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  • 1.
    Aadland, Lena
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Ekelund, Anna-Karin
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Livet efter att ha drabbats av en hjärtinfarkt2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

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

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

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

  • 2.
    Abdi, Fartun
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Khaloufi, Siham
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Faktorer som hindrar sjuksköterskan inom hälso- och sjukvården från att göra en orosanmälan på barn2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 3.
    Abdulle, Hafsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Abdulazisova, Marijam
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Demens: En familjesjukdom: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

  • 4.
    Abrahamsson, Nathalie
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Härnälv, Matilda
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Att leva med långvarig smärta vid fibromyalgi: en litteraturbaserad studie om kvinnors upplevelser2016Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 5.
    Adam, Christina
    et al.
    1 St. Savvas Anticancer Hospital, Athens, Greece.
    Patiraki, Elisabeth
    National and Kapodistrian University of Athens, Athens, Greec.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Radwin, Laurel
    Research Health Scientist, Center for Health Care Organization and Implementation Research, Boston VA Health Care System, Boston, MA USA.
    Charalambouss, Andreas
    Cyprus University of Technology, Department of Nursing Studies, Limassol, Cyprus and Docent, University of Turku, Department of Nursing Science, Finland.
    Charalambous, Melanie
    Cyprus Ministry of Health, Nursing Services, Educational Sector, Nicosia, Cyprus.
    Berg, Agneta
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Kristianstad.
    Sjövall, Katarina
    Skane University Hospital and Medical faculty, Lund University, Sweden.
    Katajisto, Jouko
    Statistician University of Turku, Department of Mathematics and Statistics, Turku, Finland.
    Stolti, Minna
    University of Turku, Department of Nursing Science, Turku, Finland.
    Suhonen, Riitta
    University of Turku, Department of Nursing Science/Turku University Hospital and City of Turku, Welfare Division, Turku, Finland.
    Quality of nursing care as perceived by cancer patients: A cross-sectional survey in four European countries2017Inngår i: Balkan Union of Oncology. Journal, ISSN 1107-0625, Vol. 22, nr 3, s. 777-782Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 6.
    Adamovic, Eleonora
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Dervisic, Elma
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Nybakad sjuksköterska: En litteraturbaserad studie om nyutexaminerade sjuksköterskors upplevelser2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

  • 7.
    Ademi Salihi, Valjbone
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Buleshkaj, Arjola
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Patienter med psykisk ohälsa och deras upplevelser av kontakten med vårdpersonal inom hälso- och sjukvård2016Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 8.
    Adler, Malin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Askeröd, Therese
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Sjuksköterskors erfarenheter av att möta barn och deras föräldrar inom hälso- och sjukvården2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Möten mellan sjuksköterska och barn återfinns inom de flesta verksamheter, eftersom barn är en stor patientgrupp inom hälso- och sjukvården. Sjuksköterskans kunskap och erfarenhet har avgörande betydelse för hur dessa möten avlöper. Det är av stor vikt att barns möten med sjuksköterskan blir en positiv erfarenhet, eftersom en negativ händelse kan få livslånga konsekvenser genom att barnet undviker hälso- och sjukvården under resten av sitt liv. Följden av ett negativt möte kan också bli att barnets kommande möten kräver mer resurser, såsom fler och längre möten och mer personal, resurser som annars kan vara till nytta för fler barn. Sjuksköterskan bör individanpassa mötet utifrån barnets individuella utvecklingsnivå och involvera barnet och familjen, som kan bestå av flera medlemmar. Detta kan göras genom att sjuksköterskan avsätter tillräckligt med tid, befinner sig på barnets nivå och anpassar kommunikationen, kanske med lek. Ett gynnsamt läge uppstår då för att familjen skall känna sig och vara delaktiga i vården, och en trygg och tillitsfull relation skapas för alla inblandade. Undersökningar och behandlingar underlättas när sjuksköterskan och familjen samarbetar. Hur mötet avlöper beror till stor del på sjuksköterskans kunskaper och erfarenheter. Kunskap är grunden för sjuksköterskans yrke och en sjuksköterska blir aldrig fullärd utan behöver söka ny kunskap hela tiden. Ett primärt sätt för sjuksköterskan att göra det, är med reflektion. Reflektion kan ske enskilt, med kollegor och andra yrkesgrupper. Vid reflektion ökar sjuksköterskans kunskap genom att hen tar del av någon annans erfarenhet och reviderar den och gör den till egen ny kunskap. Författarna anser att de resultat som framkommit kan användas som verktyg vid möten mellan sjuksköterskor, barn och deras föräldrar.

