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  • 101.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Recent educational interventions for improvement of asthma medication adherence.2012In: Asia Pacific allergy, ISSN 2233-8276, Vol. 2, no 1, p. 67-75Article in journal (Refereed)
    Abstract [en]

    Poor adherence to asthma medication treatment is a dilemma as it decreases the chance of achieving and maintaining a proper asthma control. Another dilemma is that there seems to be a small range of functional interventions that enhance adherence to long-term medication treatments. The aim was to review the last five years of published educational interventions for improving adherence to asthma medication. Through systematic database searches 20 articles were identified, which matched the inclusion criteria and described educational interventions to improve asthma self-management including adherence. The current review showed that addressing unintentional non-adherence in terms of incorrect inhaler technique by recurrent education improved the technique among many patients, but not among all. Phoning patients, as a means to remove medication beliefs as adherence barriers, seemed to be an effective educational strategy, shown as increased adherence. Involving patients in treatment decisions and individualising or tailoring educational support also seemed to have favourable effect on adherence. To conclude, addressing specific adherence barriers such as poor inhaler technique or medication beliefs could favour adherence. To change adherence behavior, the current review proposes that educational adherence support should be a collaborative effort between the patient and the health-care professional based on each individual patient's needs and patient factors, including elements such as personality traits.

  • 102.
    Ayewubo, Celestine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patel, Archana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av livet efter hjärttransplantation2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 103.
    Baatz Asplund, Catarina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lundgren Andersson, Ann-Katrin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors attityder och erfarenheter av att arbeta med patienter med en ohälsosam alkoholkonsumtion: En empirisk studie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year 3.3 million people die in the world due to harmful use of alcohol. Alcohol is a public health problem in Sweden as well, where one in ten people considered having risky drinking habits. Research shows that excessive alcohol consumption leads to the development of alcohol-related illnesses. Nurses' dialog with patients is important to support them to change unhealthy habits. What experiences have nurses about discussion concerning the patients' drinking habits?

    Aim: The purpose of this study was to investigate nurses' attitudes to, and experiences of, dialog with patients about their alcohol use habits.

    Method: A descriptive cross-sectional study was conducted with the help of a questionnaire.

    Results: Most nurses felt that they have a good knowledge and were secure in their work with patients who have unhealthy alcohol consumption. They asked the patients about their drinking habits and used the AUDIT screening form for mapping unhealthy consumption.

    Conclusion: Nurses in specialist psychiatric services have a good knowledge of the causes of alcohol problems and can provide consultative support. Their experience of success helping patients with alcohol problems varies.

  • 104.
    Backlund, Linus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Grundvall, Fredrik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Omvårdnad av anhöriga till traumapatienter: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 105.
    Bador, Kourosh
    et al.
    Agera Sweden ACT AB, Borås Sweden.
    Bador, Nima
    Agera Sweden ACT AB, Borås Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Partnership Interacts with the Association between Leisure-Time Physical Activity and Positive Affect2016In: Psychology, ISSN 2152-7180, Vol. 7, no 6, p. 768-775Article in journal (Refereed)
    Abstract [en]

    Background: Subjective well-being is a central concept of positive psychology, and is directly coupled with a high level of positive affect and a low level of negative affect. Positive affect is associated with enthusiasm, activity, hope and inspiration, while negative affect is associated with emotions such as anger, contempt, guilt, shame, fear, anxiety, depression, and stress. Physical activityis crucial for both physical and mental health and is positively associated with well-being. Gender and social factors (e.g., parenthood or partnership) have complex relations with well-being and affect. In the present study we aimed to 1) examine the association between leisure-time physical activity and affect and 2) investigate whether or not social factors interact with this association. Method: The study included information from 155 Swedish university students: 64 men (mean age 23 years) and 91 women (mean age 27 years). Students were asked to estimate their usual engagement in physical activity during their leisure-time by responding to the Godin Leisure-Time Exercise Questionnaire. They also reported the level of positive and negative emotions experienced during past weeks by completing the Positive Affect and Negative Affect Schedule instrument. Results: In the Swedish student population leisure-time physical activity correlated only with positive and not with negative affect. Students' gender, age or whether or not they had children did not influence this association. However, this correlation differed significantly between those who lived with a partner and those who were single. Conclusion: Leisure-time physical activityis positively correlated with an overall subjective well-being, and this correlation is modifiedby the social factor of partnership

  • 106.
    Bador, Kourosh
    et al.
    AGERA KBT AB, Gothenburg, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care2020In: Journal of Behavioral Health Services & Research, ISSN 1094-3412, E-ISSN 1556-3308, Vol. 47, no 1, p. 102-112Article in journal (Refereed)
    Abstract [en]

    The study aimed to evaluate an integrated intensive cognitive behavioral therapy (CBT) group treatment for people with substance-related syndrome in outpatient care and to identify eventual gender differences. The study population consisted of 35 outpatients (18 male, 17 female) at a clinic in Western Sweden. The patients completed a four-month period of intensive group therapy and participated in the data collection at admission and discharge. The data were collected using the following inventories: Beck Depression and Anxiety Inventories, Rosenberg Self-Esteem Scale,Hopelessness Scale, and Trait Hope Scale. Results showed decreases in anxiety, depression and experience of hopelessness, and increases in self-esteem and hope. In females, the most dramatic improvement was measured for the anxiety and depression attributes, while in males the strongest effect was measured for hope and self-esteem. This study provides clinical evidence of the positive effects of integrated intensive CBT in outpatient care of people with substance-related syndrome.

  • 107.
    Bahramvalady, Mozhgan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livskvalitet för patienter med kronisk obstruktiv lungsjukdom2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 108.
    Baldock, Karina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Anhörigas upplevelser av bemötande inom psykiatrisk vård: Den utfrysta anhöriggruppen2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Making people feel safe and secure in health care is one of the most importanttasks of nursing. A good response is not only important to patients but also to their relatives. Previously, for most of last century, relatives were not welcome to the psychiatric health care. But research show they are in need of information and support from the health care. It istherefore important that nursing staff learn what kind of response the relatives require.

    Aim: To investigate how relatives experience the response from nursing staff within thepsychiatric care.

    Method: Qualitative interviews with eight respondents, where the answers were transcribedand analysed to learn how they had experienced the response from nursing staff. In theanalysis the text was condensed and abstracted into subcategories and categories.

    Result: The analysis resulted in twelve subcategories and three categories; Feeling valued andmaking a difference, Feeling left out and not wanted, Response improvement suggestions.

    Conclusion: This study shows that relatives still to a large extent are left out fromparticipation in psychiatric care, although society has placed the main responsibility on themto support their next of kin. The result shows that relatives require more information andparticipation to be able to support their next of kin. Getting a good response from nursing caremeans for them to be seen, listened to and getting information and support. They don´t wantto be left out any more.

