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  • 1.
    Abdi, Fartun
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Khaloufi, Siham
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som hindrar sjuksköterskan inom hälso- och sjukvården från att göra en orosanmälan på barn2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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

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

  • 3.
    Ademi Salihi, Valjbone
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Buleshkaj, Arjola
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienter med psykisk ohälsa och deras upplevelser av kontakten med vårdpersonal inom hälso- och sjukvård2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 4.
    Adler, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Askeröd, Therese
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att möta barn och deras föräldrar inom hälso- och sjukvården2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 5.
    Adolfsson, Per
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindqvist, Åsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Humor i byggandet av vårdrelationen mellan sjuksköterska och patient: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 6.
    Ahrenkiel, Nina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Northman, Carina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att anmäla eller inte?: sjuksköterskors erfarenheter av att anmäla vid misstanke om barnmisshandel till socialtjänsten2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 7.
    Akhtar, Mojtaba
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahlström, Emilia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes upplevelser av sjuksköterskans kommunikation, stöd och bemötande i palliativ vård i hemmet2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 8.
    Aksana, Sukhanava
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wilck, Samuel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans preoperativa omvårdnadsåtgärder för att lindra patientens oro och ångest: en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

  • 9.
    Aksöz, Josef
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Katarina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    "Vi bygger järnvägen medan vi åker på den": En studie om arbetsrelaterad stress inom socialtjänsten, enheten för ekonomiskt bistånd2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 10.
    Algotsson, Jennie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bodin, Maja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vård med fokus att lindra: En litteraturbaserad studie om sjuksköterskors upplevelser i palliativ vård.2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to World Health Organization is palliative care a human right. The focus of palliative care is relieving suffering and having quality of life as the main goal. The nurse's role is to enable symptom control, to be a support for the patient and close relatives, as well as contributing to a good and worthy death. Although death is a part of life, strong feelings arise about death and the dying. Aim: The aim of this study was to describe nurse experiences of palliative care. Method: The method used was a literature study based on international qualitative research. Eleven articles were analyzed and resulted in four main themes and nine sub-themes. Results: The findings were four main themes; the profession, relationships, work environment and feelings as well as nine sub themes; experiences and knowledges, the patient, relatives, stress, support from colleagues, lack of support from colleagues, grief and impotency, satisfaction and mental strain. Conclusion: The nurse’s experience of palliative care is individual and varies depending on, experience, interaction with colleagues and self-perception regarding individual values and existential questions.

  • 11.
    Ali, Ayan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cederrand, Robert
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet blir vad du gör det till: En litteraturstudie om att leva med hjärtsvikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 12.
    Ali, Shukri
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Aly, Carolina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av utbrändhet: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 13.
    Almqvist, Lina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lyckhage, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att skämmas över sitt barn: Föräldrars upplevelse av att leva med barn med självskadebeteende2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 14.
    Alpsten, Kristina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barn och ungdomars erfarenheter från vårdsituationer på sjukhus: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 15.
    Amini, Narges
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dagliga utmaningar: patienters erfarenheter och hanterandet av knäartros2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Osteoarthrosis is considered the 11th most common disorder that causes the greatest disability and gradually decline the patient’s quality of life. Studies have shown that 80% of the patients have different types of disabilities and 25% can not perform their daily activities. Aim: The purpose of this study was to describe patients’ experiences of being stricken with knee osteoarthritis. Method: A literature-based study was chosen as the method that conduce to evidence-based nursing by analyzing qualitative research. The analysis resulted in three main themes and seven subthemes. Results: Three main themes were: “Daily challenges”, “To relieve symptoms” and “To be cared”. The main finding was that knee osteoarthritis considered to be the central focus in the patients’ lives which caused physical and socio-economies limitations. This worsened their quality of life and mental well-being. Although surgery considered to be the only solution, the expectations regarding the outcome differed. Conclusion: It is important to treat knee osteoarthritis in early course of the disease to prevent limitations and other diseases. The patient’s need information and support to manage their symptoms.

  • 16.
    Andersson, Ellen
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jensen, Martina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det förändrade livet: den vuxna personens upplevelse av att leva med afasi till följd av stroke2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year 25 000- 30 000 people strikes with stroke. Out of these, at least every fifth is affected with aphasia. Affected with aphasia may cause an essential impact and change in the everyday life. The changes may also result in a suffering for the adult with aphasia. Therefore it’s important that the nurse has adequate knowledge of what aphasia is and treats the person for whom it is, not for its illness. Aim: The aim of this study was to illuminate the adult’s experience of aphasia’s impact in the changed life after stroke. Method: A qualitative method to contribute to evidence-based nursing with a ground in analysis of qualitative research, was used to enable a deeper understanding of adult’s experiences of aphasia. Ten qualitative articles were analysed, four themes and eight subthemes emerged. Results: The results showed that the adult with aphasia experienced a loss of the identity, loved ones and work. Aphasia also caused a change in the language ability that affected participation in social activities. All resulting in a suffering. To cope with the aphasia’s difficulties, different strategies evolved. The adult with aphasia also described the social support to be important but also to accept what aphasia had contributed in the changed life. Conclusion: According to the results the language appeared to be a central part to whom we are. When the language ability no longer existed, a suffering emerged. Keywords: Aphasia, communication, patient’s perspective, stroke, suffering.