  • 9.
    Adolfsson, Per
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Lindqvist, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Humor i byggandet av vårdrelationen mellan sjuksköterska och patient: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 10.
    Afroz, B.
    et al.
    Karlstad University, Division of Public Health Sciences.
    Moniruzzaman, S.
    Karlstad University, Division of Public Health Sciences.
    Stark Ekman, Diana
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa och kultur.
    Andersson, R.
    Karlstad University, Division of Public Health Sciences.
    The impact of economic crisis on injury mortality: The case of the 'Asian crisis'2012Inngår i: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 126, nr 10, s. 836-838Artikkel i tidsskrift (Fagfellevurdert)
  • 11.
    Ahlm, Kristin
    et al.
    Umeå University, Section of Forensic Medicine, Department of Community Medicine and Rehabilitation.
    Hassler, Sven
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa och kultur.
    Sjölander, Per
    Högskolan i Gävle och Södra Lapplands Forskningsenhet.
    Eriksson, Anders
    Umeå University, Section of Forensic Medicine, Department of Community Medicine and Rehabilitation.
    Unnatural deaths in reindeer-herding Sami families in Sweden, 1961-20012010Inngår i: International Journal of Circumpolar Health, ISSN 1239-9736, E-ISSN 2242-3982, Vol. 69, nr 2, s. 129-137Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives. Unnatural deaths among Indigenous populations, including the Swedish Sami, occur more often than among the general population. To find prevention strategies, we explored the circumstances of the unnatural deaths of members of reindeer-herding Sami families. Study design. The number of deaths from among a cohort of 7,482 members of reindeer-herding Sami families were retrieved from the National Board of Health and Welfare for the years 1961- 2001. Methods. An evaluation of the information from autopsy records at the National Board of Forensic Medicine, police reports, and available medical records identified 158 unnatural deaths. These were then analysed in detail. Results. Transport-related deaths and suicides were the most common unnatural deaths among Swedish reindeer-herding Sami family members. Suicides contributed to 23% of all deaths, road traffic accidents to 16%, and snowmobile fatalities to 11%. The accidents generally reflected an "outdoor lifestyle" and the working conditions were characterized by the use of off-road vehicles such as snowmobiles. Half of the number of victims tested positive for alcohol and alcohol abuse was documented in 15% of all victims. Conclusions. The results indicate that alcohol is an important factor in preventing unnatural deaths among reindeer-herding Sami, together with increased safety of both on-road and off-road transportation.

  • 12.
    Ahlqvist, Clara
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Lundqvist, Lovisa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Livet efter en brännskada: en litteraturstudie ur ett patientperspektiv2019Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

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

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

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

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

  • 13.
    Ahlstrand, Katarina
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Nordlander, Isabel
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Att ha lämnat allt: En litteraturstudie om ensamkommande barns erfarenheter av att vara asylsökande2018Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

  • 14.
    Ahlström, Britt Hedman
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Wentz, Elisabet
    he Vårdal Institute, Swedish Institute for Health Sciences, Lund.
    Difficulties in everyday life: Young persons with attention-deficit/hyperactivity disorder and autism spectrum disorders perspectives. A chat-log analysis.2014Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, s. 23376-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 15.
    Ahlström, Malin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Vahtera Eliasson, Katarina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Skolsköterskors tillvägagångssätt för att stödja flickor i grundskolan vars vårdnadshavare begränsar deltagande i hälsofrämjande insatser2016Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

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

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

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

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

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

  • 16.
    Ahlén, Åsa,
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Andersson, Helena
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Eriksson, Helena
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Följsamhet till handhygien: En litteraturstudie2009Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

  • 17.
    Ahrenkiel, Nina
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Northman, Carina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Att anmäla eller inte?: sjuksköterskors erfarenheter av att anmäla vid misstanke om barnmisshandel till socialtjänsten2016Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 18.
    Ahrenstedt, Sofia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Ryd, Anna
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Sjuksköterskors kommunikation med barn som vårdas på sjukhus och dess närstående: En litteraturbaserad studie av kommunikationens betydelse på sjukhus2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background:

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

  • 19.
    Akhtar, Mojtaba
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Dahlström, Emilia
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Närståendes upplevelser av sjuksköterskans kommunikation, stöd och bemötande i palliativ vård i hemmet2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 20.
    Aksana, Sukhanava
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Wilck, Samuel
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Sjuksköterskans preoperativa omvårdnadsåtgärder för att lindra patientens oro och ångest: en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 21.
    Aksöz, Josef
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Larsson, Katarina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    "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 poäng / 15 hpOppgave
    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.