  • 109.
    Bancks, Ann-Sofie
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ivarsson, Karin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Förutsättningar som behövs för att implementera personcentrerad vård inom Kommunal Hemsjukvård: En kvalitativ intervjustudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background According to the Swedish Association of Local Authorities and Regions should all healthcare professionals within the regions, municipalities and county councils work for an introduction of person-centered care, which will aim to promote good and equitable health care and to enhance patients and users as co-creators in their own care process.

    Aim The aim of this study was to describe the district nurses' perception of person-centered care and the conditions required to implement person-centered care in home care.

    Method A qualitative study was conducted using eleven face-to face interviews.

    Results The analysis showed that the district nurses perceive person-centered care was to have the person at the center when it comes to planning and implementation of health care. To achieve this goal the nurses declared the need for certain conditions. These are reported to be team work, support from the organization and patient involvement in their care.

    Conclusion All nurses in the study were positive to a person-centered care approach and basically they were aware of the meaning of the term. The district nurses who had recently undergone specialized training focusing on district nursing had a more scientifically based definition of what person-centered mean In relation to those with older training. The former appeared more likely to work on a basies of a person-centred approach and were more positive to develop such approach in health care.

  • 110.
    Bandic, Mia
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Baban, Vian
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Attityder gentemot sexualförbrytare inom kriminalvården2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Professionals' attitude towards sex offenders is a field that requires more research. Former studies, made in other countries, have shown that the public and often even professionals have negative attitudes towards this type of offenders. In Sweden there is no previous study that investigates professionals' attitudes towards sex offenders. The aims of the present study were to describe the general perception of attitudes towards sex offenders among prison personnel in Sweden, and to investigate if these attitudes affect their professional work. Respondents in this study participated through a web based inquiry. The participants were professionals working closely with sex offenders. The results show that personnel with good knowledge about sex crimes are motivated in their work with sex offenders. Furthermore, the results also show that personnel are optimistic to treating individuals who have been convicted of sex offending. They also consider that attitudes, among the personnel, affect the treatment of the offenders and in that way it can also affect the nursing of them. Because of the low number of participants in this study, caused by a relatively great external dropout, one should be cautious in interpreting the results and not generalize the results to represent prison wards in Sweden.

  • 111.
    Bardhi, Razije
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Björling, Sonja
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distriktsköterskors och diabetessköterskors erfarenheter av att möta patienter med diabetes som riskerar att få fotsår2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:  Diabetes is one of the most common chronic diseases in the world and according to studies, the disease has a rapid development, especially type 2 diabetes that may be similar to an epidemic. Foot complications are among the most risky and costly late complications of diabetes mellitus. Neuropathy is the commonest complication and affects about half of all with diabetes. An important part of the preventive work of diabetes-related foot ulcers to provide both patient and family with knowledge, information and self-care education. Aim:  The aim of this study was to describe district nurse's and diabetic nurse's experience of meeting patients with diabetes who are at risk of foot ulcers Method:  The study had a qualitative approach. The study was based on individual interviews, with nine participants. Data analysis was then done using qualitative content analysis. Results:   The study resulted in four categories: conditions for a good start of a long-term relationship, different care depending on where the patient lives, the nurse as a mediator of knowledge and difficulties in preventive work. Conclusion:  This study shows that a large part of the preventive work is about self-care. It also appears that it is a challenge for nurses when patients do not want to take care of the advice and information they receive.

  • 112.
    Bauer, G.F.
    et al.
    University of Zurich, Center of Salutogenesis, Institute of Epidemiology, Biostatistics, Prevention, Zurich, Switzerland.
    Roy, M.
    University of Sherbrooke, Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Quebec, Canada,.
    Bakibinga, P.
    Health Challenges and Systems Research Program, African Population & Health Research Center, Nairobi, Kenya,.
    Contu, P.
    University of Cagliari, Department of Medical Sciences and Public health, Cagliari, Sardegna, Italy.
    Downe, S.
    University of Central Lancashire, School of Community Health and Midwifery, Preston, UK.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Espnes, G.A.
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway.
    Jensen, B.B.
    Health Promotion, Steno Diabetes Center Copenhagen, Gentofte, Denmark.
    Juvinya Canal, D.
    University of Girona, Faculty of Nursing, Girona, Spain.
    Lindström, B.
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway.
    Mittelmark, M.B.
    University of Bergen, Department of Health Promotion and Development, Bergen, Norway.
    Morgan, A.R.
    Glasgow Caledonian University, School of Health and Life Sciences, Glasgow, UK.
    Pelikan, J.M.
    University of Vienna, Institute of Sociology, Vienna, Austria.
    Saboga-Nunes, L.
    University of Education Freiburg, Institute of Sociology,Freiburg, Germany.
    Sagy, S.
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway.
    Shorey, S.
    Alice Lee Center for Nursing Studies, Yong Lo Lin School of Medicine, Singapore .
    Vaandrager, L.
    Wageningen University, Department of Social Sciences, Health and Society, Wageningen, The Netherlands.
    Vinje, H.F.
    University College of Southeast Norway, Faculty of Health and Social Sciences, Department of Health, Social and Welfare Studies, Kongsberg, Vestfold, Norway.
    Future directions for the concept of salutogenesis: A position article2019In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, p. 1-9, article id daz057Article in journal (Refereed)
    Abstract [en]

    Aaron Antonovsky advanced the concept of salutogenesis almost four decades ago (Antonovsky, Health, Stress and Coping. Jossey-Bass, San Francisco, CA, 1979; Unravelling the Mystery of Health. Jossey-Bass,San Francisco, CA, 1987). Salutogenesis posits that life experiences shape the sense of coherence (SOC)VC that helps to mobilize resources to cope with stressors and manage tension successfully (determiningone's movement on the health Ease/Dis-ease continuum). Antonovsky considered the three-dimensionalSOC (i.e. comprehensibility, manageability, meaningfulness) as the key answer to his question about theorigin of health. The field of health promotion has adopted the concept of salutogenesis as reflected in theinternational Handbook of Salutogenesis (Mittelmark et al., The Handbook of Salutogenesis. Springer,New York, 2016). However, health promotion mostly builds on the more vague, general salutogenic orientation that implies the need to foster resources and capacities to promote health and wellbeing. Tostrengthen the knowledge base of salutogenesis, the Global Working Group on Salutogenesis (GWG-Sal)of the International Union of Health Promotion and Education produced the Handbook of Salutogenesis.During the creation of the handbook and the regular meetings of the GWG-Sal, the working group identified four key conceptual issues to be advanced: (i) the overall salutogenic model of health; (ii) the SOC concept; (iii) the design of salutogenic interventions and change processes in complex systems; (iv) the application of salutogenesis beyond health sector. For each of these areas, we first highlight Antonovsky'soriginal contribution and then present suggestions for future development. These ideas will help guideGWG-Sal's work to strengthen salutogenesis as a theory base for health promotion.

