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  • 101.
    Amissah, Aicha
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Abdulqadir Jama, Fadumo
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med typ 1 diabetes: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 1 diabetes is a chronic disease that requires both a changed lifestyle and rigorous treatment routines, which can be a tough task to adapt to. Aim To illustrate patients' experience of living with type 1 diabetes. Method: A literature study was conducted based on an analysis of 11 qualitative articles. Results: The analysis resulted in two main themes with five subthemes. Emotional impact is the first main theme with the subthemes ability to accept the disease and unpleasantness. The second main theme is importance of health care with the subthemes experience of treatment, experience of knowledge and access to health care. Conclusion: The patients experienced difficulties in accepting the disease, which led to emotional problems such as anxiety, fear and confusion, even denial of the diagnosis. Patients experienced a lack of knowledge among healthcare professional. It is important that healthcare professionals are responsive, attentive and include the patient in the implementation / planning of care

  • 102.
    Amponsah, Owusu
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Huseynova, Khadija
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att drabbas av transitorisk ischemisk attack2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Transient ischemic attack (TIA) is a is a risk factor for stroke. This occurs when the blood flow in one of the blood vessels of the brain is inhibited for a short time and then restored without any serious damage. In a year, more than 46,000 people around the world are affected for the first time. People who suffer from TIA experience feelings of depression, fatigue, reduced quality of life, difficulty returning to normal activities and work

    Aim: The purpose of this study is to describe patients' experiences of suffering from TIA

    Method: A literature study based on analysing eight qualitative articles.

    Results: Two themes emerged inthe result; The significance of the symptom & everyday life after TIA, built on six subthemes.The results showed that the experience of a TIA symptom is unclear and varies in different durations. TIA has a negative impact on patients economic and social lives. The tendency to seek care has a strong connection with how the individual has previously experienced their health and the encouragement of relatives.

    Conclusion: Nurses and other healthcare professionals need to work to create trust so that all patient with TIA seek care. This can be achieved through good care relations and individualized information sharing. 

  • 103.
    Amudzi, Elizabeth
    et al.
    University West, Department of Health Sciences.
    Nkwe, Nange
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter av att vårda äldre med depression: En litteraturstudie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Depression är en psykisk sjukdom som går i skov och varierar från person till person i hur allvarlig depressionen upplevs, samt dess varaktighet. För varje sjukdomsperiod som en persongår igenom, ökas risken för framtida regression som kan bli allvarligare och svårare att återhämta sig ifrån. Depression är en psykisk sjukdom eller störning vilken drabbar många människor. Sjukdomen ökar i samhället och sjuksköterskor kommer att träffa på personer som lider av denna sjukdom. Syftet med denna litteraturstudie var att beskriva sjuksköterskors erfarenheter av att vårda äldre med depression. Metoden som valdes var en litteraturstudie därnio vetenskapliga artiklar från år 2013–2023 ingick.

    Litteraturstudiens analys resulterade i följande teman och underteman: Utmaningar i att identifiera depression med subteman:otillräcklig kunskap om tidiga symtom och oro av att vara oförberedda, betydelsen av att skapa allians med subteman: skapa en vårdande relation och bygga förtroende och tillit samtbegränsningar av vården med subteman: brist på tid och brist på resurser och samarbete. Detta resultat var förekommande i de nio artiklar som valdes ut, där grundsjuksköterskor, distriktssköterskor samt erfarna och nya sjuksköterskor som arbetat i flera år deltog. Sjuksköterskor ställdes inför utmaningar på grund av bristande kunskap och utbildning när de gav vård till äldre personer med depression. Det ledde till känslor av dåliga relationer och stigmatisering mellan sjuksköterskor och patienter. Dessutom hade sjuksköterskorna en önskan om att bli bättre inom sina arbetsområden och strävade efter att få mer utbildning för att känna igen depressiva symtom och även kunna stödja äldre personer med depression. Bristen på denna kunskap och utbildning ledde dock till att de kände sig osäkra i sitt omvårdnadsarbete.

  • 104.
    Anberg Högeryd, Susanne M.
    et al.
    NU-sjukvården, Trollhättan.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet2014In: International Journal of Nursing and Midwifery, E-ISSN 2141-2456, Vol. 6, no 2, p. 16-23Article in journal (Refereed)
    Abstract [en]

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

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  • 105.
    Andelin, Mervi
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Uppfattningen av typ 2 diabetes hos personer från Mellanöstern som lever i Sverige: en beskrivande kvantitativ pilotstudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research shows that persons from the Middle East are at higher risk to develop type 2 diabetes which increases the risk of diabetic complications and early death. Both illness perception and self care are significant factors for the disease process. The diabetes nurse needs to search for knowledge of illness perception thus they have a central role in strengthening the individuals' ability to handle treatment, symptoms, emotional, cognitive and physical consequences as well as lifestyle changes.

    Aim: The aim of this study was to investigate illness perception of type 2 diabetes among persons from The Middle East living in Sweden.

    Method: A descriptive analysis of a pilot study was conducted in the region of VästraGötaland during spring 2019. 27 individuals answered the Brief Illness Perception Questionnaire about their illness perception of type 2 diabetes.

    Results: The participants perceived type 2 diabetes to be a chronic disease and reported a very high degree of coherence of the disease. They also perceived that type 2 diabetes can be controlled by both treatment and themselves to a very high degree and to a relatively high degree. Trust in treatment was greater than in their own control. The study shows a significant difference in coherence of type 2 diabetes between women and men in the study, where women experienced a higher degree of coherence than men. Identity and consequences were the dimensions of illness perception with the lowest median.

    Conclusion: Illness perception affects the degree of self care and disease progress. The results can be used to give an increased understanding of illness perception of type 2 diabetes among persons from the Middle East living in Sweden.

  • 106.
    Anderberg, Amanda
    et al.
    University West, Department of Health Sciences.
    Eliasson, Alice
    University West, Department of Health Sciences.
    Belysa sjuksköterskors erfarenheter av att vårda patienter med psykiatriska diagnoser inom somatisk vård: En kvalitativ litteraturstudie2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The prevalence of psychiatric diagnoses is increasing in society and nurses in somatic care frequently encounter patients with psychiatric diagnoses in their work. Psychiatric- and somatic multimorbidity is common and the nurse is expected to care with aperson-centered and holistic approach for patients in accordance with established documents and laws. Previous research indicates a stigmatization of these patients in society and by the nurses themselves.

    Aim:

    The aim of this study was to illustrate nurses’ experiences of caring for patients with psychiatric diagnoses in somatic care. Method: A qualitative literature-based study with eight scientific articles were included and analyzed with Friberg´s description of the five-step model.