  • 22.
    Alatalo, Ida
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Andersson, Karin
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Kampen mot barnlösheten: kvinnors upplevelser av infertilitet. En studie av självbiografier2014Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

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

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

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

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

  • 23.
    Albihn, Annika
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Larsson, Sanna
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Kvinnors upplevelser av livskvalitet efter genomgången hjärtinfarkt2014Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background

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

    Aim

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

    Method

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

    Results

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

    Conclusion

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

  • 24.
    Albinsson, Birgitta
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Bergström, Lena
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Närståendes upplevelser av mötet med personal i hemsjukvården i den palliativa vården2014Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Att vårdas i det egna hemmet av personal från hemsjukvården den sista tiden i livet har blivit mer vanligt och kommer förmodligen att utökas efterhand. När en person blir svårt sjuk får den oftast hjälp och stöd från närstående. Syftet med denna studie, var att beskriva närståendes upplevelser av mötet med personal i hemsjukvården i den palliativa vården. Tre kvinnor och två män intervjuades enskilt i sina egna hem. Studien utfördes med en kvalitativ ansats, utifrån Granheim och Lundmans innehållsanalys. Analysen resulterade i fyra teman: Att känna trygghet, Att känna delaktighet, Att få vara hemma, Att få sin identitet bekräftad. Resultatet visade att de närstående anser att bemötande och engagemang till närstående och den sjuke från personalen var viktigt. Trygghet med positiva upplevelser infann sig för de närstående när det fanns en kontinuitet i hemsjukvårdens personalgrupp. Personal med lyhördhet och kompetens för sin uppgift var önskvärt. Att personligen behålla sitt ansvar för att sköta den sjuke genom att vara delaktig prioriterades högt, samtidigt som ett fortsatt stöd från hemsjukvårdens personal upplevdes mycket tryggt.

    Det är viktigt att personal inom hemsjukvården reflekterar över sitt förhållningssätt när vården sker i det egna hemmet, där personalen är gäst och den sjuke och närstående är värdar. Genom denna studie lyfts närståendes upplevelser fram, vilka kan leda till att förhållningssättet hos personal i hemsjukvårdens kan bli bättre vilket i sin tur kan ge de närstående ökat välbefinnande

  • 25.
    Aldegren, Emelie
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på grundnivå.
    Pettersson, Maria
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på grundnivå.
    Cancer förändrar allt!: Kvinnans upplevelse av bröstcancer2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

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

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

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

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

  • 26.
    Aldegren, Sandra
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Mäntylä, Nina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Icke-farmakologiska metoder för att lindra postoperativ och procedurrelaterad smärta hos små barn2014Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background:

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

    Aim:

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

    Method:

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

    Results:

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

    Conclusion:

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

  • 27.
    Alfredsson, Anna
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    "Detta är en hård nöt att knäcka": Sexualupplysning till nyanlända ungdomar2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    I denna studie undersöks närmare hur olika aktörer i samhället arbetar och bedriver sin verksamhet för att lära ut om sex- och samlevnadupplysning till nyanlända ungdomar. I studien skall man genom aktörernas egna berättelser få en inblick i hur det kan se ut att jobba med sex- och samlevnadsupplysning till nyanlända ungdomar. Dessa aktörer arbetar med att ge sexualupplysning till nyanlända ungdomar på lite olika sätt, vilket gjorde det intressant att studera och jämföra aktörernas arbetssätt med varandra för att sedan ha möjligheten att lyfta fram styrkorna i de olika arbetssätten.

    Syftet med denna studie är att undersöka och beskriva hur ett antal aktörer i samhället arbetar med sex- och samlevnadsupplysning i mötet med nyanlända ungdomar. Vidare är ett delsyfte att undersöka eventuella skillnader eller likheter mellan de olika aktörernas sätt att arbeta med sex- och samlevnadsupplysning.