  • 113.
    Bay, Annika
    et al.
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lamas, K
    Umeå University, Nursing, Umeå, Sweden.
    Sandberg, Camilla
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Johansson, Bengt
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Facilitators and barriers for physical activity in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no suppl_1, p. 1120-1121, article id ehy566.P5433Article in journal (Refereed)
    Abstract [en]

    Background: A majority of adults with congenital heart disease (CHD) have reduced exercise capacity and do not reach the recommended level of physical activity. A physically active lifestyle is essential to maintain health and counteract acquired cardiovascular disease. This study illuminates aspects that may be relevant for performing physical activity.Purpose: To describe facilitators and barriers for physical activity in adults with CHD.Methods: Semi-structured interviews were performed individually with fourteen adults (age 19–68 years, women=7) with complex CHD. The interviews were analyzed using qualitative content analysis.Results: Aspects that may enable or inhibit physical activity were found in two domains; Facilitators and Barriers, which both consisted of four categories physical, psychological, psychosocial and environmental aspects (Table 1).

  • 114.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinical Medicine, Umeå University, Sweden; Department of Nursing, Sweden.
    Dellborg, Mikael
    Gothenburg University, Institute of Medicine, The Sahlgrenska Academy, Sweden..
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Sweden.
    Sandberg, Camilla
    Umeå University, Department of Public Health and Clinical Medicine, Sweden.
    Engström, Gunnar
    Umeå University, Department of Surgical and Perioperative Science, Cardiothoracic Surgery Division,.
    Moons, Philip
    KU Leuven Department of Public Health and Primary Care, KU Leuven - University of Leuven, Belgium; Institute of Health and Care Sciences, University of Gothenburg, Sweden..
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Sweden..
    Patient reported outcomes are associated with physical activity level in adults with congenital heart disease.2017In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 243, p. 174-179Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In general, adults with congenital heart disease (CHD) have impaired exercise capacity, and approximately 50% do not reach current recommendations on physical activity. Herein we analysed factors associated with physical activity level (PAL) in adults with CHD by using patient-reported outcomes (PRO).

    METHODS: Patients with CHD (n=471) were randomly selected from the national register on CHD and categorized according to complexity of lesions - simple (n=172, 39.1±14.6years), moderate (n=212, 39±14.1years), and severe (n=87, 31.7±10.7years). Participants completed a standardized questionnaire measuring PRO-domains including PAL. Variables associated with PAL were tested in multivariate logistic regression.

    RESULTS: PAL was categorized into high (≥3 METs ≥2.5h/week, n=192) and low (≥3 METs <2.5h/week, n=279). Patients with low PAL were older (42.6 vs. 35.8years, p≤0.001), had more prescribed medications (51% vs. 39%, p=0.009), more symptoms (25% vs. 16%, p=0.02) and comorbidity (45% vs. 34% p=0.02). Patients with low PAL rated a lower quality of life (76.6 vs. 83.4, p<0.001), satisfaction with life (25.6 vs. 27.3, p=0.003), a lower Physical Component Summary score (PCS) (78.1 vs. 90.5, p<0.001) and Mental Component Summary score (MCS) (73.5 vs. 79.5, p<0.001). Complexity of heart lesion was not associated with PAL. The included PROs - separately tested in the model, together with age were associated with PAL.

    CONCLUSIONS: PCS and MCS are stronger associated with PAL than age and medical factors. The use of these PROs could therefore provide valuable information of benefit for individualized advice regarding physical activity to patients with CHD.

  • 115.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinical Medicine Department of Nursing.
    Lämås, Kristina
    Umeå University, Department of Nursing, .
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sandberg, Camilla
    Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Sweden.
    Johansson, Bengt
    Department of Public Health and Clinical Medicine.
    It's like balancing on a slackline: A description of how adults with congenital heart disease describe themselves in relation to physical activity2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 15-16, p. 3131-3138Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To illuminate how adults with CHD describe themselves in relation to physical activity.

    BACKGROUND: Several studies have shown that adults with congenital heart disease (CHD) have reduced exercise capacity and do not reach the recommended daily level of physical activity. With this in view, it is of immense importance to investigate how this population experiences physical activity.

    DESIGN: Qualitative study with semi-structured interviews analysed with qualitative content analysis.

    METHODS: Semi-structured interviews were individually performed with fourteen adults (women=7, age 19-68 years) with complex CHD. Patients were purposively recruited from the clinic waiting list, based on a scheduled follow-up and diagnosis.

    RESULTS: The overall theme, It's like balancing on a slackline, illustrates how adults with CHD described themselves in relation to physical activity. This overall theme consisted of four subthemes: (1) Being an adventurer- enjoying the challenges of physical activity; (2) Being a realist- adapting to physical ability; (3) Being a non-doer- lacking prerequisites for physical activity; and (4) Being an outsider- feeling excluded depending on physical ability.

    CONCLUSIONS: Adults with CHD seem to have a diverse relationship to physical activity and it involves various aspects throughout the lifespan. The findings point out factors that might constitute as obstacles for being physically active, specific for people with chronic conditions like CHD. This highlights the importance of further exploring the hindering and facilitating factors for being physically active in order to get a deeper understanding of how to support adults with CHD to be physically active.

    RELEVANCE TO CLINICAL PRACTICE: Given the diverse relationship to physical activity, nurses have to further investigate the patients' relationship to physical activity, in order to support a healthy lifestyle. Nurses and allied health professionals should offer individualized exercise prescriptions and education about suitable physical activities in relation to physical ability. This article is protected by copyright. All rights reserved.

  • 116.
    Beagan, Eva-Lotta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brandberg, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hälsa och lidande efter en njurtransplantation: En beskrivning av patienters erfarenheter att leva med en ny njure2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 117.
    Begovic, Selma
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors upplevelser av att vårda patienter enligt modellen Brukarstyrd Inläggning: Ett betydelsefullt ansvar2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Acute admissions in full-day psychiatric care have been shown to be counterproductive for patients with BPS. Studies have also shown that hospital staff often experience feelings of frustration and helplessness in working with this group of patients and that it is perceived difficult to maintain a clear structure during the period of care. Brief Admission aims to improve care for patients with BPS. In recent years, the model has also begun to be used in some parts of Sweden but has currently not been evaluated on a larger scale.

    Aim: The study aims to describe the nurse's experiences of caring for patients according to the Brief Admission model.

    Method: The study is based on interviews with six nurses in full-day psychiatric care who described their experiences of caring for patients according to the Brief Admission model. Qualitative content analysis with inductive method was used as method.

