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

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

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

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

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

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

  • 2.
    Abdulle, Hafsa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Abdulazisova, Marijam
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Demens: En familjesjukdom: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 3.
    Abrahamsson, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Härnälv, Matilda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med långvarig smärta vid fibromyalgi: en litteraturbaserad studie om kvinnors upplevelser2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 4.
    Ademi Salihi, Valjbone
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Buleshkaj, Arjola
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienter med psykisk ohälsa och deras upplevelser av kontakten med vårdpersonal inom hälso- och sjukvård2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 5.
    Adler, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Askeröd, Therese
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att möta barn och deras föräldrar inom hälso- och sjukvården2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 6.
    Adolfsson, Per
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindqvist, Åsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Humor i byggandet av vårdrelationen mellan sjuksköterska och patient: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 7.
    Ahlqvist, Clara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lundqvist, Lovisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet efter en brännskada: en litteraturstudie ur ett patientperspektiv2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 8.
    Ahlstrand, Katarina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nordlander, Isabel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att ha lämnat allt: En litteraturstudie om ensamkommande barns erfarenheter av att vara asylsökande2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 9.
    Ahrenkiel, Nina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Northman, Carina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att anmäla eller inte?: sjuksköterskors erfarenheter av att anmäla vid misstanke om barnmisshandel till socialtjänsten2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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

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

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

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

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

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

  • 11.
    Aksana, Sukhanava
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wilck, Samuel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans preoperativa omvårdnadsåtgärder för att lindra patientens oro och ångest: en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

  • 12.
    Aksöz, Josef
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Katarina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    "Vi bygger järnvägen medan vi åker på den": En studie om arbetsrelaterad stress inom socialtjänsten, enheten för ekonomiskt bistånd2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 13.
    Algotsson, Jennie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bodin, Maja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vård med fokus att lindra: En litteraturbaserad studie om sjuksköterskors upplevelser i palliativ vård.2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 14.
    Ali, Ayan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cederrand, Robert
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet blir vad du gör det till: En litteraturstudie om att leva med hjärtsvikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 15.
    Ali, Marian
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Drobic, Elma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskor i en hotfull och våldsam miljö: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    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.

  • 16.
    Ali, Shukri
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Aly, Carolina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av utbrändhet: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 17.
    Alm, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Miller, Klara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det dagliga livet efter att ha drabbats av en stroke: en litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    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.

  • 18.
    Almqvist, Lina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lyckhage, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att skämmas över sitt barn: Föräldrars upplevelse av att leva med barn med självskadebeteende2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 19.
    Almtén, Christine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Sara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Individers upplevelse av att leva med kolorektalcancer efter genomförd behandling2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    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.

  • 20.
    Alpsten, Kristina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barn och ungdomars erfarenheter från vårdsituationer på sjukhus: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 21.
    Alsterberg, Erika
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Berntsson, Theresia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter och patienters upplevelse av motiverande samtal: En kvalitativ litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    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.

  • 22.
    Amini, Narges
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dagliga utmaningar: patienters erfarenheter och hanterandet av knäartros2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 23.
    Andersson, Anna-Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Landberg, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens upplevelse av att möta sjuksköterskor som vårdgivare inom primärvården.: en litteraturöversikt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Considering the increasing requirements and needs facing primary health care, the aspiration to use nurses as care providers has increased. This is done to improve the availability, effectiveness, and to dispense the available resources.

    Aim: The purpose of this study is to illuminate the patient's experiences of meeting nurses as care providers in primary health care.

    Method: Six qualitative, three quantitative, and one mixed method articles were analyzed to create a literature review.

    Results: Generally, the patients were satisfied with meeting nurses as care providers in primary health care. The result showed that the patients described relationship, trust, participation, and communication with nurses as significant aspects to feel secure. That the nurses made time available, as well as were easy to contact, were also aspects that contributed to the patients feeling secure. Uncertainties regarding the nurse's role, competence, and not being able to choose level of care were aspects that affected the insecurity.

    Conclusion: Nurses in primary health care have big opportunities to develop the meeting in a way that the patient feels secure in health care. Most patients experience great satisfaction with care provided by nurses. Considering the above facts, it seems possible to develop health care led by nurses. 

