leading to a move from "being in praxis" to "being of praxis," a way to develop the professionÊs autonomy. © 2014 Lippincott Williams and Wilkins.

  • 45.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Boman, Åse
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    "The Emperor's new clothes": discourse analysis on how the patient is constructed in the new Swedish Patient Act.2017Ingår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 24, nr 2, artikel-id e12162Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The Swedish welfare debate increasingly focuses on market liberal notions and its healthcare perspective aims for more patient-centered care. This article examines the new Swedish Patient Act describing and analyzing how the patient is constructed in government documents. This study takes a Foucauldian discourse analysis approach following Willig's analysis guide. The act contains an entitlement discourse for patients and a requirement discourse for healthcare personnel. These two discourses are governed by a values-based healthcare discourse. Neo-liberal ideology, in the form of New Public Management discourse, focusing on the value of efficiency and competition, is given a hegemonic position as laws and regulations are used to strengthen it. The new Swedish Patient Act seems to further strengthen this development. The Act underlines the increased entitlement for patients, but it is not legally binding as it offers patients only indirect entitlement to influence and control their care. To safeguard the patient's entitlement under the Patient Act, healthcare personnel should be made aware of the contents of the Act, so that they can contribute to the creation of systems and working methods that facilitate respect of the Act's provisions in daily healthcare work.

  • 46.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Skyvell-Nilsson, Maria
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Prerequisites for person-centered care: As described by community care nurses2015Ingår i: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 3, nr 1, s. 5-13Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe nurses’ experiences of person-centered care within an integrated care chain.

    Method: The study included four data sets: Two focus group interviews with a total of 22 nurses; an open questionnaire answered by 17 nurses; and individual follow-up interviews with 4 volunteers from among the 17 nurses. In total, 39 informants were included in this study. Qualitative content analysis was carried out to identify the latent content of the focus group and interview data, and the manifest content of the questionnaire data.

    Results: The results showed that learning about, from and with each other were prerequisites for achieving person-centered care. The ability to provide person-centered care was influenced by factors that could be related to both the organization and to the individual nurse. Important factors were organizational transparency and structure, leadership and collaboration between healthcare centers, partnership, sole caregiver attitudes and skills.

    Conclusion: In order to develop person-centered care, it is crucial that an integrated care chain feature a joint documentation system; efficient use of the resources allocated to the needs of the various healthcare centers; and a change of focus from the professional to the person seeking care.

  • 47.
    Dahlqvist, Julia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Stalefors, Josefin
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    BVC-sjuksköterskors strategier i mötet med föräldrar som är tveksamma till barnvaccinationer2014Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Sverige har en god vaccinationstäckning men det finns de föräldrar som är oroliga och tveksamma för vaccin och därmed väljer att inte vaccinera sina barn. Huvudmålet för barnhälsovården är att medverka till så god hälsa som möjligt hos alla barn. Riskerna med barnsjukdomarna är mycket större än den risk som barnvaccinationerna utgör. Syfte: Syftet var att beskriva hur sjuksköterskor som arbetar på BVC möter föräldrar som är tveksamma till barnvaccinationer. Metod: En studie med kvalitativ ansats med 12 semistrukturerade intervjuer. Informanterna var sjuksköterskor verksamma på BVC i Västra Götalandsregionen. Intervjuerna analyserades med kvalitativ innehållsanalys. Resultat: Resultatet visade att det var viktigt för sjuksköterskorna att ha en stödjande funktion gentemot föräldrarna. Detta visades genom en ökad förståelse och en trygg och tillitsfull relation mellan föräldrar och sjuksköterska. Sjuksköterskorna belyste vikten av att lära känna föräldrarna och att de skulle känna sig delaktiga i mötet. Sjuksköterskorna förmedlade kunskap genom att undervisa, konsultera och vägleda föräldrarna på rätt väg i beslutsprocessen kring barnvaccinationer. Konklusion: Studien resulterade i tre kategorier; att vara en stödjande funktion, att vara en samtalspartner och att förmedla kunskap. Detta är viktiga strategier för sjuksköterskorna i mötet med föräldrar som är tveksamma till barnvaccinationer