    Results:

    Three main themes were identified with seven additional subthemes. The nurse’s personal challenges: nurses felt fear and anxiety when caring for patients with psychiatric diagnoses with psychiatric and somatic multimorbidity in a somatic care setting because of the lack of knowledge and trust for the patients. Organizational Barriers: inadequate teamwork and collaboration on and between the units made it difficult. Perceptions of patients: stigmatization and preconceptions by the nurses influenced the care of the patients.

    Conclusion:

    It indicates that nurses experience uncertainty in caring for patients with psychiatric diagnoses in somatic care. There is a substantial knowledge gap in the field, and further research is needed for nurses to feel more confident working with patients with psychiatric diagnoses in somatic care.

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  • 107.
    Andersen, Angelica
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Hultstrand Ahlin, Cecilia
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Trygghet som en dimension av social hållbarhet: En kvantitativ studie om ungdomars upplevelse om det offentliga rummet2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Social sustainability is a multidimensional concept in which safety is one of the dimensions, and is an important factor in creating a good quality of life. The public space is a key factor in a healthy and well-functioning city. A good environment is a source for motivating citizens to better health and wellness. Public space also has a great impact on safety, good urban planning is essential to create a good environment to live in. High level of safety also creates the conditions for achieving socially sustainable development.

    The driving forces behind this study is that the public space is an important place where everybody will be welcomed and feel safe. The public space creates the opportunity for social relations, exchange of knowledge and constitute an important function in society. The publicspace should protect and promote the citizen, and the citizen must take care and show respect for the public space. Thus, this study aims to investigate young people's experience of publicspace in relation to social sustainability and safety.

    The method used in the study is a quantitative approach, questionnaires have been distributed to high school students in Stenungssund. The survey ended with the possibility for respondents to mark on a map of Stenungsund the places they feel secure, insecure and like.

    The results of the study show that young people in Stenungsund generally feel safe in public spaces. However, there are differences between how girls and boys experience safety. Boys feel increasingly confident than girls do. Students in different grades also tend to experience safety differently. The markings on the map thus showed a common understanding of what places are experienced as both secure, insecure and liked.

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  • 108.
    Andersen, Malin
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Pettersen, Camilla
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Ett liv i ensamhet: en litteraturöversikt om äldre hälsa2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Elderly are a heterogeneous and growing group and therefore they have to be seen as separate individuals with different needs. In Sweden the municipality has the overall responsibility of elderly care and the social welfare board has to make sure that the elderly get to live independently under safe conditions.

    Aim: The aim of this study is to describe different factors that affects social isolation and loneliness among elderly.

    Method: The method that was chosen for this study was a literature review. Systematic and unsystematic searches were conducted to find articles for the results. Eight articles were chosen for this study, four quantitative and four qualitative.

    Results: The result includes two themes and four subthemes. One factor that was found was the loss of earlier life with two subthemes the body that no longer works and when the significant other pass away. Another factor was the importance of context with two subthemes importance of family and friends and in the absence of social connection.

    Conclusion: Factors that were shown to have an impact on social isolation and loneliness were individual and could depend on body function, losses and personality. The elderly need to feel safe in their environment and that there is someone who can help them.

  • 109.
    Andersson, Angelica
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Olsson, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att leva med demenssjukdom: Diagnostiserade personers erfarenheter2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As the population is getting older, the number of people with dementia is steadily increasing. This places great demands on nursing staff, both in the treatment and care of these persons. Instead of only focusing on the diagnosis and its symptoms, is important to ensure the individual needs. Aim: The aim of this study was to elucidate diagnosed person's experiences of living with dementia. Method: Ten qualitative articles were analyzed. The analysis resulted in four themes and twelve sub themes.

    Results: The result showed that family, relatives and friends are playing an important role in the quality of life for persons with dementia. Difficulties arose because of the symptoms of the disease, which could lead to social isolation. It was considered paramount to still be able to perform meaningful activities. On the other side the result showed, that both people and the environment were considered as impedimental factors, leading to feelings of lost dignity. The diagnosis could be met through acceptance or denial. This created different types of strategies in daily life. Many times fears arose about the future and the fear of getting worse was often greater than the fear of death.Conclusion: Dementia entails many difficulties and challenges, both for the person with dementia and the surrounding people. It's necessary to adapt both environment and treatment, so that person with dementia can continue to live a normal life as possible. We can achieve this by offer support and help, both physically and psychologically, without offend or cause distress.

  • 110.
    Andersson, Anikim
    et al.
    University West, Department of Health Sciences.
    Berner Randelin, Ebba
    University West, Department of Health Sciences.
    Kvinnors upplevelser av att leva med livmoderhalscancer: en litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cervical cancer is a global health problem, by year 2020 around 600,000 women were suffering from cervical cancer. The contagious infection Human Papillomavirus causes the majority of cervical cancers worldwide. The impact of cervical cancer on women contributes to changes in their social and sexual relations in which women finds themselves. 

    Aim: The aim was to describe women's experiences of living with cervical cancer.

    Method:The method used in this study was literature-based. Friberg's five-step model was used to analyze the selected scientific articles used for the result.

    Results: Based on the analysis work, three themes emerged: the intimate relationship, being affected by cervical cancer and a second chance. Seven subthemes were compiled in coding: the experience of changed sexuality and femininity, to feel loneliness in the disease, to find support in the environment, to feel bad about what is to be cured, a constant worry, see life with new eyes, find comfort in religion and faith, there is a future.

    Conclusion: Women's lives after suffering from cervical cancer changed drastically and affected their health.

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  • 111.
    Andersson, Anita
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Betydelsen av patientens delaktighet i psykiatrisk vård: En litteraturöversikt2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patient participation is ideal in psychiatric care. Patient participation leads to a favourable work environment and good conditions for care staff and increased selfdetermination for the patient.

    Aim: The aim of this study was to identify the promoting factors that may contribute to patients' participation in psychiatric care.

    Method: The study was conducted as a systematic literature study and was based on tenscientific articles.

    Result: There are a wide range of different aspects of patient participation. Based on the questions and purpose of this study, the results showed three of these: professionalism in communication, patient-centered care, and the personal skills of the caregiver. These three components proved to be among the basic factors that promote patient’s participation.

    Conclusion: It is important that the care staff combine both treatment and conduct with involving the patient in their own care. In the case of patients with mental illness in particular, the competencies of healthcare staff must be increased extra.

