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  • 101.
    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.

  • 102.
    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.

  • 103.
    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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  • 104.
    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

  • 105.
    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.

  • 106.
    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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  • 107.
    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.

  • 108.
    Andersson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Jasmine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När livet vänder- att få en bröstcancerdiagnos2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 109.
    Andersson, Maria
    University West, Department of Health Sciences.
    Orsaker till att barn berättar om att de är utsatta för sexuella övergrepp.: En litteraturöversikt2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:Child sexual abuse lead to a range of negative health consequences. A large amount of those who are subject to abuse don’t tell anyone about it, and research indicates that in average they stay silent for 17,2 years. The reasons why children tell about sexual abuse is that they feel the need to because of the intolerable psychological burden and a strong wish to prevent further abuse. They also talk about abuse when they are given the opportunity through knowledge of child sexual abuse and when asked about it in trusting relationships.

    Aim:The aim of the study is to describe what makes children say that they are exposed to sexual abuse.

    Method:The method in this study is a literature review. Systematic literature searches were done that resulted in eight articles that corresponded to the purpose of the study. The articles used fort he results of the study were quality reviewed and compiled into themes and sub-themes.

    Results:The results revealed two themes and five sub-themes. The themes that were developed were"need to tell" and "opportunity to tell". Subthemes were "mental strain to keep secret","prevent abuse", "children's knowledge of sexual abuse", "trusting relationships" and "to be asked".

    Conclusion:Children have to feel the need to tell and experience an opportunity to tell in order to be able to talk about sexual abuse. 

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  • 110.
    Andersson, Marina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Individuell anpassning och uppföljning av fysisk aktivitet på recept (FaR): en kvalitativ studie med fokus på patienters erfarenheter2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Physical activity on prescription, so-called FaR is an important task for the district nurse in order to promote the individual´s health. Physical activity can relieve pain and symptoms as well as lead to reduced medication. The purpose of this study was to examine adult patients’ experiences of having been prescribed FaR. An interview study using an inductive qualitative approach was set up and ten patients were interviewed. The interviews were analyzed using content analysis according to Graneheim and Lundman’s description of the method. The results show that those who received tailored FaR had, in different ways, been offered, given to reason and discuss, agree and given the choice of activity and degree of activity the following individual condition and disease. To be asked to increase activity was almost as common as getting tailored FaR. Monitoring and support varied from close contacts if necessary to no follow-up at all. Those who had close contact described they had been met with a motivational interview. Some patients had no need of frequent follow-ups and were pleased to have received encouragement to the increased activity. The medical staff need ongoing training in motivational interviewing and in being flexible when there is a prescribed FaR to be consistent in patients undergoing treatment. To get repeated encouragement at follow-ups was one of the main categories that made the patients motivated progressively, increased activity and reduced resistance.

  • 111.
    Andersson, Paula
    et al.
    University West, Department of Health Sciences.
    Ekholm, Karin
    University West, Department of Health Sciences.
    Vårdrelationen i omvårdnaden av patienter med ätstörningar: en kvalitativ intervjustudie ur sjuksköterskors perspektiv2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Eating disorders is a collective name that contains several different diagnoses. The care of patients with eating disorders can be complex as this patient group often isambivalent about undergoing treatment. In inpatient care for eating disorders, a large part of nurses’ work is to have individual supportive conversations that are intended to support the patient during treatment. The caring relationship can be seen as an interpersonal relationship based on interaction, trust and belonging. Current research has shown that a substandard caring relationship between patient and nurse can lead to a worse prognosis for patients with eating disorders.

    Aim: The aim of this study was to describe nurses’ experiences of the caring relationship with patients in the specialized eating disorder treatment.

    Method: The authors conducted a qualitative interview study with an inductive approach. Six registered nurses and nurse specialists were interviewed digitally via Zoom. The nurses all worked at different specialized eating disorder inpatient wards in Sweden. A qualitative content analysis was used to analyze the data from the interviews.'

    Results: Three categories emerged from the result; “The good caring relationship” with the subcategories “The nurse’s approach”, “Promoting aspects”, “The nurse's described feelings in a good care relationship”, “The value for the patient according to the nurse’s perspective”.The category “The deficient caring relationship” with the subcategories “Obstacles in creatinga good caring relationship”, “The nurse's described feelings in a deficient caring relationship”and “Nurses’ perception of consequences for the patient”. The category “The role of the health care organization in creating a caring relationship” had two subcategories -“Management support” and “Collegial support”. All categories and subcategories describednurses' different experiences of the caring relationship, both positive and negative, as well as support from the management and from colleagues. 