  • 48.
    Dahlqvist, Julia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Stalefors, Josefin
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Child health care nurses' strategies in meeting with parents who are hesitant to child vaccinations2014Ingår i: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 2, nr 4, s. 47-59Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to describe how nurses in child health centres deal with parents who are hesitant to child vaccinations. Method: A study with a qualitative approach that was based on 12 semi-structured interviews. The informants were nurses working in child health centres in the Västra Götaland region. The interviews were analysed using qualitative content analysis. Results: The results identified six strategies for dealing with vaccine-hesitant parents: 1) using the family’s resources and knowledge to create a trusting relationship; 2) meetings with the same nurse; 3) open dialogue and active listening; 4) regular meetings between nurse and paediatrician; 5) nurse training on new vaccines and vaccination programme; and 6) nurse training on parents’ use of publicly available information. Conclusion: Nurses should get to know the vaccine-hesitant parents, by listening to them and understanding their point of view. Thereby, nurses establish a good relationship, inspire trust and actively involve the parents in the decision-making concerning the vaccination of their child. Nurses should not make vaccine-hesitant parents feel guilty about not wanting to vaccinate their child.

  • 49.
    Darwall-Siitari, Madeleine
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Johansson, Katrine
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Sjuksköterskors upplevelser av sår och sårbehandling2015Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    There is no reliable data on how many individuals in Sweden suffering from wounds, but one expects that both the incidence and costs will increase as the population ages. The nurse is mostly the profession that makes the initial assessment and makes decisions about treatment. Wound treatment is a complex task that requires both technical skills and a good knowledge.

    Aim:

    To describe nurses' experiences of wound and wound treatment.

    Method:

    Qualitative content analysis based on individual interviews with nine nurses / specialist nurses.

    Results:

    Six categories emerged: "Lack of knowledge affect", "Lonely with responsibility and lack of support", "The team as a strength", "Organization and resources as a limitation", "Knowledge, experience and interest leads to success", "The whole human in focus".

    Conclusion:

    Knowledge about wounds is varied. The knowledge regarding wounds is sometimes inadequate and there's a lack of support from doctors. The nurse has primary responsibility for treatment and can sometimes feel lonely with a difficult task. There´s a lack of training on wounds in the basic training for nurses and in the various specializations. Inadequate cooperation between caregivers, unclear responsibilities, limited range of materials, lack of support and inadequate documentation system is described as occurring obstacles in order to provide good wound care. There is a need to find strategies to encounter these weaknesses to prevent suffering from care.

  • 50.
    Ekblom, Elin
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Lovett, Sofia
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    BVC-sjuksköterskans erfarenheter av amningsstödjande arbete till nyblivna föräldrar2014Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: The breastfeeding statistics are high in Sweden but there has been a decrease during the past decades. It is the Child Health Nurses (CHN) duty to promote, support and maintain breastfeeding. The CHN is a very important person for the child and the new family constellation because she possesses expertise and skill and reaches 99% of all newborns and their families during the first year of life. Aim: The aim was to investigate the CHN experiences of giving breastfeeding support. Method: The study had a qualitative design and was conducted through individual interviews. Nine CHN in two different regions in Sweden was interviewed. The material was analyzed with a qualitative content analysis. Results: Three categories emerged in the result: promoting factors for giving breastfeeding support, impeding factors for giving breastfeeding support and to be adaptable for the unique mother. Giving breastfeeding support was related to many factors surrounding the nurse and the woman. The partners involvement in feeding caused a dilemma for the CHN because the involvement endangered the exclusive breastfeeding but at the same time the partners interest is important for the mothers wellbeing. Conclusion: Breastfeeding support is complex and influenced by many different factors. The core of successful breastfeeding support is to have a person centered approach and to increase the mothers self-efficacy.

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