  • 112.
    Andersson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brink, Eva
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Yang Hansen, Kajsa
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages. Department of Education and Special Education, Gothenburg University (SWE).
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Development and validation of experienced work-integrated learning instrument (E-WIL) using a sample of newly graduated registered nurses: A confirmatory factor analysis2023In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 128, p. 1-9, article id 105889Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Research indicates that newly graduated registered nurses struggle to develop practical skills and clinical understanding and to adapt to their professional role. To ensure quality of care and support new nurses, it is vital that this learning is elucidated and evaluated. Aim The aim was to develop and evaluate the psychometric properties of an instrument assessing work-integrated learning for newly graduated registered nurses, the Experienced Work-Integrated Learning (E-WIL) instrument.

    METHOD: The study utilized the methodology of a survey and a cross-sectional research design. The sample consisted of newly graduated registered nurses (n = 221) working at hospitals in western Sweden. The E-WIL instrument was validated using confirmatory factor analysis (CFA).

    RESULTS: The majority of the study participants were female, the average age was 28 years, and participants had an average of five months' experience in the profession. The results confirmed the construct validity of the global latent variable E-WIL, "Transforming previous notions and new contextual knowledge into practical meaning," including six dimensions representing work-integrated learning. The factor loadings between the final 29 indicators and the six factors ranged from 0.30 to 0.89, and between the latent factor and the six factors from 0.64 to 0.79. The indices of fit indicated satisfactory goodness-of-fit and good reliability in five dimensions with values ranging from α = 0.70 to 0.81, except for one dimension showing a slightly lower reliability, α = 0.63, due to the low item number. Confirmatory factor analysis also confirmed two second-order latent variables, "Personal mastering of professional roles" with 18 indicators, and "Adapting to organisational requirements" with 11 indicators. Both showed satisfactory goodness-of-fit, and factor loading between indicators and the latent variables ranged from 0.44 to 0.90 and from 0.37 to 0.81, respectively.

    CONCLUSION: The validity of the E-WIL instrument was confirmed. All three latent variables could be measured in their entirety, and all dimensions could be used separately for the assessment of work-integrated learning. The E-WIL instrument could be useful for healthcare organisations when the goal is to assess aspects of newly graduated registered nurses' learning and professional development.

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  • 113.
    Andersson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hällgren Graneheim, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Nursing, Umeå University, Umeå (SWE).
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Newly-graduated nurses´ work-integrated learning: A qualitative study from an educational and occupational perspective2022In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 59Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe newly graduated nurses´(NGNs´) experience of work-integrated learning (WIL), from an educational and occupational perspective.

    Background: NGNs often find themselves unprepared to meet occupational demands on their competence on entering working life, and express difficulties integrating educational theory into a practical context. Qualitative and effective WIL becomes particularly important for NGNs to develop the competence required to handle the transition from education to working life.

    Design: This is a qualitative, descriptive study with an inductive approach.

    Methods: Seven focus-group discussions were performed and subjected to qualitative content analysis.

    Results: The results revealed that WIL for NGNs includes personal mastering of several professional roles: a self-directed and collaborative learning role, a relational nursing role, and a transition from a student role to a collegial role. Furthermore, WIL entails adapting to organisational requirements, including development of contextual workplace knowledge and understanding; striving for confidence in medical-technical performance; and developing an experience-based understanding of clinical situations.

    Conclusion: The results reveal that WIL is complex, encompassing adaptation to roles and personal capabilities that increase new graduates´competence and preparation for work. In addition, WIL requires personal commitment to one’s own learning as well as organisational and social support. 

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    Elsevier
  • 114.
    Andersson, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Källvik, Eva-lena
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    En vän men ändå inte en vän.: En grupp distriktssköterskors beskrivningar av innebörden av att vårda patienter med svårläkta bensår.2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background

    Working in primary care with chronic leg ulcers is both time-consuming and difficult. There is a large category of patients with leg ulcers, that is expected to increase in a number of years, and many of them will probably come to a district nurse for help.

    Aim

    The aim of this study was to describe the district nurses' experiences of caring for patients with chronic leg ulcers in primary care.

    Method

    The approach was qualitative. The study was done with a phenomenological life-world approach. Seven district nurses working in primary care were interviewed. The phenomenological perspective focuses on the respondents’ own life-world and has openness to the interviewee's own experiences. The phenomenon we wanted to study was the district nurses’ experiences of caring for patients with chronic leg ulcers.

    Results

    In the study it emerges that district nurses feel that it is fun to work with this patient category, although the workload can sometimes feel heavy. There are often many long meetings, for a long period of time, and a relationship evolves between the district nurse and the patient. The nurses feel they have a different and deeper relationship with these patients and they experience the emergence of an unusual friendship.

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  • 115.
    Andersson, Anna-Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Landberg, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens upplevelse av att möta sjuksköterskor som vårdgivare inom primärvården.: en litteraturöversikt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 116.
    Andersson, Ann-Christine
    et al.
    Jönköping University,The Jönköping Academy for Improvement of Health and Welfare, Jönköping.
    Ainalem, Ingrid
    Centre for Innovation and Improvement (CII), Region Skane, Malmo.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level. Kristianstad University, Kristianstad.
    Janlöv, Ann-Christin
    Kristianstad University, Kristianstad.
    Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.2016In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 1, p. 44-52Article in journal (Refereed)
    Abstract [en]

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

  • 117.
    Andersson, Annicka
    et al.
    University West, Department of Health Sciences.
    Smedberg, Elisabet
    University West, Department of Health Sciences.
    Pappors upplevelse av delaktighet i mötet med specialistsjuksköterskan vid Barnavårdscentralen2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The child health care mission is to work to promote health with the child's best interests in focus and to support parents in their parenting. It also includes promoting equal parenting by making the conditions for participation visible in dialogue with parents. Participation is the basis for a health-promoting approach in child health care. Research shows that fathers feel less involved in child health care. At the same time, there are studies that show that a father who is involved in his parenting is a good condition (prerequisite) for children's development and is an important health issue for both parents and children. The specialist nurse therefore has an important role in supporting and guiding parents in their parenting.

    Aim: To describe fathers' experience of participation as a parent in contact with child health care center.

    Method: Qualitative content analysis with an inductive approach. Eight fathers participated in the study and interviews were conducted with semi-structured open-ended questions. All participants had children between 0-6 years and were followed at child health care center. 

    Results: In the result an overall theme and three categories emerged. The specialist nurse's professional approach was the theme. The first category, Seeing the whole family, was about the importance of including the whole family in the meetings. The second category, Accessibility and guidance, highlighted the fathers' need for information and that they found it easy to reach the specialist nurse. The third category, Have confidence, where the fathers described the specialist nurse as welcoming, pleasant and knowledgeable, which gave a feeling of security.