    Results: Based on qualitative content analysis, four categories were formed. The four categories were A changed responsibility, Security in a common platform to emanate from, to have sufficient time and difficulties in the changed responsibility. Patients' commitment and responsibility in their own care facilitated and lodged safety for nurses. Working with a written agreement added to the structure. The challenges of the work based on the model were described as the experience of not always having time for patients and having difficulty in implementing certain measures when patients breached the terms of their contracts. The nurses also expressed that in some situations they could feel left out in connection to the individual responsibility for patients admitted through Brief Admission.

    Conclusion: It is important that Brief Admission is anchored in the hospital system at all levels and that correct execution of the model is enabled. It is also important that nurses have the opportunity to receive support and guidance in the management of the individual responsibility accompanying the model.

  • 118.
    Beijer, Emma
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme.
    Eng, Caroline
    University West, Department of Health Sciences, Specialist Nursing programme.
    Äldre och barn sjunger tillsammans: en kvalitativ intervjustudie ur personalens perspektiv2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The Swedish population is getting older. Ageing can be defined from several perspectives. How elderly people experience ageing depends on a number of different factors. If the elderly can participate in social activities, it brings meaningfulness and strengthens their wellbeing and health through sense of coherence. Music and singing has previously been beneficial in regards to the care of elderly. The elderly that are living in nursing homes tend to be old and dependent on the help of others. To give person centred care is to be aware of, and see, the whole being. The advanced nurse in elderly care has a responsibility to person centred care and to help and support co-workers and nursing staff in this. Aim: To describe the staff experience of the effect singing with children has on the elderly. Method: A qualitative interview study. Results: Three major themes emerged: To sing with children gives the elderly validation, it awakens feelings in them but it also brings stressors. The elderly is validated through the relationship that forms between the elderly and the children. This also brings understanding between them. The feelings that are awakened are joy and anticipation. The stressors are related to tiredness and failing health which means the elderly cannot always participate in the activities. Conclusion: Singing with children brought the elderly joy and validation. To make meaningful activities part of nursing home care can contribute to better health in the elderly.

  • 119.
    Bength, Cathrine
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Edwartz, Linus
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Samband mellan drogberoende och aggressivt antisocialt beteende, sant eller falskt?2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Adolescents tend to be more impulsive and more prone to take risks compared to adults, which can be related to immaturity in the brain structure. This often leads to impulsive acts without thinking about the consequences of their actions. This also means that adolescents are more prone to try new things, like drugs for example. Drug misuse often leads to antisocial behavior (that is often aggressive, but doesn't have to be), mental illness and criminality. The aim of this study was to investigate whether there is a difference in aggressive antisocial behavior in Moroccan adolescents who are drug dependent compared to nondrug dependent Moroccan adolescents. To answer this question a quantitative empirical study design with comparative statistical analysis was used. The result of the study showed that Moroccan adolescents with drug dependence have higher scores in aggressive and antisocial behaviors and also more prone to self-harm than those Moroccan adolescents who have no drug dependence. These results support previous findings, which have shown that adolescents with a drug dependence tend to have aggressive antisocial behavior to a greater extent compared to adolescents who do not have a drug dependence.

  • 120.
    Bengtsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mandelholm, Kajsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med diabetes typ 2: Strävan efter balans2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is today a rapidly increasing global health problem, often caused by unhealthy lifestyle choices. Changing life after a chronic disease is both time-consuming and burdensome, especially when many felt that the life they had lived before was too valuable to give up.

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

    Method: A literature study was produced based on eleven qualitative scientific articles, which were analyzed by Friberg's five step analysis.

    Results: The analysis resulted in two main themes, Imbalance in life and Balance in life with eight sub-themes; The inner battle, Loneliness, Life in denial, Lack of knowledge, The will to fight, The need for support, Finding acceptance in life and The importance of knowledge. These themes described the striving for balance in life when living with diabetes type 2.

    Conclusion: The study showed that persons with type 2 diabetes experienced a mix of feelings which were highly affected by how their lives around them looked like. This meant that even though you might had learned and accepted to live with type 2 diabetes, it did not necessarily meant that life not will take a turnabout. It is important for the nurse to know that life with diabetes are changeable, and that they therefore have a significant role to support the person to find balance in life.

  • 121.
    Bengtsson, Christine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olofsson, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser vid omhändertagandet av sjuka barn2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 122.
    Bengtsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nielsen, Ida
    University West, Department of Health Sciences, Section for nursing - graduate level.
    ”Att göra det bästa av situationen”: En kvalitativ studie om sjuksköterskors erfarenhet av vårdmiljöns betydelse för psykiatrisk omvårdnad2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The mental illness in society are increasing both nationally and internationally. In Sweden, about 40 percent of the population has at some point been affected by mental illness. Lack of nurses as well as savings in health and medical care with reduced hospital beds within the psychiatric inpatient care affect the healthcare environment in which staff and patients resides. Knowledge is needed about how nurses experience their care environment in order to continuously improve the possibilities of providing good care within the psychiatric inpatient care. Aim The aim of this study was to illuminate nurses' experiences of the care environment's importance in psychiatric care. Method The study was performed at a psychiatric clinic in southern Sweden. Ten nurses were interviewed individually about their experiences of the importance of the care environment with semi-structured interview questions. The data material was analyzed using qualitative content analysis. Results Two domains emerged, The ward's physical care environment with categories: The design of the premises, Locked doors and Surroundings outside the ward. The ward´s psychosocial care environment with categories: Ward atmosphere, Protocol, Structure and rules, Work group, Stress and Nursing. Conclusion The healthcare environment are important for nurses' ability to provide good care in psychiatric inpatient care. Both positive and negative factors emerged during the analysis. The nurses described that their care environment was not designed to the care that was given, but that they did the best they could with the conditions that existed

  • 123.
    Bengtsson, Josefine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I dödens närvaro: Sjuksköterskors erfarenheter av att möta döende patienter inom palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 124.
    Bengtsson, Martin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Thörnäs, Amanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientsäkerhet på en akutmottagning i Namibia: Empirisk studie avseende identitetskontroll, basala hygienrutiner och hantering av perifer venkateter (PVK)2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients often suffer from harm and infections when in contact with healthcare. Harm caused by the healthcare imply unnecessary suffering for the patient which the healthcare could have prevented. Being a nurse comes with the responsibility of relieving suffering and preventing harm.

    Aim: The aim of the study was to illuminate the patient safety, focusing on identity check, hygiene routines and management of peripheral venous catheter (PVC), in an emergency ward in Namibia.

    Method: This is an empirical study with a qualitative approach. To gather data, six unstructured observations were carried out. The data was analyzed by using Friberg's five-step-model.

    Results: Two main themes emerged during the analysis; Patient safety work and Non-patient safety work and six sub themes; Use of hand disinfection and single-use gloves, Skillful insertion of PVC and safe management of sharps waste, Lack of identity check, Inadequate use of hand disinfection and single-use gloves, Inadequate approach before and after insertion of PVC and Insufficient conditions in work environment. 