  • 17.
    Andersson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mötet med sjuksköterskan på akutmottagningen: en litteraturbaserad studie ur ett patientperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is valuable that the patients experience a good encounter with the nurse at the emergency department. There are several factors that can influence the encounter and the patients' perception of the nurses and the surroundings at the emergency department. To not be seen as the person you are or not treated well, is a common reason why patients feel health suffering. It is the patients' experience of the circumstances which determines whether situations cause health suffering or not. Aim: The aim of this study was to describe patients' experiences of the encounter with the nurse at the emergency department.

    Method: The method used in this study was a literature review, based on qualitative studies. Ten articles were analyzed according to Friberg's (2012) qualitative content analyze in five steps. Results: The researchers found five themes that specifically stood out when studies were researched. The themes were feelings of: participation, being seen, abandonment, being dependent and vulnerability. Conclusion: The experience of the encounter with the nurse at the emergency department differ from each patient. All patients want to meet a nurse who characterises kindness and warmth. The nurses are the ones who can control the outcome of the encounter at the emergency department.

  • 18.
    Andersson Hagiwara, Magnus
    et al.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Wireklint Sundström, B.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Brink, Peter
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Herlitz, J.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Hansson, P. -O
    University of Gothenburg, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use emergency medical service2018In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 137, no 5, p. 523-530Article in journal (Refereed)
    Abstract [en]

    Objectives We compare various aspects in the early chain of care among patients with haemorrhagic stroke and ischaemic stroke. Materials & methods The Emergency Medical Services (EMS) and nine emergency hospitals, each with a stroke unit, were included. All patients hospitalised with a first and a final diagnosis of stroke between 15 December 2010 and 15 April 2011 were included. The primary endpoint was the system delay (from call to the EMS until diagnosis). Secondary endpoints were: (i) use of the EMS, (ii) delay from symptom onset until call to the EMS; (iii) priority at the dispatch centre; (iv) priority by the EMS; and (v) suspicion of stroke by the EMS nurse and physician on admission to hospital. Results Of 1336 patients, 172 (13%) had a haemorrhagic stroke. The delay from call to the EMS until diagnosis was significantly shorter in haemorrhagic stroke. The patient’s decision time was significantly shorter in haemorrhagic stroke. The priority level at the dispatch centre did not differ between the two groups, whereas the EMS nurse gave a significantly higher priority to patients with haemorrhage. There was no significant difference between groups with regard to the suspicion of stroke either by the EMS nurse or by the physician on admission to hospital. Conclusions Patients with a haemorrhagic stroke differed from other stroke patients with a more frequent and rapid activation of EMS.

  • 19.
    Andersson, Heléne
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gisslén, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att närvara eller icke närvara, det är frågan...: en litteraturöversikt över närståendes upplevelser av att närvara vid hjärt- lungräddning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Studies indicate that both patients and nurses are positive to have relatives present at the cardiopulmonary resuscitation (CPR) situation. They see relatives as a resource and support, and also that the afterward crisis management may be facilitated. Routine should be created for the nurse to offer the relatives to attend and that it will become a natural part of CPR situation.

    Aim: To illustrate the experiences of close relatives attending cardiopulmonary resuscitation.

    Method: A literature study with qualitative approach. Seven articles were reviewed and analyzed according to content analysis method.

    Results: We found that relatives appreciated and felt it was important to attend the CPR-situation. They found it easier to move on after the incident, especially if the patient died. They wanted to be sure that everything that could be done also was done. The feeling that their presence in some way protected their dear ones from danger and harm was also important. Honest information was considered essential and the relatives appreciated the efforts and care that the healthcare personal gave their relatives.

    Conclusions: The vast majority of relatives to patients undergoing CPR choose to feel that it's important to be present at the CPR. Based on this knowledge, further work can lead to create routines concerning relatives' wishes to attend CPR situations.

  • 20.
    Andersson, Jessica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gren, Ramona
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av att möta patienter med självskadebeteende: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Self harm has increased among adolescents during the last years. Studies reveal nurses' attitudes as an issue. The need to investigate nurses' experience of patients who self-harm is very important to see what is missing. Relation between nurses and patients is a vital part of caring and studies show that very little research is done in this area.

    Aim: The aim of this study is to overlook nurses' experience when they meet a patient that is self- harming.

    Metod: A literature study with a mixed approach. Articles where chosen, read, reviewed and analysed to find similarities and differences in their result.

    Results: The result came out with three main categories and seven sub categories. The first category is Difficult to understand self-injury which has two sub categories; Difficult to understand the behaviour and Difficult to understand the reason. The second category is Self- injury evokes emotions and has three sub categories; Anger, concern and anxiety, Empathy and conflicting emotions and Creates conflicts. The third category is The environmental impact on nursing care which has two sub categories; The meaning of time and Environmental influences and care.

    Conclusion: The results show that nurses felt that they needed further education about self- harm, that many of them were negative or insecure while meeting patients and did not know what to say in fear of making the behaviour worse. Many nurses also considered it hard to understand self-harm and why someone would like to harm themselves.

  • 21.
    Andersson, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Borg, Simon
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hypertoni: Patienters upplevda möjligheter och hinder för livsstilsförändringar2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypertension is a common disease and over half of all deaths in cardiovascular disease are caused by complications of hypertension. The basis of the treatment is non-pharma-cological and includes lifestyle changes such as physical activity and diet change. Only few patients reach the treatment goal and are well treated, therefor it’s important for the health care service to have a greater understanding on how patients experience implementing lifestyle changes in hypertension.

    Aim: The aim of this study was to describe patient’s experience of implementing lifestyle changes in hypertension.

    Method: A qualitative-based literature study was used. Ten qualitative articles from PubMed, Cinahl and Proquest was analysed by the five-step method described by Friberg (2012).