    Till denna kvalitativa studie har intervjuer valts som datainsamlingsmetod och kvalitativ innehållsanalys användes för att analysera data. Det huvudsakliga resultatet av studien framkom i form av temat Förändring. Temat Förändring visar på informanternas önskan om förändring gällande både arbetssätt och uppfattningar. Temat består av två domäner. Den första domänen är "Arbetssätt" och representerar hur de olika aktörerna ser på arbetet, och vad det finns för brister. Exempelvis behövs mer resurser och kontinuitet i arbetet och generellt hur arbetet med sex- och samlevnadsupplysningen ser ut. Under domänen Arbetssätt, finns kategorierna "mer resurser", "kontinuitet", "gruppera" och "delaktighet och samverkan". Den andra domänen är " Kunskapsläge och behov", som representerar aktörernas egna uppfattningar om hur kunskapsläget ser ut hos ungdomarna. Detta sammanfattar hur informanterna upplever att arbetet är och vilka behov som finns. Under domänen Kunskapsläge och behov, finns kategorierna "okunskap" och "attityder". I dessa kategorier belyses gruppens attityder gentemot sex- och samlevnadsupplysningen och de mötena med aktörerna samt attityderna inom verksamheterna.

    Slutsatsen är att det generellt behöver tillsättas mer resurser och temat Förändring sammanfattar det hela i hur aktörerna arbetar med sex- och samlevnadsupplysning samt önskemål för fortsatt arbete. Med detta menas att det bör satsas mer resurser inom området och de behöver kontinuerligt arbetas med detta område under en längre tid. Det framkom en delad uppfattning om att det behövs mer delaktighet och samverkan mellan aktörerna. Aktörerna anser att det krävs annorlunda sätt att gruppera vid mötet med ungdomarna och ett konstruktivt arbete med ungdomarnas attityder samt den okunskap som aktörerna anser finns hos ungdomarna kopplat till sex och samlevnad.

  • 28.
    Alfredsson, Johanna
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Andersson, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Föräldrars upplevelser av att leva med ett barn med självskadebeteende: en litteraturbaserad studie med grund i analys av kvalitativ forskning2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

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

  • 29.
    Algotsson, Jennie
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Bodin, Maja
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Vård med fokus att lindra: En litteraturbaserad studie om sjuksköterskors upplevelser i palliativ vård.2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 30.
    Ali, Ayan
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Cederrand, Robert
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Livet blir vad du gör det till: En litteraturstudie om att leva med hjärtsvikt2016Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Hjärtsvikt är ett vanligt förekommande tillstånd och är en av få hjärtsjukdomar som ökar i västvärlden. De vanligaste symtomen vid hjärtsvikt är trötthet och andfåddhet. Dessa symtom har stor inverkan på patienters livssituation men inte nödvändigtvis på deras livskvalitet. Livskvaliteten handlar mindre om livssituationen i sig utan mer om hur de hanterar den.

    I takt med att den äldre populationen ökar, ökar även andelen patienter med hjärtsvikt.

    I Sverige beräknas ungefär 250 000 personer lida av hjärtsvikt och 30 000 personer insjuknar varje år. Hjärtsvikt är ett allvarligt tillstånd med hög dödlighet.

    Denna litteraturbaserade studie belyser upplevelsen av livskvalitet hos patienter med hjärtsvikt. Livskvalitet används i många sammanhang för att sammanfatta livssituationen och välbefinnandet hos en individ. Inom sjukvården talar man oftast om den hälsorelaterade livskvaliteten som handlar om att bedöma den fysiska, psykiska och sociala påverkan en sjukdom och dess behandling har på patientens liv. Livskvalitet kan ses som att ha det bra, att ha det bra innebär att ha goda känslor och positiva bedömningar om sitt eget liv. Upplevelsen av en sjukdom och behandling varierar och har olika inverkan på människors liv trots samma symtom, det vill säga att upplevelsen ses som något subjektivt.