    Conclusion: All fathers had great confidence in the specialist nurse, who in turn created security for the fathers. In this study, the fathers felt that they were involved in child health care, and it was based on the specialist nurse's professional treatment.

  • 118.
    Andersson, Annika
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Boundaries as mechanisms for learning in emergency exercises with students from emergency service organisations2016In: Journal of Vocational Education and Training, ISSN 1363-6820, E-ISSN 1747-5090, Vol. 68, no 2, p. 245-262Article in journal (Refereed)
    Abstract [en]

    To prepare emergency response organisations for collaborative work in unpredictable and dynamic situations, various types of exercises are widely used. Still, our knowledge of collaboration exercises with emergency response students is limited. This study aimed to contribute to this field by exploring boundaries that emerged between collaborating organisations in exercise activities and how these boundaries could be understood for learning. Drawing on the Akkerman and Bakker framework of boundaries as learning mechanisms, this study explored an exercise, including full-scale scenarios and seminars with students from the police, ambulance and rescue services education in Sweden. Thematic analysis of interviews and observations illustrated boundaries that emerged regarding vocabulary, prioritisation, roles, knowledge gaps and overlapping responsibilities across organisations. Rather than dissolving boundaries, this article suggests that boundaries can be utilised in exercises to support the students to contextualise their knowledge in relation to the demands of collaborative work. The concepts boundary work and boundary awareness were suggested to capture more generally the dynamics of learning in exercise contexts.

  • 119.
    Andersson, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture. Sahlgrenska Academy at University of Gothenburg.
    Åhgren, Bengt
    Nordic School of Public Health, Göteborg, Sweden.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Managing boundaries at the accident scene: a qualitative study of collaboration exercises2014In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 3, no 1, p. 77-94Article in journal (Refereed)
    Abstract [en]

    Purpose The purpose of this study is to identify what is practiced during collaboration exercises and possible facilitators for inter-organisational collaboration.

    Design/methodology/approach Interviews with 23 participants from four exercises in Sweden were carried out during autumn 2011. Interview data were subjected to qualitative content analysis.

    Findings Findings indicate that the exercises tend to focus on intra-organisational routines and skills, rather than developing collaboration capacities. What the participants practiced depended on roles and order of arrival at the exercise. Exercises contributed to practicing leadership roles, which was considered essential since crises are unpredictable and require inter-organisational decision-making.

    Originality/value The results of this study indicate that the ability to identify boundary objects, such as injured/patients, was found to be important in order for collaboration to occur. Furthermore, lessons learned from exercises could benefit from inter-organisational evaluation. By introducing and reinforcing certain elements and distinct aims of the exercise, the proactive function of collaboration exercises can be clarified.

  • 120.
    Andersson, Ann-Sofi
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Rydell, Annelie
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Strategier som personer använder för att förbättra sömnen efter genomgången sömnskola i primärvården: En kvalitativ intervjustudie2014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Studies show that sleep problems are common and the prevalence is increasing. Early detection and adequate help is important. Sleep school with cognitive behavior therapy (CBT) demonstrates good long-term effect, but few people with sleep problems gain access to these sleep schools. District nurses in primary care have the opportunity to provide support for sleep problems. Through increased knowledge of strategies that promote good sleep gives the district nurse better opportunities to support people with sleep problems. Aim: To describe what strategies people use to improve sleep after completing the sleep school. Method: The study has a qualitative approach in which semi-structured interviews were conducted with ten informants. The interview material were analysed by using a qualitative content analysis. Results: The analysis revealed three categories and eight subcategories which form the result of this study. Manages thoughts in a new way included three subcategories: to reform negative thoughts, to accept ones sleep and to dare reduce the sedatives. Exercising activities that promote sleep included two subcategories: to increase their physical activity and to perform relaxation exercises. Adapts the environment to promote sleep included three subcategories: to reduce sleep disturbing items, to adapt bedroom environment and to reduce caffeine intake and alcohol. Conclusion: The study shows that sleep school with CBT, according to the informants, gave the knowledge and tools to find strategies that helped them sleep better and feel more satisfied with their sleep. Increased training for primary care district nurses in sleep knowledge and CBT, creates better conditions for early and effective intervention

  • 121.
    Andersson, Camilla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Mujic Baghernezhad, Kata
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Upplevelser av Nordisk vård ur ett mångkulturellt perspektiv: en litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The number of people with foreign background living in the Nordic countries has increased the last few years. This means that healthcare personnel meet more people with different languages, traditions and values.

    Aim: The aim of this study was to highlight experiences of encounters with Nordic health care among people with a foreign background.

    Method:

    The study was a literature study and based on 12 scientific articles, which were analyzed according to Friberg's model of qualitative analysis. The theoretical frame of reference that was used is Leininger's theory of nursing cultural care diversity.

    Result: The data analysis resulted in three themes that illustrated the experiences of Nordic healthcare and people with a foreign background. These themes were: receiving care on equal terms, to feel at home and to feel insecurity.

    Conclusion: Most of the people living in the Nordic countries with a foreign background were pleased with the healthcare, but a few areas were in need of improvement. Communication was always an issue for the individuals who did not speak the same language nor share the same traditions. It was therefore important that the caregivers were willing to be open-minded and work together to resolve cultural differences. It was also important to really observe the patient, to take into consideration the patients´ capacity and resources to help the patient.

  • 122.
    Andersson, Carolina
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Johansson, Jennifer
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Visionen om ledarskapet: Hur förverkligas ledarskapsvisionen i den vardagliga verksamheten?2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose with our qualitative study is to investigate the vision of leadership but how does one perfect visionary leadership in an everyday activity? To help us find out the purpose of this we have conducted semi structured interviews involving leadership in occupations. These interviews have provided phenomenal inspiration since our main focus is the experiences of leadership. In our analysis we have used the method of phenomenal analysis and as well as the process of the data. Our empiricist consists of ten interviews, eight of which are conducted with co-workers and two of which are conducted with team leaders.