    Results: Two main themes emerged under the analyse process. The two main themes were: opportunities and barriers, with the sub themes: knowledge, attitude, social, comorbidity, time, society and economy.

    Conclusion: Patients with hypertension experience opportunities and barriers to implement lifestyle changes in hypertension. Patients with good knowledge and a more positive attitude towards their disease had a greater opportunity to implement lifestyle changes in their life. The results also showed that patients had different recourses and assets that affect their possibility to follow and succeed with lifestyle changes. Therefore the nurse should work towards a person-centred care. This provided opportunities for each patient as an individual to obtain knowledge, motivation and good conditions to create and establish self-care.

  • 22.
    Andersson, Liza
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Axelsson, Lovisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en äldre person med demenssjukdom: En litteraturstudie med kvalitativ ansats2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia not only affects the individual patient, but also healthcare professionals and the relatives. It is an increasing incurable disease that affects the mind of the afflicted person. He or she will experience difficulties with either expressing oneself, recognizing daily things, performing tasks that he or she previously were able to managed or the ability to plan, initiate or complete various tasks.

    Aim: The aim of this study was to illuminate experiences of being a relative of an older person afflicted of dementia.

    Method: A literature based study was performed, analyzing 10 qualitative articles.

    Results: The results consist of two main themes, relatives experiences of support, with two subthemes, support in the care relationship and support from others in the same situation. The second theme progression of the disease and its affects on relations and feelings, with three subthemes, the partners behavioral change, a new kind of relationship and impact of the disease on feelings. These highlight significant experiences the relatives go through in relation to the disease. Support was something that may be given in different ways and the need for support was necessary. The behavioral change that comes with the disease, results in a new form of relationship with the affected. Feelings of sadness, guilt and shame were constantly present.

    Conclusion: The results shows that the relatives need support through the entire disease progression when the behavior of the affected changes and a new relationship is formed. When accepting the disease, the relatives found it easier to deal with life in general. Nurses need to have the means to respond to these relatives and to know how they experience their situation, to be able to support them in the best possible way.

  • 23.
    Andersson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Jasmine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När livet vänder- att få en bröstcancerdiagnos2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common form of cancer among women in Sweden. The cancer diagnosis has under the past few years increased and are expected to increase even more in the future. As cancer diagnosis increases, the ability to survive a cancer disease becomes more apparent with the help of advanced treatments. Aim: The aim of this study was to describe women´s emotional reactions when receiving a breast cancer diagnosis. Metod: A literature-based study was performed in order to describe women´s experience about their emotional reactions towards a breast cancer diagnosis. To analyse the result of the 11 included articles, a five step qualitative analytical method was used. The analysis resulted in one major theme and five subthemes. Results: To receive a breast cancer diagnosis was a huge change in life that affected women´s emotional reactions in many different ways. The result showed that women was chocked, they denied the breast cancer diagnosis, felt anger and grief. The women also felt hopefulness to fight and conquer the breast cancer disease. Conclusion: According to the result this study showed that a breast cancer diagnosis transforms a women´s life, from a healthy life to a life in illness. A breast cancer diagnosis did not only bring out negative feelings like frustration and hopelessness. It´s also bring out positive feelings like relief and fighting spirit.

  • 24.
    Andersson, Susanne
    et al.
    University of Skövde, Sweden.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bennet, Louise
    Lunds universitet, Centrum för primärvårdsforskning, Limhamns vårdcentral, Region Skåne, Sweden.
    Fellbrant, Klas
    Family Medicine, Department of Primary Health Care, Skövde, Sweden.
    Hellgren, Margareta
    University of Gothenburg, Institute of Medicine, Department of Primary Health Care, Sahlgrenska Academy, Gothenburg, Sweden.
    Attitudes Regarding Participation in a Diabetes Screening Test among an Assyrian Immigrant Population in Sweden2016In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 1504530Article in journal (Refereed)
    Abstract [en]

    Immigrants from the Middle East have higher prevalence and incidence of type 2 diabetes (T2D) compared with native Swedes. The aim of the study was to describe and understand health beliefs in relation to T2D as well as attitudes regarding participation in a screening process in a local group of Assyrian immigrants living in Sweden. A qualitative and quantitative method was chosen in which 43 individuals participated in a health check-up and 13 agreed to be interviewed. Interviews were conducted, anthropometric measurements and blood tests were collected, and an oral glucose tolerance test was performed. In total, 13 of the 43 participants were diagnosed with impaired glucose metabolism, 4 of these 13 had TD2. The interviewed participants perceived that screening was an opportunity to discover more about their health and to care for themselves and their families. Nevertheless, they were not necessarily committed to taking action as a consequence of the screening. Instead, they professed that their health was not solely in their own hands and that they felt safe that God would provide for them. Assyrians’ background and religion affect their health beliefs and willingness to participate in screening for TD2.

  • 25.
    Andersson Värnlund, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Victoria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Inte bara glömska: partnerns erfarenheter av att leva tillsammans med en person som har demens2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a degenerative disease which effects the brains cognitive functions and there are several different types of dementia. A person who has dementia is likely to wander, shout, be aggressive, memory loss and poor perception of time. All of these symptoms affect the partner to the person with dementia. Every year over 25'000 persons gets dementia and many of these persons lives at home. The partner is often the one who takes care of the person with dementia.

    Aim: The aim of this study was to investigate partners experiences of living with a person who has dementia. Method: The method used in this study was literature study and fifteen qualitative articles were analysed.