    Det framkommer i denna studie att personer med hjärtsvikt i de analyserade artiklarna, besvärades av främst de fysiska symtomen sjukdomen förorsakade snarare än de psykiska, sociala och existentiella begränsningar sjukdomen medförde. Det kom också fram att kunna utföra sina dagliga aktiviteter och ha kvar sin sociala roll var viktigt för att behålla en god livskvalitet. Att hitta lösningar för att klara av vardagen samt hantera och bemöta de känslor sjukdomen medförde blev därför ett sätt att bemästra situationen.

  • 31.
    Ali, L.
    et al.
    Gothenburg University, Psychiatric and Mental Health care, The Institute of Health and Care Science, Sahlgrenska Academy.
    Ahlström, Britt Hedman
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences.
    Skärsäter, Ingela
    Sahlgrenska University Hospital,Department of Psychiatry.
    Daily life for young adults who care for a person with mental illness: A qualitative study2012Inngår i: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, nr 7, s. 610-617Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 32. Ali, Lilas
    et al.
    Ahlström, Britt Hedman
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Krevers, Barbro
    Sjöström, Nils
    Skärsäter, Ingela
    Need and usage of support among young informal carers of persons with mental illness: a mixed method study2013Inngår i: Horatio, European Psychiatric Nursing Congress 2013. Stepped care provided by psychiatric nurses in different parts of the world. Abstract book. / [ed] Neslihan Keser Özcan & Hülya Bilgin, 2013, s. 94-Konferansepaper (Fagfellevurdert)
  • 33.
    Ali, Lilas
    et al.
    Gothenburg University, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Ahlström, Britt Hedman
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences.
    Sjöström, Nils
    Sahlgrenska Academy, Institute of Health and Care Sciences.
    Skärsäter, Ingela
    Halmstad University, School of Social and Health Sciences.
    Support for young informal carers of persons with mental illness: A mixed-method study2013Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, nr 8, s. 611-618Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 34.
    Ali, Lilas
    et al.
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Hedman Ahlström, Britt
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Krevers, Barbro
    Linköpings universitet.
    Elf, Michael
    Göteborgs universitet.
    Skärsäter, Ingela
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Young caregivers that support and care to people with mental illness2010Inngår i: Nordic Conference of Mental Health Nursing, 2010Konferansepaper (Fagfellevurdert)
  • 35.
    Ali, Lilas
    et al.
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Hedman Ahlström, Britt
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Krevers, Barbro
    Linköpings universitet.
    Skärsäter, Ingela
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Unga vuxna som ger stöd till personer med psykisk ohälsa: hur påverkas de närståendes liv?2010Inngår i: Familjefokuserad omvårdnad.: Den tredje nordiska konferensen, Kalmar, Sverige 22-23 september 2010, 2010Konferansepaper (Fagfellevurdert)
  • 36.
    Ali, Marian
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Drobic, Elma
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Sjuksköterskor i en hotfull och våldsam miljö: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: Threats and violence against healthcare staff is an international concern worldwide. Specifically nurses are at high risk of experiencing threats and violence at their workplace. A threatening and violent work environment creates huge difficulties for the nurses involved. Aim: The purpose of the study was to describe nurse's experience of threats and violence in their workplace by patients and people that are related to the patient. Method: The method used was a literature study based on qualitative research. Ten articles were analyzed according to Friberg's five step model and resulted in two main themes and eight sub-themes. Results: The nurses experience were divided into two main categories; experience of feelings and the nurse's experience of consequences. Conclusion: The result showed that the nurses experience of threats and violence in the workplace affected their ability to work and their private life negatively. Consequently, having a negative influence on their patient care. Therefore, it is necessary to pay more attention to nurses working environment by applying different strategies to combat the threats and violence experienced by identifying the root cause and managing the problem.

  • 37.
    Ali Omar, Sadiya
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Patienters upplevelser av att leva med hemodialys: en systematisk litteraturstudie2015Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background

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

    Aim

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

    Method

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

    Results

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

    Conclusion

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

  • 38.
    Ali, Shukri
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Aly, Carolina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Upplevelser av utbrändhet: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 39.
    Ali, Tara
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Gustavsson, Anna-Lena
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Distriktssköterskans erfarenhet av sin arbetssituation på vårdcentral2018Independent thesis Advanced level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: The work done by the nurse at the primary health care center includes meeting with people of different ages and with different health problems and diseases. It is important that the work is carried out in a good environment. Former studies show that the workload for the district nurse has increased and become more stressful with threats and violence from patients who expect more treatment.