  • 24.
    Andersson, Ellen
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jensen, Martina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det förändrade livet: den vuxna personens upplevelse av att leva med afasi till följd av stroke2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 25.
    Andersson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mötet med sjuksköterskan på akutmottagningen: en litteraturbaserad studie ur ett patientperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

  • 26.
    Andersson Hagiwara, Magnus
    et al.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Wireklint Sundström, B.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Brink, Peter
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Herlitz, J.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Hansson, P. -O
    University of Gothenburg, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use emergency medical service2018In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 137, no 5, p. 523-530Article in journal (Refereed)
    Abstract [en]

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

  • 27.
    Andersson, Heléne
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gisslén, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att närvara eller icke närvara, det är frågan...: en litteraturöversikt över närståendes upplevelser av att närvara vid hjärt- lungräddning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 28.
    Andersson, Jessica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gren, Ramona
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av att möta patienter med självskadebeteende: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 29.
    Andersson, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Borg, Simon
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hypertoni: Patienters upplevda möjligheter och hinder för livsstilsförändringar2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 30.
    Andersson, Liza
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Axelsson, Lovisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en äldre person med demenssjukdom: En litteraturstudie med kvalitativ ansats2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 31.
    Andersson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Jasmine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När livet vänder- att få en bröstcancerdiagnos2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 32.
    Andersson, Paula
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åberg, Nathalie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes erfarenheter av att vårda en person med Alzheimers sjukdom2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Alzheimer's disease is the most common dementia disease and affects 60-70 percent of people suffering from a dementia disease. About 100 000 people in Sweden are diagnosed with Alzheimer's disease. Managing and taking care of a person who needs a lot of support and help means that life becomes completely different than before. Support from the surroundings are therefore very important for close relatives caring for a person with Alzheimer's Disease.

    Aim: The aim of this study was to explore closely related persons' experience of caring for a person with Alzheimer's disease.

    Method: The method to create evidence-based nursing based on analysis of qualitative research was used. Eleven articles were obtained through the databases Cinahl and PsycINFO. From the 11 articles three themes and eight sub-themes emerged.

    Results: The results showed that close relatives experienced difficulties communicating with the person in Alzheimer's disease. They felt great fear and concern about the disease and its development. Relatives breached themselves to meet the person's need for care. The close relative felt that caring for Alzheimer's disease caused them to feel isolated. Relatives found strategies that made it easier for them to care for Alzheimer's disease.

    Conclusion: It was stressful to care for a person with Alzheimer's disease and the close relatives were in great need of support. The nurse must be able to meet the close relatives' feelings of anxiety, guilt and shame, especially as a close relative caring for a person with Alzheimer's disease is not always voluntary.

  • 33.
    Andersson, Susanne
    et al.
    University of Skövde, Sweden.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bennet, Louise
    Lunds universitet, Centrum för primärvårdsforskning, Limhamns vårdcentral, Region Skåne, Sweden.
    Fellbrant, Klas
    Family Medicine, Department of Primary Health Care, Skövde, Sweden.
    Hellgren, Margareta
    University of Gothenburg, Institute of Medicine, Department of Primary Health Care, Sahlgrenska Academy, Gothenburg, Sweden.
    Attitudes Regarding Participation in a Diabetes Screening Test among an Assyrian Immigrant Population in Sweden2016In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 1504530Article in journal (Refereed)
    Abstract [en]

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

  • 34.
    Andersson Värnlund, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Victoria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Inte bara glömska: partnerns erfarenheter av att leva tillsammans med en person som har demens2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

  • 35.
    Andreasson, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alexandersson, Jonas
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stress på akutmottagningen: sjuksköterskors erfarenheter2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 36.
    Andréasson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När livet är en berg- och dalbana: En litteraturbaserad studie om att leva med ett barn med diabetes2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 37.
    Andrén, Ulla
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kinnander, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Utveckling av ett nytt yrke inom socialpsykiatrisk vård2019Report (Other academic)
    Abstract [en]