    Results: Two main themes emerged: a changed relationship and to manage the situation.Dementia affects the relationship of a couple. There will be changes in the emotional relationship because the person who once was there disappears as the dementia deteriorates. At the same time there is a change in the roles. The chores that the person with dementia did earlier is now the partner’s responsibility. To be able to take care of the person with dementia the partner had his or hers own resources.These resources could consist of practical and emotional strategies. Also external resources where available, such as support from family, friends, church or support groups. Conclusion: The conclusion is that the partner is doing everything in its power to keep the person with dementia at home as long as possible.

  • 26.
    Andreasson, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alexandersson, Jonas
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stress på akutmottagningen: sjuksköterskors erfarenheter2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stress among ´nurses´ at the emergency department is a common problem. Emergency departments are often overcrowded and the lack of staff is a usual issue. The work pace in the emergency department is often high and dealing with stressful situations is often forgotten.

    Aim: The aim of this study was to explore ´nurses´ experience of occupational stress in the emergency department.

    Method: A literature review has been made of 7 qualitative and 7 quantitative articles. Articles were analyzed by searching for similarities and differences. The analyzed articles were published between 2008-2016.

    Results: The results showed that ´nurses´ showed a high level of occupational stress due to high workload and lack of staff. The results also showed that consequenses of stress were fatigue syndrome and depression. The most effective coping strategy among ´nurses´ were a strong social support, and the use of debriefing.

    Conclusion: To work as a ´nurse´ at the emergency department can be stressful. To be able to deal with stress effectively ´nurses´ need to be educated in coping strategies. Clear guidelines in the emergency department are an effective method in dealing with stress.

  • 27.
    Andréasson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När livet är en berg- och dalbana: En litteraturbaserad studie om att leva med ett barn med diabetes2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is one of Sweden's national diseases. Around 7000 children live with type 1 diabetes in Sweden today. The diagnosis requires planning of everyday life and revaluation of routines which places great demands on the family.

    Aim: The aim of this study was to describe parents and siblings' experiences of living with a child or young adult diagnosed with type 1 diabetes.

    Method: The study was designed as a literature-based study to contribute to evidence-based nursing based on analysis of qualitative research to reach a deeper understanding of families' experiences. An analysis of thirteen qualitative articles resulted in four main themes and ten subthemes.

    Results: The results of the study showed that the whole family is affected when a child gets diabetes. That the child was diagnosed was a shock that caused many feelings with both parents and siblings. There was a constant concern for complications in both the long and short term, resulting in a fear to hand over responsibility, causing a huge pressure on parents who could feel isolated.

    Conclusion: The families experienced strong feelings when the child was diagnosed. The families needed support from the healthcare professionals to be able to handle the disease.

  • 28.
    Aoude, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mengstab, Yolanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas upplevelser av att leva med diabetes typ 22017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is an incurable and chronic disease and a risk factor for both stroke and cardiovascular disease. Type 2 Diabetes mostly affect people over the age of 40 however, in recent years even a lot of younger people got this disease. Since every patient is a unique person with its own needs and conditions the experiences of how to live with this disease is an important acknowledge in the caring of these patients.

    Aim: The aim with this study was to illuminate experiences of living with diabetes type 2.

    Method: 10 articles has been analyzed by Friberg's five step model.

    Results: The analysis resulted in three themes; The environmental impact, with sub team the feeling of shame, blame and grief; the need of support with sub themes support and information and information for self-care; and another life with sub themes lifestyle changes and self-care and fear of complications. 

    Conclusion: The results showed that the need for support and information about self-care was important to increase patient motivation. Lack of knowledge about the disease gave negative experiences such as difficulty in accepting the disease and also the feeling of guilt and shame occurred.

  • 29.
    Araujo, Johane
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Calo, Nyssa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en person med afasi2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Being close to a person who suffers from a disease can mean a burden, as these tends to disregard own needs in favor of the person who is sick. Aphasia is a disorder that affects communication skills and is one of the most common complications due to brain damage.

    Aim: The main purpose of this literature study was to illuminate relatives experiences of living with a person with aphasia.

    Method: Nine scientific articles were analyzed with a qualitative manifest content analysis which resulted in three themes with subthemes: Emotional reactions: The impact on well-being, Changing social and emotional relationships; A changed everyday life: Obstacles in communication, Decreased social interaction, Being able to handle everyday; Increased need for support: To get information about the aphasia; Deterioration of the economy and the need for financial support.

    Result: It was revealed that relatives felt left aside in the care of their relative with aphasia, resulting in an increased need for information, support and relief.

    Conclusion: Therefore conclusion was that relatives should be asked by nurses of how much involved in the care of their sick relative they want to be or can be and how much support they need to be able to handle that.

  • 30.
    Arnoldsson, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cederqvist, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    '' När jag visste att jag hade MS trodde jag att jag skulle dö inom 6 månader": en litteraturbaserad studie om patienters upplevelser av att leva med Multipel Scleros2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Multiple sclerosis (MS) is a serious chronic disease that affects people all over the world. In Sweden about a thousand new patients every year got MS, and today there are approximately 17 500 people who have the diagnosis. As MS often arise in the prime time of life and is unpredictable this causes great difficulty for those individuals who are diagnosed and then forced to live with the disease. Aim: The aim of the study was to illuminate patients' experience of living with Multiple Sclerocis. Method: Method was a literature-based study, in which the analysis is based on qualitative studies. Results: The result showed that MS have a great influence in patients life and tell us how patients experience emotions fear, despair, uncertainty and hope in their everyday lives and emotions of fear. Conclusion: It is evident from the findings of this study that individuals living with MS face several challenges in life. It is valuable for nurses and people who work in health care to know how these patients experience their daily lives. This study will hopefully create awareness of the disease and how the patients feel.