    Aim: To describe the district nurse's experiences of their work situation.

    Method: A qualitative interview study with eight district nurses working in primary health care in Sweden were interviewed. The data was analysed using a qualitative content analysis with an inductive approach.

    Results: Three main categories and nine subcategories were generated by the authors. The categories included: The content of a good day is when all the colleagues are present, and the timetable is good planned with enough work containing good meetings. When planning fails is the change of planning because of more patients and obstacles in communication skills. Experience of their environment is the impact of the physical environment such as good working environment and threatening environment.

    Conclusion: There was negative employment in the district nurses' work situation, but despite that, the experience was positive to work independently, make decisions and use their resources. They felt collegial support and it was important to know where to turn when things went wrong.

  • 40.
    Alm, Malin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Miller, Klara
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Det dagliga livet efter att ha drabbats av en stroke: en litteraturstudie2019Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background: People that suffer from stroke become a regular patient category in hospitals. A severe change in the patient's living situation occurs both physically, mentally and socially. A stroke can cause physical as well as cognitive impairments. When patients lose their physical ability it often leads to a sense of loss. The disability prevents the stroke survivors from living as before and they feel they are no longer in control of their lives.

    Aim: To describe patient's experiences of performing activities of daily living after a stroke.

    Method: Method of contributing to evidence-based nursing based on analysis of qualitative research.

    Results: The result is described in two main themes: being physically limited and being psychosocially limited. Patients described traumatic and emotional experiences when they were not able to control their body and suddenly became dependent on nursing. Nurses have an important role in making the patient involved in nursing care to facilitate the patient's sense of dignity. The patients had difficulty processing their feelings after the stroke and they felt worried about the future. Social relations could be adversely affected when cognitive impairments prevented the patients and they felt sorrow when their future plans changed dramatically.

    Conclusion: Patients affected by stroke were in an exposed situation. They perceived that their changed body affected them both emotionally and existentially and they had trouble accepting their functional difficulties. Everyday life became complex because of the complications after the stroke.

  • 41.
    Almqvist, Lina
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Lyckhage, Linda
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Att skämmas över sitt barn: Föräldrars upplevelse av att leva med barn med självskadebeteende2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    När ett barn har ett självskadebeteende påverkas föräldrarna, de hamnar i konflikter med varandra, familjedynamiken vänds upp och ned och syskonen hamnar i skymundan. Sjukskö-terskan har därför en viktig roll, att inte bara vårda och se till det sjuka barnet, utan se famil-jen som en helhet. Författarna till examensarbetet har valt att belysa föräldrars upplevelser av att ha barn med självskadebeteende.

    I Sverige är psykisk ohälsa bland barn och unga ett växande problem. Personer med självska-debeteende upplever oftast även någon form av psykisk ohälsa. Drygt 2,300 kvinnor och 1,300 män i åldern 15-29 år vårdades år 2011 för själskadebeteende men det finns olika typer av vårdformer samt söker inte alla hjälp, därför finns troligtvis ett stort mörkertal.

    Självskadebeteende och självmordsförsök ses allmänt som en komplikation vid psykisk ohälsa, där den vanligaste ohälsan är depression. Självskadebeteende och självmordsförsök skall dock inte förväxlas som samma fenomen, då självmordsförsök handlar om att avluta sitt liv. Självskadebeteende definieras med att avsiktligt skada sin kropp, utan avsikt till själv-mord.

    Föräldrar till barn med självskadebeteende kan känna sig misslyckade och maktlösa. De kän-ner även en skuld och skam över barnets beteende. Det är känslomässigt ansträngande för dem att hantera situationen. Det är därför av stor vikt att de får rätt handledning och stöd för att på bästa sätt kunna hjälpa sitt barn. Föräldrarna kunde känna en avsaknad av kunskap och förståelse gällande deras barns självskadebeteende. Sjukvårdpersonalen kan stötta föräldrarna genom att förmedla kunskap och information. De ska även undervisa, motivera, ge rådgivning samt emotionellt och praktiskt stöd till hela familjen. Insatserna bör utföras av sjuksköterskan i ett nära samarbete med andra yrkesgrupper för att få en så bra familjeorienterad vård som möjligt.