    Our result shows that the activity doesn't have an outspoken vision between co-workers and leaders. However both the leaders have a vision about their leadership which doesn't appear literally. Our study shows that if a leaders visions appears in practice, it therefore doesn't have to be official since it is already clearly expressed. We find that through our case study that occupation can evolve their leadership as well as their employeeship with the help of our results

  • 123.
    Andersson, Charlotta
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Marcusson, Hampus
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av att leva i sitt hem med hjärtsvikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden it is estimated that approximately 150 000 - 250 000 people suffer from heart failure. A better standard of living has made it possible for people to live longer with their health intact. Older age is associated with an increased risk of getting diagnosed with heart failure. It is estimated that some 30 000 people are diagnosed with heart failure each year

  • 124.
    Andersson, Ellen
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jensen, Martina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det förändrade livet: den vuxna personens upplevelse av att leva med afasi till följd av stroke2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 125.
    Andersson, Emelie
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Jag är ingen psykolog, så det är som det är": En kvalitativ intervjustudie om förskolepersonals erfarenheter av att identifiera psykisk ohälsa hos barn i förskolan2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background According to the Public Health Agency of Sweden, mental ill-health is increasing in Sweden and the affected are becoming younger and younger. There is therefore an increasing need for more research on children and their mental ill-health. To be able to stop this negative development it is of foremost importance that children get help as early as possible. Preschool staff members play a vital role in the identification of mental ill-health among young children and making sure that the right help is given. Aim The aim of the study is to illustrate preschool staff member´s experience of identifying children with mental illhealth. Method The method used is qualitative interview study. Six female preschool staff members have been interviewed and a content analysis has been applied on the answers. Results Children´s mental ill-health is a very complex subject and something that is not included in the Swedish curriculum. Additionally, the education of preschool staff members does not include anything concerning children's mental ill-health. Consequently, preschool staff members battle with a situation where they play a crucial role in the identification of mental ill-health among the children however they do not possess neither the knowledge nor the skills to do so. Conclusion Mental ill-health among children in preschool is a very complex subject. Preschool staff members face a very tough responsibility in identifying the signs of mental ill-health among the children and the reasons for this are many.

  • 126.
    Andersson, Emelie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Maria
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Se mig, hör mig, säg mig!: En litteraturstudie om barns upplevelse av att vara patient på sjukhus2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: For most children, being hospitalized is a whole new experience. The care should be safe and meet the children’s needs. In hospital care, children are a large group of patients. It’s important for them to be involved in decisions regarding their care and to get proper information. Working as a nurse, there’s a high possibility to meet with children being ill. In order to get more knowledge about how children experience their hospital stay this study was conducted.Aim: The aim of the study was to describe children’s experiences of being a patient in hospital.Method: The method used was a literature study, based on qualitative research. Eight articles from the databases Cinahl and PsycInfo read, reviewed and analyzed according to the model for analysis of qualitative studies made by Friberg.Results: Four themes and eleven sub themes were found. Children’s experiences of hospital care revolved around the hospital environment, their emotions, not being in control and the nursing staff.Conclusion: The result shows that children’s different experiences related to their hospital stay often is affected by the ability to have their parents close, to have the opportunity to play and to get the proper information from caring health professionals. Children describe both positive and negative experiences.

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  • 127.
    Andersson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mötet med sjuksköterskan på akutmottagningen: en litteraturbaserad studie ur ett patientperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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  • 128.
    Andersson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stenwall, Carah
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att vänta på organtransplantation: En litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Organ transplantation is seen as a treatment to save lives. There are great differences in the transplantation process between different countries. Patients have previously described the process of organ transplantation as restrictive and emotionally draining with an overhanging fear of death before transplant.

    Aim: The aim of this study was to describe patients’ experiences of waiting for organ transplantation. 

    Method: This literature-based study was conducted with analysis of qualitative research to gain knowledge about the patients’ experiences. Analysis of the eleven articles was performed by using Friberg’s five-step method.

    Results: Two main themes and six subthemes emerged from the analysis. The main themes The need for support and information highlighted the patients need for support and adequate information from both family and health care professionals. This was seen as a way to handle the uncertainty that the waiting time could bring. The other main theme The time on the waiting list described that waiting for an organ transplantation could bring restrictions to their daily life. Patients described the time on the waiting list as uncertain and many thoughts about the donor arose. Also, hope about their future was prominent throughout the time on the waiting list. At times this hope could turn to despair.

    Conclusion: Waiting for an organ transplantation is a multifaceted experience. Support from family was considered crucial and therefore should be included when possible. Nurses are responsible for giving enough and appropriate information and support to the patients during their wait.

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  • 129.
    Andersson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wågberg, Pernilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att finna en mening i en osäker och förändrad framtid: Patienters upplevelse av palliativ vård2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The purpose of palliative care is to give the patients a good quality in the end of life, relive suffering and help them live life as normal as possible. The patients should always be involved in their own care.

    Aim: The purpose of this study was to illustrate how patients experience palliative care.

    Method: This is a literature-based study that is based on nine qualitative analyzed articles. The articles analyze was based on Friberg five step model.

    Results: The results presented in two categories: I´m changing and A safe response. The results show that it´s important to be aware of every human's individual needs and thoughts in palliative care to give the best care.

    Conclusion: This study shows that lack of time on hospital care affect patients care negatively. The best palliative care is the one given to patients at their own home.

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  • 130.
    Andersson, Erika
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ett vårdverksamhetsperspektiv på samverkan i sjuksköterskeprogrammets verksamhetsförlagda utbildning2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Society is constantly evolving and changes are taking place, which creates the opportunity to collaborate around several different areas. Working for a work-integrated learning (WIL) could mean that you work structured together with healthcare and college with common goals and collaborative issues. The content of the study deals with healthcare representatives´ perceptions of the importance of collaboration, the possibility of nursing education's vocational education. Method used in the study is qualitative method with focus group interviews. In the study, three focus groups and one interview were interviewed. Interviewees consisted of managers, supervisors and supervisors. The care activities that the informants represented were somatic care in emergency medical care, psychiatric care and home care. A qualitative content analysis was made by the interviews that were themed by interpretation of the interviews. Healthcare representatives wanted a collaborative perspective in various areas, such as development and collaboration of teaching models, assessment and evaluation. Working together with work-integrated learning as a model can be a way of interacting. There is a hope that the healthcare and higher education institutions will find development pathways in the future to ensure the knowledge of nursing students and their future occupational role, as to ensure the quality of care.

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  • 131.
    Andersson, Fredrik
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Börjesson, Oliver
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att identifiera resursfaktorer för arbetsnärvaro i en västsvensk kommun: En fenomenografisk ansats2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sickness absence in Swedish municipalities have increased during the past five years. This is a trend that follows all Swedish municipalities. A municipality in Western Sweden has worked much to prevent sickness absence through rehabilitation. However, the municipality now wants to shift focus and work more with those who are healthy by investigating what creates health among their employees.

    Purpose & Issue: This study aims to investigate which resource factors of health that contributes to the working presence in a municipality in Western Sweden. Method: A qualitative method with inspiration from phenomenography has been used for the study design, for gathering data and for the data analysis.