    Conclusion: Hand hygiene was the main problem of patient safety. A work environment where hygiene material is more easily accessible could be a contributing factor to a more patient-safe approach. Identification of patients before insertion of PVC does not appear to be a routine at the emergency ward. Nurses at the emergency ward are skillful at inserting PVC:s, but are failing in other aspects in the procedure.

  • 125.
    Bengtsson, Victoria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Bloom, Emelia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Det är inte bara att ge en spruta...: barnhälsovårdssjuksköterskors upplevelser av att vaccinera barn2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In child health care immunization is a common task for the child health nurse. Often children are unprepared, afraid and preoccupied with pain in the vaccination situation. Most children experience the presence of the parents as important during the procedure. Parents who prepare their child reduce the child's stress during the vaccination situation. An interaction occurs between the child health nurse and the child where participation is a prerequisite for the experience to be a positive outcome. Aim: The aim of the study was to describe the child health nurses' experiences of vaccinating children aged 0-6 years.Method: Semi-structured qualitative interviews were performed with twelve child health nurses. Data was analyzed using a content analysis focusing in manifest content. Results: Child health nurses' experiences of vaccinating commuted between the sense of power and confident. The crucial experience was the support and cooperation that the child health nurses experienced with the parents. It emerged a theme: Participation, three main categories: Sense of power, sense of confidence and cooperation with parents and six subcategories: Abuse, powerlessness, experiences, strategies, common goals and approaches and different goals and approaches. Conclusion: The result indicates that the parents have a dominant role in the vaccination situations with the ability to affect the health nurse's experience. Child health nurse, child and parents must cooperate to vaccinations to be carried out and be perceived in a positive way

  • 126.
    Berg, Ann
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fohlin Johansson, Leone
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Äldre personer med diabetes mellitus och deras upplevelse av egenvård: En litteraturöversikt2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes is a growing health problem and the risk of getting diabetes is increasing with age. Beside diabetes, older persons often have several diseases which makes their situation complex. Self-care is an important part of treatment and how the older persons experience this is relatively unknown. The aim of the literature review was to investigate how older persons with diabetes experience self-care to find out how support for self-care can be developed. Systematic searches were made in the databases Cinahl, Pub/Medline and PsychInfo for the period 2007-2017. Fifteen articles were found and analysed using a descriptive synthesis. Three themes were identified: 1) To be responsive to the body's signals, 2) To be able to understand the life situation, and 3) To participate creates security. Older persons with diabetes usually had good knowledge of self-care but had difficulty to perform it. The result indicates that to support older people with diabetes to self-care, nurses need more knowledge how to involve and support older people in their care, create support-groups and meeting others with the same diagnosis, and develop a person-centred action plan.

  • 127.
    Berg, Henric
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Patrick
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors syn på hur de kan stödja närstående till patienter i behov av palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 128.
    Bergbom, Ingegerd
    et al.
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ringdal, Mona
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Developing and evaluating an instrument to measure Recovery After INtensive care: the RAIN instrument2018In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 17, no 1, article id 5Article in journal (Refereed)
    Abstract [en]

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

  • 129.
    Bergbrant, Rikard
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hulkkonen, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur närstående påverkas av att leva med en person med psykisk ohälsa2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In society today, mental illness is a growing problem. Relatives of a person with mental illness are often adversely affected by the person's condition. Knowledge exists to help a person suffering from mental illness but not as much importance is attached to helping them handle the situation. As nurses, we must not only help the person with mental illness but also the relatives. What is missing is to recognize the needs of the relatives and gain a deeper understanding of how to better support and prevent ill-health.

    Aim: The aim of the study is to illuminate the relatives to a person with mental illness and how they are affected

    Method: This paper is a literature review founded on 12 articles with a qualitative approach based on Friberg's (2012) five-step method.

    Results: Relatives living with a mentally ill person, carry a burden of guilt, shame and are faced with ignorance from family and society. This is enhanced by the lack of knowledge of relatives and stigmatization. Being available around the clock effects the relatives negatively such as their health, work and economics. Their future plans were limited, they had to re-priorities and adapt their lives to the mentally ill person. It was a burden for relatives and thoughts of suicide often came to mind.

    Conclusion: The life and health of relatives became affected drastically, they needed more support and knowledge from the health care services. The health care services must improve their individual support.

  • 130.
    Bergegårdh, Linnea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Saifelddine, Manal
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av bröstcancer: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 131.
    Berggren,  , Simon
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dauod, Lidia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Familjers upplevelse av att ha ett cancersjukt barn: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately 300 children are affected by cancer each year in Sweden, however the prognosis has been significantly improved. The disease isn't only affecting the child but even the family of the child and therefore, a family focused care should be applied. The disease creates a suffering for the entire family and the nurse then has the task of reducing that suffering.

    Aim: The purpose of the study was to highlight family experiences of having a child with cancer.

    Method: In this literature study ten qualitative articles, that shed light on the chosen subject, have been processed. The articles were analyzed using Friberg's five-step model.

    Results: The analysis resulted in four themes and 13 sub-themes. The four themes were; chaos and uncertainty, change of relationships within the family, change of everyday life and change of attitude towards life. The cancer diagnosis in the child affected everyone in the family, which caused a change in the everyday life for all members. The pursuit for information was constant among these families. Their everyday lives became chaotic when a whole series of emotions tested their relationships. The family members had a change of perspective of life, and priorities were redirected after the child’s diagnosis.

    Conclusion: The families face many emotional difficulties in connection with the child being diagnosed with cancer, and they need the support from nurses to handle these difficulties. The need for information is great among these families and therefore nurses need to be able to provide the information that families need to reduce their suffering.

  • 132.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vårdandets etik2019In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 151-171Chapter in book (Other academic)
  • 133.
    Bergh Johnsen, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rosander, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av att få en bröstcancerdiagnos: en litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

  • 134.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Is being physically active the key to a good quality of life for patients living with Fontan circulation?2016In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 11, p. 1257-1258Article in journal (Other academic)
  • 135.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. Sahlgrenska Academy, Institute of Medicine.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Rydberg, Annika M.
    University of Umeå, Department of Clinical Sciences, Pediatrics.
    Dellborg, Mikael
    Sahlgrenska Academy, Institute of Medicine.
    Ekman, Inger
    University of Gothenburg, Centre for Person-Centred Care.
    Committed to Life: Adolescents’ and Young Adults’ Experiences of Living with Fontan Circulation2015In: Congenital Heart Disease, ISSN 1747-079X, E-ISSN 1747-0803, Vol. 10, no 5, p. 403-412Article in journal (Refereed)
    Abstract [en]