  • 42.
    Almtén, Christine
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Hallberg, Sara
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Individers upplevelse av att leva med kolorektalcancer efter genomförd behandling2018Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    Background Colorectal cancer is the third most common form of cancer among men and women in Sweden. The disease is shown to have a higher incidence among older individuals. Recent studies showed that the individuals may ignore their symptoms. To make a choice in what treatment to go for individuals got support from family and friends. With the focus on getting through the treatment. Understanding the individual's experience of living with colorectal cancer is important for the nurse profession. The nurse roll is to inform, support, care for these individuals and give a person-centered care.

    Aim The aim of this study was to describe individual's experience of living with colorectal cancer after completed treatment.

    Method The method used in the study was designed by Friberg (2012) to contribute with evidenced based caring in qualitative science research. Eleven science articles were analyzed using Friberg (2012) five step method of analysis. The analysis resulted into three main themes and eight subthemes.

    Results The results were formed into three main themed named: the uncontrollable body, becoming depended on the environment and a new view of life after treatment.

    Conclusion To live with colorectal cancer after completed treatment, affects the individual life situation and quality of life. Therefore, it is important for the nurse to be aware of the disease and the effects of the trearment on the individual.

  • 43.
    Alpsten, Kristina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Barn och ungdomars erfarenheter från vårdsituationer på sjukhus: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    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.

  • 44.
    Alsen, Pia
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Thörn, Susanna
    Primary Health Care, Sollentuna, Sweden.
    Nordqvist, Linnea
    Primary Health Care, Munkedal, Sweden.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Men’s Experience of Difficulties during First Year Following Myocardial Infarction: Not OnlyFatigue2016Inngår i: Health, ISSN 1949-4998, Vol. 8, s. 1654-1667Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 45.
    Alsterberg, Erika
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Berntsson, Theresia
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Sjuksköterskors erfarenheter och patienters upplevelse av motiverande samtal: En kvalitativ litteraturstudie2019Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [en]

    In the nurse's profession, protecting health is an answer, some patients may need motivation and support in their lifestyle change. A method that can be used for lifestyle changes is Motivational Interviewing (MI). MI is a method who initially was intended to be used for patients with alcohol problems. However, it was seen that the method also worked to apply in other areas. The aim of this study was to explore nurses and patients´ experiences in MI. In this literature study a qualitative method was used. The result of this study was based on twelve articles. The nurses consider that MI has a person-centered approach where the patients came into focus. They felt that MI had a respectful and valuable approach towards the patient. It also appeared how important the nurses thought it was with training and practice of the method and that they felt support in using the method. The patients experienced that MI gave them the possibility to change their own thoughts instead of being forced to a change that they were not ready to do. MI is a method that can be used in various areas during lifestyle changes. The result of this study shows that if nurses are being trained, get the chance to develop their skills than their experienceis that MI is a good method to use. It is also important that nurses are given the opportunity to use the method. The patients' experience was that MI makes them involved and self-determined in their own care.

  • 46.
    Alsén, Pia
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Illness perception and fatigue after myocardial infarction2009Doktoravhandling, med artikler (Annet vitenskapelig)
  • 47.
    Alsén, Pia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Fatigue after myocardial infarction - a two-year follow-up study2013Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, nr 11-12, s. 1647-1652Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 48.
    Alsén, Pia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Living with incomprehensible fatigue after recent myocardial infarction2008Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 64, nr 5, s. 459-468Artikkel i tidsskrift (Fagfellevurdert)
  • 49.
    Alsén, Pia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Brändström, Yvonne
    Uddevalla Hospital, NU Hospital Group, Department of Medicine.
    Karlsson, Björn
    AstraZeneca R&D, Mölndal.
    Persson, Lars-Olof
    University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Fatigue after myocardial infarction: Relationships with indices of emotional distress, and sociodemographic and clinical variables2010Inngår i: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 16, nr 4, s. 326-334Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

  • 50.
    Alsén, Pia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Brändström, Yvonne
    Uddevalla Hospital, NU Hospital Group, Department of Medicine.
    Karlsson, Björn W.
    AstraZeneca R and D, Mölndal.
    Persson, Lar-Olof
    Göteborg University, Sahlgrenska Academy, Institute of Health Care Sciences.
    Illness perceptions after myocardial infarction: relations to fatigue, emotional distress, and health-related quality of life2010Inngår i: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 25, nr 2, s. E1-E10Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

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

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