    Result – Outcome space & Conclusions: Four main categories emerged identifying The result shows four categories identified as the most important resource factors for health among for the informants. These four categories were: job satisfaction, morale, opportunity to influence and wholeness.

  • 132.
    Andersson Hagiwara, Magnus
    et al.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Wireklint Sundström, B.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Brink, Peter
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Herlitz, J.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Hansson, P. -O
    University of Gothenburg, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use emergency medical service2018In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 137, no 5, p. 523-530Article in journal (Refereed)
    Abstract [en]

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

  • 133.
    Andersson, Heléne
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gisslén, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att närvara eller icke närvara, det är frågan...: en litteraturöversikt över närståendes upplevelser av att närvara vid hjärt- lungräddning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 134. Andersson, J E
    et al.
    Hansson, T
    Samuelson, Gösta
    Invagination och salmonellos - epidemiologiska synpunkter: [Invagination and salmonella--epidemiological viewpoints].1978In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 75, no 32-33, article id 2797Article in journal (Refereed)
  • 135.
    Andersson, Jenny
    et al.
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Region Västra Götaland Department of Medicine Geriatrics and Emergency Medicine/Östra Sahlgrenska University Hospital Gothenburg (SWE).
    Jakobsson, Sofie
    Institute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg Gothenburg (SWE).
    Rejnö, Åsa
    University West, Department of Health Sciences, Section for nursing - graduate level. Skaraborgs Hospital Skövde (SWE).
    Hansson, Per‐Olof
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Region Västra Götaland Department of Medicine Geriatrics and Emergency Medicine/Östra Sahlgrenska University Hospital Gothenburg (SWE).
    Nielsen, Susanne J.
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Department of Cardiothoracic Surgery Sahlgrenska University Hospital Gothenburg (SWE).
    Björck, Lena
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Region Västra Götaland Department of Medicine Geriatrics and Emergency Medicine/Östra Sahlgrenska University Hospital Gothenburg (SWE).
    Decision‐Making in Seeking Emergency Care for Stroke Symptoms2022In: Stroke: Vascular and Interventional Neurology, E-ISSN 2694-5746, Vol. 2, no 6Article in journal (Refereed)
    Abstract [en]

    Background

    Previous studies have shown that rapid treatment for stroke, especially ischemic stroke, reduces mortality and disability. The focus has mainly been on reducing time from arrival at hospital to start of treatment. However, the main reason for delay is often time from symptom onset to arrival at hospital. This study therefore aimed to explore decision‐making processes after the onset of stroke symptoms in patients experiencing a first‐time stroke.

    Methods

    We included 36 patients aged 18 and older, all of whom were hospitalized with a first‐time stroke between October 2018 and April 2020. All patients were interviewed once within 4 weeks of symptom onset and before hospital discharge. Eligible patients were identified retrospectively through a targeted review of medical records. The data were collected and analyzed according to the grounded theory methodology.

    Results

    In total, 43 potential patients were identified and asked to participate. Overall, 36 patients were included in the study: 17 women (median age 77.0 years, interquartile range 17.5) and 19 men (median age 65.7 years, interquartile range 17.2). All interviewees felt fear, and this affected their decision to seek emergency care. The decision‐making processes were described by the core category of “Acting on fear.” The reason for feeling frightened determined the actions taken. The reasons were sorted into 3 main categories: (1) “seeking care”–recognized stroke symptoms and acted immediately; (2) “pending and reluctance”–suspected stroke but awaited to seek care; and (3) “seeking an explanation”–confused by symptoms.

    Conclusion

    We found that decision‐making when experiencing stroke symptoms was complex. All patients felt fear, which determined their actions. Some patients knew about stroke symptoms and acted immediately. Others suspected stroke but still chose to wait, whereas others were confused and tried to find answers. These results could contribute to form future awareness campaigns.

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  • 136.
    Andersson, Jenny
    et al.
    Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE): Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Rejnö, Åsa
    University West, Department of Health Sciences, Section for nursing - graduate level. Stroke unit, Department of Medicine, Skaraborg Hospital Skövde (SWE).
    Jakobsson, Sofie
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE); Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Hanson, Per-Olof
    Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Nielsen, Susanne
    Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Björck, Lena
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE), Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE).
    Patient´s description of onset stroke symptoms: Oral Presentations. ESOC 2023 Abstract Book2023In: European Stroke Journal, ISSN 2396-9873, E-ISSN 2396-9881, Vol. 8, no 2, p. 427-427, article id 725Article in journal (Refereed)
    Abstract [en]

    Background and aims: Stroke symptoms vary and could be hard to recognize. In addition, stroke severity has decreased according to the National Institutes of Health Stroke Scale (NISSH), with less pronounced symptoms expression. Knowledge on the patient’s description of stroke symptoms is therefore needed. The aim was to describe patient’s symptoms at stroke onset.

    Methods: A qualitative content analysis was used. Data were collected through individual interviews with 27 patients (16 men and 11 women, median age 70.4 years). All patients were hospitalized with a first-time stroke. The interviews were conducted within 4 weeks of symptoms onset and before hospital discharge.

    Results: All patients had symptoms that affected their daily life. Some patients described having multiple symptoms at the same time, others had symptoms that began insidiously and worsened over time. Symptoms such as overwhelming fatigue or nausea were described as Premonition of becoming ill, feeling unwell or that something was wrong. Motoric bodily changes were multifaceted as slurred speech or dizziness, balance difficulties and losing control of the body or motor dysfunction. But also, that the surroundings were distorted, and solid objects moved around. Symptoms of Dazed and affected senses included confusion and visual impairment or headache.

    Conclusions: Stroke is a complex disease with several different symptoms’ expressions and could be difficult to recognize, especially when symptoms are less typical or perceived as not serious. Increased awareness of stroke symptoms among caregivers and among members of the community is important and needed.