    Conclusion: Based on the results of this study, it can be concluded that there is an aspiration among nurses to achieve alliance with patients and that nurses use different approaches, such as a person-centered approach, to achieve this. Related to a deficient caring relationship, it can be concluded that there are several obstacles that makes it difficult for nurses to achieve good caring relationships. A deficient caring relationship is considered to lead to negative consequences for the patient's treatment and prognosis. A deficient care relationship can alsoprovoke negative emotional reactions in nurses. Good leadership from the manager and support from colleagues are considered to be of great value to nurses. The conclusion based on this is that the health care organization plays a major role for nurses.

  • 112.
    Andersson, Paula
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åberg, Nathalie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes erfarenheter av att vårda en person med Alzheimers sjukdom2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 113.
    Andersson, Sanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hedberg, Hampus
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vårda patienter med svårläkta sår: Sjuksköterskans kunskap och erfarenhet: En litteraturöversikt2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As the population grows older and hard-to-heal wounds are more likely to affect the elderly and frail, it has become a growing global problem. It involves high costs, is resource consuming and suffering for the patient due to long treatment times. About 1–2 percent of the population in well-developed countries suffer from a hard-to-heal wound at some point during their lifetime.

    Aim: The aim of this study was to highlight nurses' knowledge and experiences of caring for patients with hard-to-heal wounds.

    Method: A literature review was conducted and data was collected from twelve scientific articles with both qualitative and quantitative methods. Fribergs three-step model was used to analyze the twelve articles.

    Results: The result presents three main themes and seven subthemes that describes nurses' knowledge and experiences of hard-to-heal wounds. Nurses' knowledge of wound care and hard-to-heal wounds is inadequate and further education is needed. Varying emotions were felt by the nurses, such as happiness, satisfaction, frustration and disempowerment. 

    Conclusion: More knowledge, training and experience in wound care and hard-to-heal wounds is needed to help nurses feel more confident to provide appropriate wound care. 

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  • 114.
    Andersson, Sanna
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Khalily-Larsson, Sandra
    University West, Department of Health Sciences, Nursing Programme.
    Riskfaktorer för självskadebeteende hos kvinnor som avtjänar ett fängelsestraff: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Self-harming behavior has increased globally and has recently become its own diagnosis in the Diagnostic and Statistic Manual of Mental Disorders (DSM). Methods of self-harm can consist in cutting, burning, hitting and starving yourself. Self-harming behaviors are more frequent among women in a prison environment than in rest of society. Aim: The purpose of this study was to identify risk factors for self-harming behavior among females serving a prison sentence. Method: A literature review was performed and data was collected from eight scientific articles with both quantitative and qualitative approach.

    Results: The results were analyzed and compiled into three main themes considering risk factors for self-harm: 1) Social strains and past negative life-experiences, 2) Mental illness and 3) Prison environment. The subthemes describe factors as family relations, age and ethnicity, abuse and traumas in the past; mental stresses, psychiatric diagnosis, substance abuse and withdrawal and relationships; and finally imprisonment, activities and restrictions in the environment and relations. Conclusion: Women who engage in self-harming behavior while serving a prison sentence often carry a problematic background with severe events who has affected them. The prison environment does not support their health and risk factors for self-harming behavior remains and even increases. This study can reinforce increased knowledge about self-harming behavior in women prisons and improve preventive work.

  • 115.
    Andersson, Sanne
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Vega, Claudia
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Aggressiva och antisociala beteenden hos ungdomar i Marocko och Sverige2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Knowledge about adolescents' aggressive and antisocial behaviour is of highest importance to possess in human-treating organizations. This knowledge should be based on a holistic approach, which takes into account the environment (social and cultural factors) effect on behaviours. Previous research on youths' aggressive and antisocial behaviour primarily focused on biological and social factors. The present study focuses on the possible association between environment and aggressive and antisocial behaviours from a cultural perspective.

    Aim: The aim of the present study was to describe the frequency of aggressive and antisocial behaviours of high school students in Morocco and Sweden and compare them between genders and countries.

    Method: Self-reported frequency of aggressive and antisocial behaviours was assessed by the "Life History of Aggression" instrument. The study population consisted of 361 high school students in Morocco and 276 high school students in Sweden. Mann-Whitney U test was used o examine differences in the frequency of aggressive and antisocial behaviour between Moroccan and Swedish high school students and between genders. Eta2 was used to measure the effect size of the differences. 

    Results: The male students (in both countries) estimated their aggressive and antisocial behaviour higher than the female students. Moroccan male students scored significantly higher on aggressive behaviours directed both against others and themselves than Swedish male students. Swedish female students indicated significantly more often occurring antisocial behaviours than the Moroccan female students.