    The program in Social Psychiatric Care is a three-year program at the university level leading to a vocational qualification in social psychiatric care and a bachelor's degree in the field of Health Sciences. Until the spring of 2018, six litters have graduated. Students in the social psychiatric care program often have personal interest, previous professional experience from the business areas or inspiration from related friends working in the field of activity. Personal experiences of problems in the fields of activity are also prominent among the students. Students believe that personal experience, willingness and ability is important in order to work within the profession. Characteristics of the students are also an interest and a clear empathetic willingness to work with people and they consider that the profession primarily requires characteristics such as altruism, empathy, social skills and deeper knowledge and understanding in the field. Upon completion of education, students want a career role where they can help other people, feel motivated, or they aim for specific positions or areas of activity. Both managers and alumni from the Social Psychiatric Care program value the broad professional competence that the program leads to. Psychiatric competence is emphasized as particularly valuable by both alumni and managers. This competence means that they also complement the other professions in the activities. Students consider themselves possessed a professional identity that involves introducing psychiatric and custody skills to organizations that previously lacked these perspectives. Something that also brings new approaches to patients, users and clients. Being able to use knowledge from several disciplines are considered to be a strength and competence that are well-needed in environments where people with mental ill health are cared for. The alumni perceive their knowledge as both interdisciplinary and interprofessional.

  • 38.
    Ankerson, Elin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pham, Yen
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers upplevelser av livsstilsförändring vid diabetes typ 22019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Type 2 Diabetes (T2D), one of the largest public disease, is rapidly increasing in the entire world. The disease causes increased morbidity and mortality. In case of illness in the T2D, lifestyle change has a crucial importance in the health and well-being of a person, just like diet changes and physical activity. To reduce the risk of severe complications self-care through lifestyle change are necessary.

    Aim The aim of this study was to describe experiences of lifestyle change in people with the T2D.

    Method A literature review was conducted with a qualitative approach. Nine qualitative studies were analyzed according to Fribergs five-step analysis, which resulted in three themes and eleven subthemes.

    Results The theme Experiences about physical activity described Obstacles to being physically active and Source of motivation and recovery. The theme Experiences around diet described Understanding of the importance of the diet and Changing diet - a challenge. The theme Self-care and own responsibility described Denial and rejection, Hope for the future, Struggle for a meaningful life, Powerlessness and Willingness to change.

    Conclusion Implementing lifestyle changes is a complex process that requires knowledge and motivation in people with DT2. The nurse needs to find appropriate ways to inform and transfer useful knowledge to the person. The persons need support to find their usefulresources to perform self-care and achieve the nursing goals. A preferable way to support the person is involving the family or relatives.

  • 39.
    Aoude, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mengstab, Yolanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas upplevelser av att leva med diabetes typ 22017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 40.
    Appelgren, Camilla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahl, Inger Helén
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När kroppen inte gör som hjärnan vill: En litteraturstudie om personers erfarenheter av att leva med Parkinsons sjukdom2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Parkinson’s disease is a chronic progressive neurological disease. About 10 million people are living with the disease today, knowing that there is no cure. There are different types of pharmacological ways to slow down the development of the symptoms but little is known about people’s experiences of living with the disease. Aim The aim of this study was to describe people’s experiences of living with Parkinson’s disease. Method A literaturebased study based on analysis of eleven qualitative scientific studies to get a deeper understanding of people’s experiences. Result The analysis resulted in three themes with ten sub themes. The themes that emerged was Readjustment of life, Changed as a person and The body does not work properly. People suffering from Parkinson’s disease experienced physical, mental, social and existential challenges which led to feelings of shame and isolation. It also affected their daily lives and relationships. Shame and anxiety was constantly present causing them to withdraw from others and made them worry about the future. Conclusion Due to the results the conclusion was that an early effort in psychological support, continuous follow-up and information is necessary to give the people the opportunity to manage their disease and to increase their quality of life

  • 41.
    Araujo, Johane
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Calo, Nyssa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en person med afasi2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 42.
    Arnoldsson, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cederqvist, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    '' När jag visste att jag hade MS trodde jag att jag skulle dö inom 6 månader": en litteraturbaserad studie om patienters upplevelser av att leva med Multipel Scleros2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 43.
    Aro, Mirja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bemötande av patienter med oro på sjukhus i Namibia.: Empirisk studie om sjuksköterskors och sjuksköterskestudenters bemötande.2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The way nurses encounter patients affects the whole nursing process. It can be influenced by several different factors. In Namibia the general health situation largely depends on socio-economic resources. The competence of the nurse and the way s/he responds to the needs of anxious patients is crucial in terms of how the patient experiences the nursing interventions. Aim: The aim of the study was to describe the ways in which Namibian nurses respond to anxious patients in the context of nurse-patient encounters. Method: This empirical qualitative study is based on three semi-structured interviews and six non-structured observations which were carried out in Namibia during the spring of 2017. These were analyzed with qualitative content analysis. Results: The results consist of three main categories and eight sub categories. Namibian nurses respond to anxious patients by “Conversation”, “Calm behavior” and “Expression of compassion”. The nurse should have the language skills to explain and talk with the patient. Nurses must not be stressed out, have patience, show empathy and respect. Conclusion: The degree to which the nurse was calm and able to show compassion in the conversations determined the quality of the nurse-patient encounter and the success of the information exchange between them