  • 137.
    Andersson, Jenny
    et al.
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg and Sahlgrenska University Hospital/Östra Hospital, Gothenburg (SWE) Region Västra Götaland, Department of Medicine Geriatrics and Emergency Medicine/Östra, Sahlgrenska University Hospital, Gothenburg (SWE).
    Rejnö, Åsa
    University West, Department of Health Sciences, Section for nursing - graduate level. Stroke unit, Department of Medicine, Skaraborg Hospital, Skövde (SWE); Skaraborg institute for Research and Development, Skövde (SWE).
    Jakobsson, Sofie
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Hansson, Per-Olof
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg and Sahlgrenska University Hospital/Östra Hospital, Gothenburg (SWE) Region Västra Götaland, Department of Medicine Geriatrics and Emergency Medicine/Östra, Sahlgrenska University Hospital, Gothenburg (SWE).
    Nielsen, Susanne J
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg and Sahlgrenska University Hospital/Östra Hospital, Diagnosvägen 11, Gothenburg (SWE); Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg (SWE).
    Björck, Lena
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg and Sahlgrenska University Hospital/Östra Hospital, Gothenburg (SWE) Region Västra Götaland, Department of Medicine Geriatrics and Emergency Medicine/Östra, Sahlgrenska University Hospital, Gothenburg (SWE); Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Symptoms at stroke onset as described by patients: a qualitative study2024In: BMC Neurology, E-ISSN 1471-2377, Vol. 24, no 1, article id 150Article in journal (Refereed)
    Abstract [en]

    Background: Stroke is a common and severe disease that requires prompt care. Symptom expressions as one-sidedweakness and speech difficulties are common and included in public stroke campaigns. For some patients stroke canpresent with subtle and less common symptoms, difficult to interpret. The symptom severity assessed by the NationalInstitutes of Health Stroke Scale has decreased, and symptoms at onset may have changed. Therefore, we aimed toinvestigate how patients describe their symptoms at the onset of a first-time stroke.

    Methods:The study used a qualitative descriptive design and conventional content analysis. Data were collectedthrough recorded interviews with 27 patients aged 18 years and older hospitalised with a first-time stroke betweenOctober 2018 and April 2020. Data were analysed on a manifest level.

    Results: Symptoms at stroke onset were presented in two themes: Altered Reality and Discomfort and Changed BodyFunctions and described in five categories. Various types of symptoms were found. All symptoms were perceivedas sudden, persistent, and never experienced before and this appear as a “red thread” in the result. Regardless ofsymptom expressions, no specific symptom was described as more severe than another.

    Conclusions: Stroke symptoms were described with a variety of expressions. Many described complex symptomsnot typical of stroke, which can make it difficult to recognise the symptoms as a stroke and delay medical care. Publicstroke campaigns should emphasize the importance of seeking medical care at the slightest suspicion of stroke andcould be designed to help achieve this.

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  • 138.
    Andersson, Jessica
    University West, Department of Health Sciences.
    Psykiatrisjuksköterskans upplevelser av arbetsrelaterad stress: En metasyntes2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Work-related stress is described as a major cause of sick leave and costs society a lot of money. Psychiatric nurses work in a stressful environment and are reported to have longer sick leave due to work-related stress. The number of employed psychiatric nurses in Sweden has fallen by more than 1,000 jobs between 2016–2019. Mental illness continues to increase and will place increased demands on health care. It is therefore of great importance that the psychiatric nurses' experience of work-related stress is explored so that efforts can be made in the work environment.

    Aim: The purpose of the degree project is to investigate the psychiatric nurse's experiences of work-related stress.

    Method: A meta-synthesis according to Walsh & Downe (2004) was chosen as the method. A meta-synthesis is a method used when the researcher wants to compile qualitative research through interpretation and synthesis.

    Results: A total of 12 scientific articles were included. The analysis resulted in four themes which are: (1) To always be on one's guard, where, among other things, threats and violence proved to be a contributing factor to the experience; (2) Inadequacy, shows how shortcomings in both staff and the experience of lack of competence negatively affected the psychiatric nurses; (3) Stigmatization creates exclusion, the stigma came not only from society but also from colleagues in healthcare; and (4) Unpredictability creates uncertainty, where it turns out that the psychiatric nurses experienced stress around, among other things, the risk of suicide that existed in the patients.

    Conclusion: More resources and more competence were seen as something that would give the psychiatric nurse a better opportunity to perform her nursing work in a more patient-safe way. It was also something that would provide increased security and a less stressful work environment. Furthermore, targeted work on stigmatization in health care needs to be done, preferably already during the training period for both doctors and nurses.

  • 139.
    Andersson, Jessica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gren, Ramona
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av att möta patienter med självskadebeteende: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 140.
    Andersson, Jessika
    et al.
    University West, Department of Health Sciences.
    Karlsson, Frida
    University West, Department of Health Sciences.
    Föräldrars erfarenheter när barnet drabbats av cancer: Hur livet påverkas under och efter sjukdomstiden - En litteraturbaserad studie2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    When a child is diagnosed with cancer, parents are very affected. This requires nurses to consider the needs of the entire family. A good understanding of parents’ experiences in this situation can help nurses support them through this tough period.

    Aim:

    The purpose of this study was to describe parents’ experiences when their child was diagnosed with cancer.

    Method:

    The method used is an integrated summary of qualitative research inspired by metasynthesis (Friberg, 2022a). The analysis of ten scientific articles resulted in three themes and eleven subthemes.

    Results:

    The three themes were; An emotional roller coaster, A new reality, The significance of support. The result indicates that parents are significantly affected when their child is diagnosed with cancer. The emotions that arose were many and varied, which made support from others necessary.

    Conclusion:

    The nurse have a crucial role for the parents and can contribute in a variety of ways to ease the situation and enhance well-being. It is important to involve the parents and see the family as a unit through family-centered care. A strong relationship between the nurse, child and parents contributes to ease the parents' experience during their child's time of illness.

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  • 141.
    Andersson, Josefin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nyve, Petra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Möjligheter och begränsningar för att uppleva hälsa hos barn med övervikt eller fetma: - En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    More people die from overweight or obesity today than people who die from underweight. It is one of the largest risks for the human health today. Overweight and obesity may lead to diseases such as depression, diabetes type 2, cancer, isolation and cardiovascular diseases. Overweight and obesity among children have increased over the past three decades, and follows often the child from childhood to adulthood. Aim: The aim of this study was to discover the limitations and possibilities to experience health among children with overweight or obesity. Method: A literature review based on ten articles was chosen as method for this study. Through the analysis of the authors, five themes were discovered and created. They included information about the well-being of children, age 4 to 17 years, with overweight or obesity. Results: The themes were; Being teased and exposed to bullying, Expression of thoughts and feelings, Importance of community, Children's views of themselves and The belief in and the ability to live a healthy life. Conclusion: Children with overweight or obesity, had difficulties to experience health. Higher rates of bullying, alienation, anxiety, poor self-image and fear of consequences were found in children with overweight or obesity.