  • 31.
    Aronsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Magnusson, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När hjärtat är skadat: En kvalitativ litteraturbaserad studie som beskriver patienters erfarenheter av att leva med hjärtsvikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is a chronic disease that increases among the population, despite progress in research. Living with heart failure can cause suffering and impaired health due to physical limitations in daily life. Research indicates that patients experience of living with heart failure is paid too little attention in relation to the medical treatment itself.

    Aim: The aim of this study was to describe patients' experiences of living with heart failure.

    Method: This study is based on a method to contribute to evidence-based nursing with ground in analysis of qualitative research. Eleven qualitative articles were analyzed using Fribergsfive step model.

    Results: Through the analysis three main themes and eight sub-themes were developed. The main themes were: The daily life changes, To be involved in your own care and Listen to your heart.

    Conclusion: To be diagnosed with heart failure means a life change. Therefore, it is important that the nurse is aware of the physical, and psychological effects of the disease.

  • 32.
    Arthursson, Joakim
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Följder efter behandling av prostatacancer2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, around 30 men receives the diagnosis prostate cancer every day. Healthcare services need to understand how treatment for prostate cancer effects a man and his lifeworld. Prostate cancer is the most common type of cancer in Sweden, but insufficient treatment for men's well-being and sense of self after treatment is made.

    Aim: To describe the experiences of men who is treated for prostate cancer.

    Method: A literature overview was performed.

    Results: Results show that men need support when diagnosed and treated for prostate cancer. Men were less likely to seek support and admit to themselves that they needed professional help. The treatment for prostate cancer had negative effects on the man's sense of self.

    Conclusion: The importance of nurse's professionalism in treatment of men with prostate cancer. Nurses need to initiate conversations about the impact the treatment of prostate cancer had on the men's lifeworld.

  • 33.
    Arvidsson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hernevik, Sabina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sociala mediers påverkan på ungdomars psykiska häls: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The increasing prevalence of mental illness among adolescents has become a burden to health care. Simultaneously the use of social media has become pervasive among adolescents. How does the increased use of social media affect the mental health among adolescents?      Aim: The aim of this study is to investigate how the use of social media effects adolescents´ mental health. Method: Both qualitative and quantitative data was collected and used in a literature overview with the analysis method of Friberg through a descriptive summary of the area. Ten articles was used. Results: The use of social media can both promote and counteract the mental health among adolescents. Thus it can create a sense of context and connection it can also contribute to stress, impaired sleep quality, development of eating disorders and also to a lower selfesteem.   Previously mental illness was shown to be fortified by the use of social media.    Conclusion: The prevalence of mental illness was associated with a high usage of social media.       

  • 34.
    Aspegren, Moa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wik, Joanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans uppfattning av nutritionsansvaret för patienten: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Nutrition plays an important role in the lives of all people, both for health and for illness. Malnutrition has a negative impact on the human body, especially in the case of illness, as both mortality and complications increase in this condition. The Nurse has the highest level of nursing responsibility for the patient, where nutrition is an important part. Aim The purpose of this literature review was to describe how nurses perceive their nursing responsibility for the patient’s nutrition on a somatic ward.  Method The research method was a literature review based on articles with both qualitative and quantitative stirring. Articles were analyzed according to Friberg (2012). Four themes submerged from the analysis: lack of knowledge, barriers to nutritional care, nurses’ attitudes, and nursing role.   Results The Nurse generally considered that the nutrition of the patients was within their area of responsibility, however, they felt that they did not have enough knowledge to meet the needs, both in terms of nutrition knowledge and the national assessment tools available. After receiving education in nutrition, the nurse felt safer in this role. Time and staff shortages in combination with competing tasks were considered barriers to effective nutrition care. Attitudes towards nutrition and shortcomings in collaboration between occupational categories were also considered as obstacles. Conclusion More knowledge is needed about nutrition along with a distinct accountability for nurses. Also a better working interdisciplinary between doctors,  nurses and dietitians. Nurses also wanted better meal options and more flexible time for patients to eat.

  • 35.
    Axelsson, Andrea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Friman, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas erfarenheter av att leva med ADHD: En litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background ADHD is a disability with symptoms like inattention, impulsivity and hyperactivity. The symptoms can make everyday life difficult for the adults with ADHD. In Sweden, 2,5% of the adult population is expected to have ADHD. Previously, the diagnosis has been noted as a disability that is only found in children. This has meant that many adults have not received the help they need.

    Aim The aim of this study was to describe adults´ experiences of living with ADHD.

    Method The method chosen for this study was to contribute to evidence-based nursing with ground in analysis of qualitative research. By using this method, experiences from adults living with ADHD could be described. Eight articles were analysed from which three main themes och ten sub themes arose.

    Results The result showed that living with ADHD both is about handling a life with limitations and strengths caused by its symptoms. It also showed how the symptoms impact the everyday life and the experience of failure in both social life and work life. It is important for adults with ADHD to gain self awareness and awareness from others. It is also described how adapting the environment can help the adult with ADHD.

    Conclusion It is important for adults with ADHD to get good knowledge about the diagnosis, to get support and that both healthcare professionals and relatives are well informed about the need and support.