    Background Single ventricle defects are among the most complex congenital heart defects and the development of advanced surgical procedures in recent decades has created the first generation of adolescents and young adults living with this condition. Yet little is known about how these individuals experience life and what impact the heart defect has on their life in general. Objective The aim was to illuminate and gain a deeper understanding of adolescents’ and young adults’ experiences of living with a surgically palliated univentricular heart. Design Seven open-ended in-depth interviews were conducted, transcribed, and analyzed according to the henomenological hermeneutical method. All adolescents and young adults operated before 1995 according to the Fontan procedure or the total cavo-pulmonary connection procedure at one pediatric cardiology unit were included in the study. They were 17–32 years of age (median age 22 years). Results The interpretation of the interview transcripts showed that the participants experienced living with a surgically palliated univentricular heart in terms of feeling exceptional, strong, and healthy. This was supported by two structural analyses, where three themes emerged: happiness over being me, focusing on possibilities, and being committed to life. Conclusion Living with a Fontan circulation included negative experiences but the analyses clearly demonstrated a feeling of being strong and healthy. An appreciation of having survived and being committed to life was found to be an integral part of the development of the interviewees’ existential growth. This probably strengthens them further in their ability to balance expectations and hurdles in life. This study provides valuable insights into the experience of patients after the Fontan procedure and the importance of a positive health care environment throughout their lives.

  • 136.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, B.
    Umea University, Department of Public Health and Clinical Medicine, Umea, Sweden.
    Mattson, E.
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Moons, P.
    The Sahlgrenska Academy at Gothenburg University, Institute of health and caring sciences, Gothenburg, Sweden;.
    Dellborg, M.
    University of Gothenburg, Institute of medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    Exploration of disagreement between the patient’s self reported limitations and limitations assessed by caregivers in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no Suppl 1, article id 2406Article in journal (Refereed)
    Abstract [en]

    Background: The New York Heart Association (NYHA) classification is applied in a wide spectrum of heart diseases including adult patients with congenital heart disease (ACHD). The NYHA-class assessment is often based on the evaluation by the caregiver, but to what extent it correlates with the patient's view of their function is not fully known.Purpose: To investigate the relation between the patient's self-reported physical limitations, symptoms, other heart defect related factors and NYHA-class assessed by the caregiver.Methods: Eligible patients (n=333, age 39.2±13.6 years) were identified and randomly selected from the national registry for CHD. All of the patients completed a standardized questionnaire measuring different PRO-domains. By combing self-reported data with registry data including NYHA-class, analyses of agreement of physical limitations were performed.Results: Almost 30% of the patients rated their limitations higher compared to the NYHA-class estimated by the caregiver. Patients with self-reported limitations and their NYHA-class underestimated by caregivers, more often reported symptoms, anxiety, lower health and worked fewer hours/week compared to other patients with CHD. There were no differences regarding sex, type of symptoms, prescribed medications, or complexity of cardiac lesion. In patients without self-reported limitations agreement with NYHA-class estimated by caregivers was 97%.Conclusion: Adult patients with CHD and self-reported limitations may not be correctly identified by the care-giver. Instruments for patient reported outcomes might improve the assessment of physical limitations and could further improve the correctness in evaluating the patient's status.

  • 137.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. The Sahlgrenska Academy at University of Gothenburg, Institute of Medicine, Gothenburg, Sweden.
    Mattsson, Eva
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Moons, Philip
    University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Dellborg, M.
    The Sahlgrenska Academy at University of Gothenburg, Institute of Medicine, Gothenburg, Sweden.
    Comparison of participants and non-participants in patient-reported outcome surveys: the case of Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study2017In: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 27, no 3, p. 427-434Article in journal (Refereed)
    Abstract [en]

    Background: The last decade has seen a vast increase in the use of patient-reported outcomes. As patient-reported outcomes are used in order to capture patients’ perspectives of their health and illness, it is a prerequisite for accurate patient-reported outcome evaluations to use representative samples. In order to evaluate representativeness, the present study focussed on the comparison between participants and non-participants in the Swedish branch of the international study APPROACH-IS (Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease – International Study), regarding demographic, clinical, and health status characteristics. Methods: Eligible patients for APPROACH-IS were identified and selected from SWEDCON, the Swedish registry for congenital heart disease (CHD). Overall, 912 eligible patients were identified, of whom 471 participated, 398 did not participate, and 43 were either unreachable or declined to participate in APPROACH-IS. The participants and non-participants were compared in terms of statistical significance and effect sizes. Results: Significant differences were observed between participants and non-participants for sex, age, primary diagnosis, number of cardiac operations, and fatigue; however, the effect sizes were in general small, except for the difference in primary diagnosis. No differences between the two groups were found in number of catheterisations, implanted device, the distribution of NYHA functional class, or health status and symptoms. Conclusions: This study shows that participants and non-participants are relatively comparable groups, which confirms the representativeness of the participants. The Swedish data from APPROACH-IS can therefore be reliably generalised to the population of adults with CHD in Sweden. © Cambridge University Press 2016

  • 138.
    Berglöv, Louise
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Söderqvist, Anna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Personcentrerad vård inom BVC2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Person centered care (PCC) is about understanding the totality of individuals' lives and what context they are in. Therefore, flexibility can be seen as an important feature in specialist nurses work with PCC at the child health center (CHC). Today, PCC is recognized in healthcare and shows good results, however, there is a resistance among the professionals. Research on PCC in child health care is deficient, while at the same time studies show that children do not feel respected.

    Aim: The aim of the study was to describe child health nurses view of person centered care with focus on the child in relation to the parents.

    Method: Nine individual semistructured interviews with specialist nurses were conducted and data analyzed through qualitative content analysis.

    Results: The specialist nurses all agreed that PCC was about seeing the child and the parents, meeting them here and now and always having the child in focus. Allowing the child to participate and to share their stories was a prerequisite for working person centered. The specialist nurses also considered that their own professional experience played a crucial role. There were also obstacles and difficulties, the reasons for that were several, but most often was it about ignorance and uncertainty.

    Conclusion: The fact that the focus always on the child and that the specialist nurse always assumes the best interests of the child is the most important when it comes to PCC at the CHC. Family focused care and person centered care complement each other where it is up to the specialist nurse to decide which of them who is the most important in the current situation.

  • 139.
    Bergman, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Westbring, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars behov av stöd från sjuksköterskan2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 140.
    Bergman, Cassandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Hektor, Micaela
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Svenska gymnasieelevers drogvanor2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Studies indicate that drug use has increased the last 12 years among Swedish high school students. There is also a clear gender difference in the frequency of drug use where male high school students use more often drugs than female students. There is a difference in the risk factors between the genders. Biological factors are dominant riskfactors for men's drug use while for females there are more dominant environmental riskfactors. It's of high importance to asses updated information about adolescents' drug use habits, because drug use can lead to sever and chronic mental ill-health, criminal behaviors and social marginalization.