  • 142.
    Andersson, Katarina
    et al.
    Sävelången Family Practitioner and Child Health Centre, Alingsås, Sweden.
    Shadloo, Mandana
    Rent-A-Nurse Centre, Uddevalla, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Growing as a Human Being€”: Obese Adolescents' Experiences of the Changing Body2016In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 31, no 1, p. e53-e62Article in journal (Refereed)
    Abstract [en]

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

  • 143.
    Andersson, Linnéa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lorentzson, Pauline
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att inte leva upp till rollen som kvinna: En litteraturbaserad studie om hur kvinnor som lever med endometrios upplever sin livskvalitet2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronic disease that affects about ten percent of the fertile women in the world and most of them also suffer from severe pain.

    Aim: The aim of the study was to explore how women experience their quality of life while living with endometriosis.

    Method: A literature-based study based on qualitative research to gain a deeper understanding of the experienced phenomenon was used. Eleven articles were included and analysed and reported in three main themes and nine sub-themes.

    Results: The first theme was Life did not go as planned, which describes how women get reduced self-worth by not being able to live up to social norms and to expectations from their partner because of their incapability to accomplish pregnancy. The second theme was called, A life ruled by pain, which describes what it is like for women to live with the pain and how it has a negative impact on various parts of daily life. The third theme was called, to master their disease, and describes women's experiences of being treated with distrust and ignorance from healthcare, which made them seek knowledge on their own.

    Conclusion: Women living with endometriosis risk that the disease affects several areas of life in a negative way, which contributes to reduced well-being and reduced quality of life. Nurses therefore need to have an understanding and knowledge of how they can respond to and support the affected women in a person-centred way to be able to help them reduce their suffering

  • 144.
    Andersson, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Borg, Simon
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hypertoni: Patienters upplevda möjligheter och hinder för livsstilsförändringar2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 145.
    Andersson, Liza
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Axelsson, Lovisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en äldre person med demenssjukdom: En litteraturstudie med kvalitativ ansats2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 146.
    Andersson, Louise
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lindmark, Erica
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vårdpersonals upplevelser och erfarenheter av att utföra tvångsåtgärder inom sluten psykiatrisk tvångsvård: En litteraturstudie2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The adult inpatient psychiatric care is regulated by law and allows certain amount of coercion, most commonly restraint, forced medication and seclusion. To be treated according to this law you need to suffer from a serious mental disorder, oppose to the care and have an indispensable need of care. Many studies describe patients experiences to be treated with coercion but few about health care workers experiences.

    Aim:

    To describe health care workers experiences of performing coercion in psychiatric compulsory care.

    Method:

    A literature review was made and eight articles is the basis for the result.

    Results:

    From the articles used inthis study four themes were created. These are coercions impact on relations, health care workers feelings during coercion, coercion as a necessary evil and health care workers need for reflection. The themes are presented as headlines in the result.

    Conclusion:

    To use coercive measures brings out many different feelings among health care workers. There are both positive and negative aspects about coercive measures, but not enough support and time for reflection for the health care workers that execute them. The health care workers needto be acknowledged and feel that they have made the right decision and that they used coercion as a last resort. The result shows that there is a need for reflection and support among health care workers.

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    Kandidatuppsats Erica & Louise
  • 147.
    Andersson, Lovisa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Olsson, Elvira
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att vara en annan människa: Upplevelsen av att överleva ett hjärtstopp utanför sjukhus2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Previous studies conducted on people surviving Out-of-Hospital Cardiac Arrest (OHCA) focus on measuring health and quality of life with instruments, while little is still known about the survivors' individual experiences. To survive an OHCA is a life changing event, affecting the survivors' physical as well as psychological well-being. Aim: The aim was to illuminate the experiences of surviving an OHCA. Method: The method used was a literature review, with searches performed in the database CINAHL. Eight articles were reviewed and analyzed with a qualitative content analysis. Result: The result shows that the physical changes that emerge after a cardiac arrest gives a feeling of not being the same person as before the event. The survivors express a need to fill in the memory gap that occurred during the arrest. There was a need to remain in contact with health care providers during the recovery phase, since the survivors experience loneliness and insecurity when the contact with the health care providers is ceased. To survive an OHCA leads to insight and a deepened reflection about life and death. Conclusion: In consensus with previous studies conducted on the subject, this literature review confirms that the expe-rience of surviving an OHCA is a life changing event. It includes physical and psychological changes as well as the awakening of existential questions. To survive an Out-of-Hospital cardiac arrest means to become another person and the survivors need to receive full support from the health care providers to retain security in a changed life situation

  • 148.
    Andersson, Madeleine
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Ståhl, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Att stödja patienter med diabetes typ II till egenvård2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

    Aim:

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

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

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

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

  • 149.
    Andersson, Magdalena
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Franzén, Malin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Föräldrars livsvärld vänds upp och ner: att vara förälder till ett barn med en cancersjukdom2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    About 300 children are diagnosed with cancer disease in Sweden every year. It's not only the child that suffers from the effects of cancer, it´s the whole family. The parents undergo a crisis process which is very important to know for the nurse to be able to understand the reactions that the parents may have and support the family.

    Aim:

    The aim of this study was to describe parents´ experiences of living with a child with a cancer diagnoses.

    Method:

    In this literature study ten qualitative articles were analyzed.

    Results:

    The results of this study showed four different themes, Losing their foothold, Emotionaly shattered, Parents' needs from the surroundings, New life-world.

    Conclusion:

    Parents described that it was an emotional roller coaster that they had to go through when their child was diagnosed with a cancer disease. This study can give a deeper understanding of parents' feelings and how the nurse can provide support, guidance and give a good quality nursing to parents and relatives.

  • 150.
    Andersson, Magnus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olander, Karl
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Supermanteorin: När vårdpersonal tror att de inte kan bära på smitta2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Healthcare associated infections (HCAIs) stands for 34% of all the adverse events in Sweden. In Swedish hospitals 65 000 patients suffer from HCAIs every year, whereas approximately 30-50% could have been avoided by compliance in hygiene precautions. Every year worldwide hundreds of millions of patients are affected with HCAI, that is the most common adverse event in healthcare and its overall effects are still not fully understood.

    Aim: The aim of this study was to describe the compliance in hygiene precautions in healthcare.

    Method: The method used was a literature study based on qualitative research. The articles were analysed according to Fribergs five step model and resulted in two main themes and five sub-themes.

    Results: The main themes were- difficulties in the organization of the workplace and working atmosphere. The main themes consisted of sub themes that described what determined compliance to hygiene precautions.

    Conclusion: The result showed that compliance in hygiene precautions is a complex matter. The result showed big differences globally in what determine the compliance in hygiene precautions. Even if compliance in hygiene precautions is the single most effective action in preventing HCAIs the compliance is not yet fully implemented.

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