  • 36.
    Ayewubo, Celestine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patel, Archana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av livet efter hjärttransplantation2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a person needs heart transplantation it means that they are suffering from a serious heart failure, and in order to survive they need to undergo surgery for a new heart from a dead person. A lot of the patients don't know what to expect from the surgery and life after the transplantation but their fear of that will not overshadow the chance they have to take somebody's else's heart and begin to live a new life. The transplantation can be a difficult thing to understand and handle without help. It becomes very important for the nurse to have knowledge of the patients' experiences to adjust an individual care in the future.

    Aim: The aim of the study was to describe patients' experiences of life after heart transplantation.

    Method: A five-step model was used described by Friberg (2012) to contribute to evidence-based nursing with basis in analysis of qualitative research, for the analysis of ten scientific qualitative articles.

    Results: The findings that emerged from the analysis shows that they can be applied to the nursing profession. The findings formed three themes: New life, Existential thoughts, and Spiritual aspects, with subthemes.

    Conclusion: After the heart transplantation there is no guarantee that the patients wellbeing will improve. It is important that nurses have knowledge in this field so they can care for the patients' and help them to regain their physical and mental health.

  • 37.
    Backlund, Linus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Grundvall, Fredrik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Omvårdnad av anhöriga till traumapatienter: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During trauma treatment lots of health personal are mobilized under a short timeframe. The focus lies upon the care of the patient which leads to reduced focus on the nursing care for the relatives. The relatives are in a difficult life situation and in a major need for nursing care. Aim: The aim of this study was to illuminate the nurses' care for the relatives of trauma patients. Method: This study is a literature review of eleven studies that involves relatives or nurses perceptions of the nursing care provided for the family-members of critically ill trauma patients. The studies were analyzed and categorized into themes and subthemes. Results: A total of three themes emerged. "Communications with the relatives", with subthemes the nurse gives information, nurses' behaviors and accessibility, taking the time to get to know the relatives. "Relatives involvement in care" with the subthemes involving the relatives in care, letting the relatives close to the patient. The last theme was "nurses provide care for the patient" without any subthemes. Conclusion: Information was crucial to the relatives. The nurse had to be calm and accessible to the relatives' needs and when he or she seemed stressed it was considered uncaring for the relatives. The relatives wanted to comfort themselves and the patient by being close to him or her. The subject needs more research especially with focus on what's being done for the relatives of trauma patients.

  • 38.
    Bahramvalady, Mozhgan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livskvalitet för patienter med kronisk obstruktiv lungsjukdom2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic obstructive pulmonary disease is a growing problem today around the world. People are getting diagnosed with COPD everyday and the number of cases is expected to increase in the future. It is important that the nurse can respond to people living with COPD and to understand the symptoms and living condition of these people in order to apply a good nursing care.

    Aim: The aim of this study was to describe how quality of life is affected by chronic obstructive pulmonary disease (COPD).

    Method: The method of this study is based on a qualitative and quantitative research according to Friberg (2006) and Friberg (2012). Nine articles was analyzed according to Fribergs five-step model and results divided in three main themes.

    Results: The main themes were Symptom that limits everyday life, symptoms with a psychosocial impact and Relieving of symptoms that increases the quality of life.

    Conclusion: The results showed that COPD affects the entire life. To combine different treatment options such as applying oxygen, special breathing techniques and to increase the physical activity, it is possible to increase quality of life in COPD.

  • 39.
    Beagan, Eva-Lotta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brandberg, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hälsa och lidande efter en njurtransplantation: En beskrivning av patienters erfarenheter att leva med en ny njure2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden last year 426 patients received a new kidney. As a patient you can be on a waiting list for a kidney transplantation between 1-3 years, sometimes longer. While waiting for a kidney transplantation dialysis is often required. Kidney transplantation is the renal replacement therapy of choice for more than 55 % of people with kidney failure. Despite improvements of quality of life in physical, social and psychological domains many factors influence life in a negative way.

    Aim: The aim of this study was to describe patients’ experiences after a kidney transplant.

    Method: A literature-study was based on ten qualitative research articles.

    Result: Our analysis of the result emerged in two themes; "Adaption from ill to health with side-effects" and "Difficulties to make friends with uncertainty". Patients experienced a wide range of emotions while trying to adjust to life after transplantation. It is a complex task to establish normality in the shadow of troublesome side-effects and the constant risk of rejection.

    Conclusions: The kidney transplant patient often hovers between health and suffering. It is a big adjustment in life to try to live as a healthy person but along with side-effects and constant threat of graft rejection on the patients’ mind. To learn to cope with the situation and move towards acceptance the patient also needs hope. The nurse must be attentive to what the patient experiences to be able to support the patient in the process of striving towards health.

  • 40.
    Bengtsson, Christine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olofsson, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser vid omhändertagandet av sjuka barn2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses have an important role in identifying life-threatening and serious diseases. Nurses must be able to care for both children and adults but they feel that it is tough, demanding and stressful to care for urgently ill children.

    Aim: The aim was to describe nurses´ experience of caring for ill children.

    Method: Literature-based study in which ten qualitative research articles are rewied and analyzed.

    Results: Three major categories were identified. "feelings of nurturing children" which included fear of failure, linked to their own children and emotions related to the situation. "need for knowledge" which included communication, care for children and stress. The last category was "present parents" which included pressure from parents, taking care of two patients and parents' influence on the child.

    Conclusion: The nurse experienced insecurity and inadequacy in the care of acutely or urgently ill children. They experienced a lack of knowledge in child care.