    Aim: The aim of the present study is to measure the drug use habits and describe it by gender and age in a sample of Swedish high school students.

    Method: The study used descriptive and comparative statistical (Shapiro-Wilks test, Spearman correlation and Mann-Whitney U-test) methods. Information assessed from 280 Swedish high school students about their drug use habits with the instrument Drug Use Disorders Identification Test (DUDIT). Previously validated cut-off ≥ 6 for male and ≥ 2 points for female students were used to identify students with drug related problems/dependence.

    Results: The result showed that about 10 % of the Swedish high school students have some form of drug use habit. The male students scored higher than the female students concerning their drug use habits (they used drugs in a greater extent) meanwhile the female students showed a drug related problems/dependence in a younger age than their male classmates. According the previously validated cutoffs about 4% of male and 8% of female high school students have drug related problems/dependence.

    Conclusion: In a sample of Swedish high school students male students reported more serious drug use habits than female students, while a larger proportion of the female students had drug related problems/ dependence, which also emerged in earlier ages than in their male classmates. The study raises the question of the need of a new validation of the cut-off for a gender specific identification for Swedish adolescents with drug related problems/dependence.

  • 141.
    Bergman, Emelie
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Tynkkinen, Tanya
    University West, Department of Health Sciences, Nursing Programme.
    Faktorer som påverkar ungdomars återfall i drogmissbruk2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Drugs have been around for ages. Previous studies show that drug use among young people is a problem that exists in large parts of the world. In Europe, 11.2% of young adults aged 15-24 have used cannabis in 2011. A survey conducted in Swedish schools shows that drug abuse is the number of students using drug increase but consumption is increasing. Objective: The aim of this study was to describe factors that affect relapse in drug abuse among young people. Method: A literature review of 10 scientific articles from the years 2003 to 2015 were used in which various factors that affect relapse in adolescents discerned.

    Results: The factors that affect a relapse can vary from individual to individual and therefore it is difficult to point out one single factor. The factors found to counteract a relapse is physical health, physical activity, treatment and the environment surrounding youth including engagement of family. Conclusions: The interaction of influencing factors is complex and indicates that no factor alone can be considered as anti-relapse into drug abuse. The study shows that several factors need to cooperate to prevent a relapse, such as the environment and the emotional state of the youth. Interacting factors have been shown to minimize the risk of recurrence.

  • 142.
    Bergqvist, Caroline
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Tingberg, Sofia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    En fråga med dolda svar: en registerstudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Since 2008 there is a law stating that patients who do not require institutional forensic psychiatric care may be moved to non-institutional forensic care, with special conditions. RättspsyK is a national quality register where all of the 25 forensic care units in Sweden collect information about their patients and their care. Previous analysis showed that a considerable amount of patients continue to receive institutional forensic psychiatric care despite they are assessed and found ready to move onto non-institutional forensic care. Aim: The objective of this study was to identify factors affecting why patients were still in institutional forensic care despite assessed to be ready for non-institutional forensic care.Method: First, yearly assessment of each patient between 2009 and 2014 was drawn from the RättspsyK register. Answers to the specific question, Question 10, were analyzed with descriptive statistics and were planned to be used in regression analyses as dependent variable. Result: 1900 patients were included. During analyses the fact that answers to this question were not trustable was found, therefore no exact prevalence of inpatients kept in institutional forensic care despite assessed ready for non-institutional care could be determined. Other information revealed that lack of housing and lack of collaboration were the most frequent reasons for this phenomenon. Conclusion: The present study could not give answer to the original question, but pointed out avalidity problem in the Swedish Forensic Psychiatry Register. The result calls for caution and for the need of validation of RättspsyK register.

  • 143.
    Bergqvist, Christer
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som patienter upplever påverkar följsamheten av den ickefarmakologiska behandlingen vid hypertoni2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 144.
    Berholt, Camilla
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lilienberg, Ann-Charlotte
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Psykisk ohälsa hos intagna med självriktad aggressivitet: Effekt av 10 veckors yoga2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental ill-health is common among prisons inmates. More than half of inmates in Swedish prisons suffer from different psychiatric problems that untreated can contribute to aggressive behaviors, including self-directed aggressive behaviors such as self-harm, suicide attempt or completed suicide. Evidence shows that participation in yoga exercise may improve mental health in the general but even in prison inmates population. The effect of yoga on self-directed aggressive behavior in prison inmates population has not yet been specifically studied, according to our knowledge.

    Aim: To examine the self-reported prevalence of psychiatric diagnoses by gender among prison inmates, and to study the effect of 10 weeks yoga on the prevalence and severity of self-directed aggression in this population.

    Method/Study population: From nine prisons in Sweden, 211 inmates participated voluntarily in the 10 weeks of study. They were randomized into two groups, one yoga group in which inmates participated in 90 minutes of hatha yoga once every week and a control group including those who were placed into a waiting list for yoga and asked to participate in 90 minutes of physical activity of free choice, once a week during the study.

    Results: Major depression, substance use disorder, anxiety disorder, and attention deficit hyperactivity disorder were the most common psychiatric diagnoses among inmates. The prevalence of many psychiatric diagnoses was significantly higher in female inmates than in male inmates. Both yoga and freely chosen physical activity reduced self-directed aggression during incarceration, but the improvement was better in the group that preformed yoga.

    Conclusion: The study provides evidence that yoga made on a regular basis have a positive effect on reducing self-directed aggression. Since no side effects of yoga exercise have previously or in this study detected, it can be concluded that yoga can be effective measure to increase inmates well-being.

  • 145.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Health Sciences, Specialist Nursing programme. University of Gothenburg.
    Learning and usefulness of collaboration exercises: A study of the three level collaboration (3LC) exercises between the police, ambulance and rescue services2015In: International Journal of Mass Emergencies and Disasters, ISSN 0280-7270, Vol. 33, no 3, p. 428-467Article in journal (Refereed)
    Abstract [en]

    In this article, we studied collaboration exercises (3LC) between the rescue services, ambulance services, and police force, which were developed to enhance learning and usefulness. The exercises’ structure was based on identified deficiencies in previous collaboration exercises. The purpose was to test the exercise model in terms of learning and usefulness. Ten 3LC exercises were observed. A total of 65 semi-structured interviews were conducted (2011–2014) in connection with the exercises. The exercises contained across-boundary elements, seminars, and interactive documentation. The participants were given the opportunity to discuss, analyze, and critically reflect on their efforts. During the seminars, the individual actions were analyzed, which led to alternative strategies that were subsequently tested in a repeated exercise. Our results demonstrate that repetitive features and seminars during collaboration exercises promote learning toward an organic behavior and usefulness in the actual incident work.