  • 44.
    Aronsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Magnusson, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När hjärtat är skadat: En kvalitativ litteraturbaserad studie som beskriver patienters erfarenheter av att leva med hjärtsvikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 45.
    Arthursson, Joakim
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Följder efter behandling av prostatacancer2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

    Method: A literature overview was performed.

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

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

  • 46.
    Arvidsson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hernevik, Sabina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sociala mediers påverkan på ungdomars psykiska häls: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 47.
    Aspegren, Moa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wik, Joanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans uppfattning av nutritionsansvaret för patienten: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 48.
    Attar, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av tvångsvård: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Admitting psychiatric patients against their will is a criticized form of care. Decisions stating that a patient needs to be hospitalized under coercion are based on their incapability to voluntarily participate in their care. Former patients reported that coercive care led to lower satisfaction with their care. Although most former patients experienced negative care, there where patients that understood their care. Previous studies stated a need to examine how patients experienced being under coercive care and subjected to coercive measures such as seclusion, mechanical restraint and forced medication.

    Aim: This study aimed to illuminate adult psychiatric inpatients experiences of coercive care.

    Method: A literature-based study based on analysis of ten qualitative scientific studies.

    Results: 3 themes with 10 subthemes emerged from the analysis; interpersonal relationships, lack of influence while under coercive care and good coercion. The results showed that negative experiences of coercion were often linked to the actions of the mental health care staff. The relationship to the staff could contribute to their experiences being negative or positive. Patients also stated that they felt powerless and experienced loss of autonomy during coercive care. Good coercion was experienced when they felt seen and taken seriously.

    Conclusion: Patients expressed both negative and positive experiences of coercion. Patients wished for better adjusted information and opportunities to participate. They also expressed the need for trusting and supportive relationships to the mental health care staff. This could lead to greater understanding for their coercive care.

  • 49.
    Awome, Josefin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Fekete, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av familjecentrerad omvårdnad när ett barn vårdas på sjukhus2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a child is cared for in hospital, the child's well-being and ability to influence its own care must be taken into consideration. Children should not be separated from their parents unless the purpose is to protect the child. Children are entitled to a relative's presence and participation throughout the care period. The environment affects the child's experience of health and well-being during hospitalization. The presence of the family is of great importance and creates a well-being that gives the child security, harmony and an inner calm. 

    Aim: The aim of this study was to highlight nurses' experiences of family-centered care when a child is admitted to hospital.

    Method: The method was a literature-based study that contributes to evidence-based care, eight scientific articles with qualitative data were analysed using Friberg's five-step model. The method was used to compile and analyse previous research into a new whole and to use the identified scientific knowledge into practically useful knowledge.

    Results: Three main themes and ten subthemes were identified. The first theme describes the relationship between the nurse and the family. The subthemes were; The importance of the family, Creating a trusting relationship, Involving the family in the child's care, The family may hinder family-centration. The second theme describes the importance of communication. The subthemes were; Need for communicative skills, Nurses' retention of certain information, Cultural barriers. The third theme describes lack of resources preventing family-centration. The subthemes were; Insufficient material and infrastructural resources, Insufficient human resources and Lack of knowledge about family-centering.

    Conclusion: Family's presence is of great importance to the child, that the nurse should be able to involve the family in the child's care and create a trusting relationship with the family. Nurses' approach is meaningful to how the family's participation in the child's care is perceived. The family can be seen as an obstacle or an advantage to the nurse's work. The nurses acknowledge that they need more knowledge about family-centered nursing in its entirety, and how to work with the family.

  • 50.
    Axelsson, Andrea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Friman, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas erfarenheter av att leva med ADHD: En litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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