  • 41.
    Bengtsson, Josefine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I dödens närvaro: Sjuksköterskors erfarenheter av att möta döende patienter inom palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses meet patients in palliative care in different wards, in homecare and hospices. The role of the nurse is to provide patients and relatives with good care. A holistic care includes psychological, physical, social and spiritual needs.

    Aim: The aim of the study was to highlight experiences of nurses meeting dying patients in palliative care.

    Method: The method to contribute to an evidence-based care based on analysis of qualitative research as described by Friberg (2012) was chosen for the study. Ten scientific articles were analyzed and the result was three categories, with eight sub-categories.

    Results: The three categories were: death leaves nobody untouched, relations in the shadow of death, and needs on the environment when death approaches. Nurses described their reactions and feelings in relation to the care of a patient in the palliative phase, emotions that both concern and strain. The relationships were important in palliative care, both with patients and relatives. Aspects such as environment, colleagues and knowledge were of importance to a nurse in palliative care.

    Conclusion: Experiences to meet dying patients in palliative care were described as demanding, but also a privilege. It was considered important to include and to co-operate with the patients’ relatives. The colleagues were needed to provide a good care for the dying patient. Nurses reach security through continuous development of knowledge, experience and reflections.

  • 42.
    Berg, Henric
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Patrick
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors syn på hur de kan stödja närstående till patienter i behov av palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care treatment is a common phenomenon to many registered nurses. When caring for a patient palliatively, the nurse should also care for the ones closest to the dying patient. Previous studies have shown that nurses are uncertain on how to support these relatives and that some nurses even see them as a burden. The aim of this study was to describe nurses’ views on how they can support the ones closest to the patients that need palliative care. The method used is a literature study, aiming at contributing to evidence based care grounded in analysis of qualitative research. Two electronic databases, Cinahl and Pubmed, were used for searches. Inclusion criteria were: studies should be written in the English language, no older than ten years, qualitative, presenting data in palliative care setting for adult patients only, and written from a registered nurse’s perspective. Eleven studies were included. Four themes emerged on how nurses give support: Facilitate presence, Involve the ones closest to the patient, Care for the ones closest to the patient and Meet informational needs. The conclusion is that the nurse should care for the ones closest to the patient as unique human beings and strive to fulfil individual nursing needs.

  • 43.
    Bergbom, Ingegerd
    et al.
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ringdal, Mona
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Developing and evaluating an instrument to measure Recovery After INtensive care: the RAIN instrument2018In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 17, no 1, article id 5Article in journal (Refereed)
    Abstract [en]

    Measuring and evaluating patients' recovery, following intensive care, is essential for assessing their recovery process. By using a questionnaire, which includes spiritual and existential aspects, possibilities for identifying appropriate nursing care activities may be facilitated. The study describes the development and evaluation of a recovery questionnaire and its validity and reliability.

  • 44.
    Bergegårdh, Linnea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Saifelddine, Manal
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av bröstcancer: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is developed through multiple mutations in important genes that effect the central life process. The risk of developing breast cancer increases by the numbers of relatives that have been affected. Breast cancer appears in different cellular tissues and sizes depending on the stages that are titled with the numbers zero to four. At the survey of diagnosis, the women can go through several feelings. The treatment is costumed to fit the individual and can consist of several components that can give a lot of side effects, influence the life situation and create suffering on several levels. Aim: The aim was to illuminate the woman´s experiences of breast cancer. Method: A literature-based method is used. The studies´ result were analyzed by a qualitative content analysis of a five steps method. Results: The results are presented in four main themes; Loss, Hope, Fear and Anxiety and Security where Loss contains four subthemes while the rest of the themes consist of three subthemes each. Conclusion: The conditions for feeling safe and hope in the situation for the women with breast cancer are faith and support from the family and the environment. This support was not obvious in every family in the world.

  • 45.
    Bergh Johnsen, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rosander, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av att få en bröstcancerdiagnos: en litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One of nine women will at some point in life be treated for breast cancer. When a woman receives a cancer diagnosis, it can be a trigger of a life crisis, which manifests itself in different phases: shock phase, reaction phase, processing phase and reorientation phase. Breast cancer affects the women's lifeworld and create suffering.

    Aim: The aim of this study was to describe women's experiences of receiving a breast cancer diagnosis. Method: This is a literature-based study of twelve qualitative articles. The articles was analyzed according to a qualitative content analysis of Graneheim and Lundman (2004).

    Results: The findings of this study were that women with a newly-diagnosed breast cancer went through a life crisis while diagnosed. Three themes emerged; 1: 'To receive the diagnosis of breast cancer'. Subthemes that emerged in this theme was; 'To be in shock', 'Fear of the disease progress and its consequences', and 'Uncertainty about the future'. 2: 'Strategies to master the new life situation'. Subthemes was; 'Activities to manage everyday life', 'Trust in spirituality' and 'To accept the diagnosis'. 3: 'The inherent meaning of support'. Subthemes was; 'The importance of health professionals supportive and informative role' and 'The significance of family and friend's support'. Conclusion: Receiving a breast cancer diagnosis is manifested as multifaceted and had a great impact on women's lives. Spirituality had a great significance for women's life-world. How the diagnosis was received, was highly individual.