  • 146.
    Bern, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Saltell, Mikaela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Motivation till livsstilsförändringar: en utmaning för distriktssköterskan2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypertension increases all over the world and with the disease there is a risk för complications and personal suffering. The treatment involves lifestyle changes and pharmacological treatment. The district nurse has an important role in care of patients with hypertension and through health interviews, the district nurse can create possibilities for lifestyle changes. Motivation plays an essential role in implementing lifestyle changes and it varies in between individuals.

    Aim: The aim of the study was to examine district nurse's perceptions of what motivates and what creates obstacles and holds back patients with hypertension to implement lifestyle changes.

    Method: Eight district nurses who on daily bases worked with patients with hypertension and lifestyle changes were interviewed. The interviews were analyzed by qualitative content analysis with an inductive approach to reach the aim of the study.

    Results: The district nurses experienced that both positive as well as negative factors were found to have an impact on a patient's motivation for lifestyle changes. These factors were both found in the district nurse and in the patient. The patient's inner drive force and the district nurse's professionalism created conditions for patients to implement lifestyle changes while as a patient's own negative attitude and a district nurse's lack of commitment and understanding created barriers for patients to implement lifestyle changes.

    Conclusion: The district nurses experienced that both the district nurse and the patient's involvement in health interviews influenced the patient's motivation for lifestyle changes.

  • 147.
    Berndtsson, Ina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Work-integrated learning as a pedagogical tool to integrate theory and practice in nursing education: An integrative literature review2020In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, article id 102685Article, review/survey (Refereed)
    Abstract [en]

    It can be challenging for nursing students to navigate between theory and practice and to implement theoretical knowledge in real work situations and vice-versa. Work-integrated learning can support the students by enabling them to combine theoretical studies with practical work experience during their clinical placement. The aim of this integrative literature review was to identify models for the integration of theory and practice during clinical placements in nursing education by using work-integrated learning. Sixteen articles were found and analyzed using an integrative review method. Three themes were identified: 1) Supervisor support to enable students to develop a professional identity 2) Variety of modalities for teaching and 3) Collaboration between academic lecturers and clinical supervisors aimed at integrating theoretical and practical knowledge. Work-integrated learning enables students to integrate theory and practice, develop skills for knowledge-in practice and prepares them for working life. It also supports the sharing of experiences between various healthcare professionals. This review identified a need for further research on work-integrated learning as a method for enhancing nursing students’ workplace learning.

  • 148.
    Berndtsson, Ina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Karlsson, Margareta
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rejnö, Åsa
    University West, Department of Health Sciences, Section for nursing - graduate level. Stroke Unit, Skaraborg Hospital Skövde, Sweden.
    Nursing students' attitudes toward care of dying patients: A pre- and post-palliative course study2019In: Heliyon, ISSN 2405-8440, Vol. 5, no 10, article id e02578Article in journal (Refereed)
    Abstract [en]

    Background: Many nursing students are not prepared to encounter death and care for patients who are at the end of life as newly educated nurses. The Frommelt Attitude Toward Care of Dying Scale (FATCOD) has been used to assess nursing students' attitudes during their education and changes have been noted.

    Objective: To examine nursing students' attitudes towards care of dying patients before and after a course in palliative care.

    Design: A descriptive study with a pre and post design.

    Settings & participants: Nursing students (n = 73) enrolled in a mandatory palliative course in the nursing programme at a Swedish university.

    Methods: Data were collected before and after a palliative care course using FATCOD and qualitative open-ended questions. Data from FATCOD were analysed using descriptive and analytical statistics. The open-ended questions were analysed with qualitative content analysis.

    Results: The students' mean scores showed a statistically significant change toward a more positive attitude toward care of dying. Students with the lowest pre-course scores showed the highest mean change. The qualitative analysis showed that the students had gained additional knowledge, deepened understanding, and increased feelings of security through the course.

    Conclusions: A course in palliative care could help to change nursing students' attitudes towards care of patients who are dying and their relatives, in a positive direction. A course in palliative care is suggested to be mandatory in nursing education, and in addition to theoretical lectures include learning activities such as reflection in small groups, simulation training and taking care of the dead body.

  • 149.
    Bernling, Sigrid
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Kucukcelik, Nadire
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Medias konstruktioner av flyktingar och hur dessa kan påverka distriktssköterskor i deras möte med flyktingar2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In 2015, the increased number of refugees arriving in Sweden was covered in media. Public health nurses may in their encounter with immigrants be influenced by discourses arising from medial constructions of refugees. The aim of this study was to examine mass medial constructions of and discourses about refugees, since preconceptions can influence district nurses in encounters with these persons. It is a matter of importance to discuss how this can manifest itself, in order to make public health nurses encounters with refugees as well-functioning as possible. Person-centred care has been uses as a theoretical frame of reference in this study. A qualitative approach was chosen. The methods used were corpus analysis and discourse analysis.  Data was collected from three daily newspapers: Dagens Nyheter, Sydsvenskan and Svenska Dagbladet, published in September, October and November 2015. During this time the concept refugee occurred in 4022 articles. The result shows that refugees in media are contoured as a homogenous group. Four discourses based on thirteen constructions were identified. The four discourses were a crisis discourse, a helplessness discourse, a political discourse, and an economical discourse. From the discourses, it is assumed that public health nurses reading of medial texts about refugees influences their view, and therefore their care, of refugees. Hence, it is important to illuminate the constructions of refugees in media

  • 150.
    Berntsson, Shala Ghaderi
    et al.
    Uppsala University, Department of Neuroscience, Neurology, University Hospital, Uppsala, Sweden.
    Landtblom, Anne-Marie
    Uppsala University, Department of Neuroscience, Neurology, University Hospital, Uppsala, Sweden, Department of Clinical and Experimental Medicine, Neurology, Medical Faculty, University of Linköping, Linköping, Sweden.
    Flensner, Gullvi
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Cerebellar ataxia and intrathecal baclofen therapy: Focus on patients´ experiences2017In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 2, no 6, article id e0180054Article in journal (Refereed)
    Abstract [en]

    Elucidating patients´ experiences of living with chronic progressive hereditary ataxia and the symptomatic treatment with intrathecal baclofen (ITB) is the objective of the current study. A multicenter qualitative study with four patients included due to the rare combination of hereditary ataxia and ITB therapy was designed to elucidate participants' experiences through semi-structured interviews. The transcribed text was analyzed according to content analysis guidelines. Overall we identified living in the present/ taking one day at a time as the main theme covering the following categories: 1) Uncertainty about the future as a consequence of living with a hereditary disease; The disease; 2) Impact on life as a whole, 3) Influence on personal life in terms of feeling forced to terminate employment, 4) Limiting daily activities, and 5) ITB therapy, advantages, and disadvantages. Uncertainty about the future was the category that affected participants' personal life, employment, and daily activities. The participants' experience of receiving ITB therapy was expressed in terms of improved quality of life due to better body position and movement as well as better sleep and pain relief.

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