  • 46.
    Bergman, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Westbring, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars behov av stöd från sjuksköterskan2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background When a child is in need for care, they are mostly accompanied by their parents. In the meeting with the family, the nurse has to give comfort, attention and support to everyone, not least the parents. Due to swedish law it is the nurse’s responsability to give information and encourage good care. The parents needs to have support to be involved and feel safe in the care of their child. To achieve all of this, the nurse has a big responsability to see each person as a unique individual. Aim The aim of this study was to describe parents' need of support from the nurse when their child requires care at hospital.  Method A literature-base study has been made of qualitative articles retrieved from database Cinahl. The studies were found used systematic searches. The result of a total of eight scientific articles from different countries around the world were compiled. Results The themes highlight what kind of support parents need when their child requires care at hospital. To be a confidence-giving nurse, to be guided as a parent, to be involved, individually adapted information, education about the child’s condition and a functional communication were highlighted in the study. The main themes were- "An involved nurse" and "Verbal and non verbal support for the parents".  Conclusion Parents are in need of support when their child is in need of care. Each parent is unique and the support must be built from each individual parent. The relationship between parents and nurse could be important for the support and for the involvement of the parents.

  • 47.
    Bergqvist, Christer
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som patienter upplever påverkar följsamheten av den ickefarmakologiska behandlingen vid hypertoni2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In this work hypertension was considered by the author to be of great concern. The work initially defined hypertension including pathophysiology, occurrence, risk factors and treatment. Self care in the form of lifestyle changes was recognized as a substantial part of the treatment for hypertensive patients. Health as a concept was discussed and Dorothea Orems self care theory was used as a basis for the study. The nurse`s role was described as helping the patient develop and maintain self-care. Aim: The aim of this study was to investigate factors that patients perceived as influential when it came to self-management of hypertension. Metod: The method used was an analysis of qualitative research developed by Friberg (2006). Nine scientific articles were analyzed to identify themes and subthemes. Results: Eleven subthemes and five themes that described what patients felt effecting their selfcare were identified. The themes that was spawned were: lifestyle which included the subthemes culture and living conditions; support which included the subthemes relation with health care and social support; attitude which included the subthemes self-esteem, engagement and responsibility; competence which included the subthemes information and advice and knowledge and information and the final theme perceived health which included the subthemes symptoms and comorbidity. Conclusions: The conclusions drawn from this work was that there were a lot of different factors that patients believed facilitated or inhibited their self-care and that it was important for nurses to consider that in the care relation with patients suffering from hypertension.

  • 48.
    Björk, Anna-Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahlstrand, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av bedsiderapportering: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bedside report is a method of information transfer when the shift report between nurses is conducted at the patient's bedside. Shift report is an important aspect in nurses' daily work because vital information is communicated. An ineffective handover can have a negative impact on patients' safety since the patient isn't invited to participate when the traditional handover method is used. Aim: The aim of this study was to describe nurses' experiences of bedside shift report. Method: A literature review was performed and ten articles were included. Results: The study resulted in three themes and seven sub-themes. The first theme describes experiences of the cooperation between the nurse, patient and relatives. The sub-themes were; stimulates patient involvement and promotes involvement of related. The second theme describes the working process with a person-centered approach. The sub-themes were; works more patientsafe and enable overall evaluation of the patient. The third theme describes nurses' experiences of encountered obstacles when using bedside report. The sub-themes were; problematic to convey sensitive information and negative attitude to the work process. Conclusion: Bedside report has a positive impact on patient safety because it's possible for nurses to more frequently discover changes in the patients' health during the shift. Bedside report also increases the opportunity for both patient and relatives to participate in the nursing care.

  • 49.
    Björnsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kleiven, Joffen
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bara så du vet, äldre har också sex: En litteraturöversikt om äldres sexuella hälsa och attityd2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research showed that older people's sexual health is not addressed adequately in the health sector. It is a subject that is very limited or non-existent during basic training for nursing students. Older peoples sexually health has improved and hence there will be an even more important area for the nurse, who is responsible for the patient's health. Existing prejudices about sexuality of elderly people means that more knowledge is needed.

    Aim: The aim was to describe: 1. elderly person's experience of their sexual health and the health care receptions. 2. health care workers' attitudes towards older patients' sexual health.

    Method: A literature overview. Four qualitative and six quantitative studies between the years 2000- 2015 were analyzed.

    Results: Three main themes were identified; older people's experiences, that showed that older patients are healthier and more sexually active than before. The second main theme; health care workers experience of older people's sexual health showed that the patient's greatest obstacles to exercising their sexuality is the lack of private spaces. The nurse usually had a negative attitude to the elderly persons' sexual health, which could be due to nurses' ignorance and that sexuality is a sensitive subject. The third theme showed factors which affect sexual health in elderly. Conclusion: More information is needed about the elderly person's sexual health for patients and more training in nursing. Many older suppress their sexuality because of different standards and taboos in society, which may lead to unnecessary suffering.

  • 50.
    Bolmvall, Astrid
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bond, Joakim
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med cancer: En litteraturbaserad studie som beskriver upplevelser av att leva med cancersjukdom2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Cancer is a growing problem in today ́s society. More people are diagnosed with the disease and the number of cases is expected to increase even more in the future. In order to be able to respond to people living with cancer and to apply a good nursing care, the nurse must know how these people experience their living conditions.

    Aim The aim of this study was to describe adults’ experiences of living with cancer.

    Method The method used was a literature study based on qualitative research according to Friberg (2012). The articles is analyzed according to Friberg ́s five-step model and results in three main themes and seven sub- themes.

    Results The main themes were- Changes in everyday life, Being a burden to themselves and their surroundings and To deal with an uncertain future.

    Conclusion The results showed that cancer disease changes the whole human life. The patients feel strain, both physically and mentally which changes everyday life in different ways and they live in a constant state of uncertainty.

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