    Conclusion: The result indicates significant differences in the frequency of aggressive and antisocial behaviour between high school students in Morocco and Sweden. In general, the Moroccan students reported more aggressive and antisocial behaviour than the Swedish students. Importantly, this cannot be interpreted that Moroccan high school students have more atypical and norm-breaking behaviour than Swedish high school students, as atypical and norm-breaking behaviours are culture-sensitive. The result also showed some gender-specific behavioural differences between the countries.

  • 116.
    Andersson, Sarah
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Faktorer som hindrar patienter med diabetes typ 2 att genomföra livsstilsförändringar.2019Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is the most common form of diabetes, 90% of all people living with diabetes have type 2 diabetes. The reason for obtaining type 2 diabetes is rising age, obesity, physical inactivity and genetic factors. Symptoms from the disease are fatigue, thirst and increased amounts of urine. Lifestyle changes can be explained as an act performed to change lifestyle, such as diet and physical activity. Treatment of type 2 diabetes is dietary changes and increased physical activity in combination with medications.

    The aim of this literature study was to identify factors that prevent patients with type 2 diabetes from performing lifestyle changes.

    The method was a systematic literature study where seven qualitative articles were analyzed and the result was based on. Six articles were found through searches in databases Cinahl and PubMed, one article via manual search.

    Results: Two categories and six subcategories emerged from content analysis of the included articles, the categories were; Internal factors and external factors. Subcategories were; lack of inner motivation, lack of support, lack of knowledge/information, attitude/expectations to lifestyle changes, physical barriers and surrounding obstacles.

    Conclusions: Interpretation of the result could be that patients need different types of support to be able to implement the lifestyle changes required by them. It can be assumed that each patient needs an individualized counseling/information about type 2 diabetes and how obstacles to carrying out lifestyle changes could be eliminated. More research and increased knowledge are required for specialist nursing in diabetes regarding obstacles to the implementation of lifestyle changes.

  • 117.
    Andersson, Signe
    University West, Department of Health Sciences.
    Personers upplevelse av återhämtning efter överlevt hjärtstopp: En litteraturstudie2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A cardiac arrest is a traumatic experience. During the dramatic event of a cardiac arrest the focus is to keep the person alive with minimal brain damage. Statistics shows that more people are surviving cardiac arrest and 90 % of the survivors return home without major brain-damage. However previous research shows that survivors struggle with anxiety and depression post-arrest. This leads to a gap in knowledge concerning what makes a good recovery. Nurses have a responsibility to promote physical and mental wellbeing. Therefore, it is important for nurses to carry the knowledge of the experience of recovering from a cardiac arrest.

    Aim: The aim of this study was to explore the experience of recovery after surviving cardiac arrest.

    Method: This study was performed using a literature-based method. Articles were searched using databases CINAHL and PubMed and resulting in 9 qualitative articles analysed according to Friberg´s 5-step model.

    Results: Three themes emerged: lifestyle changes after cardiac arrest, need for support after cardiac arrest and the meaning of life after cardiac arrest. Based on the themes, eight sub-themes were identified: new routines in everyday life, to get to know a new self, to get an understanding for the event, to increase insecurity in oneself and family, access to good coping strategies, to return to work, to be around loved ones and to perform their dreams.

    Conclusion: Changes in everyday life and existential questions are hard to handle alone after cardiac arrest. To ease the recovery after cardiac arrest persons need support from healthcare systems and family.

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  • 118.
    Andersson, Sofie
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Hannu, Annina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Barns upplevelser av våld i hemmet och dess samband till psykisk ohälsa i vuxen ålder2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Being subjected to violence is a trauma for every individual whom is exposed. If a child is exposed to violence there is a risk that the child will have consequences that in some cases also follow the child into adulthood.

    Aim: The purpose of this paper is to describe how experiences of physical and/or psychological violence in childhood can affect mental health in adulthood.

    Method: The study was done through a literature review where data was obtained already existing research. Seven scientific articles have been reviewed according to a five step modell.

    Result: The result shows that different types of violence against children often occur in parallel with each other. The result also shows that the consequences for the exposed individual differ depending on the type of violence used and to what extent. In addition to various types of mental illness as a result of violence in childhood the vulnerable individuals tend to develop negative behaviors, e.g. in form of problems with impulse control and difficulties in adapting to change.

    Conclusion: The conclusion of this paper is that violence, regardless of form, has a negative impact on the child whom is exposed. The exposure to violence affects the individual negatively not only when he or she is a child but can also affect the exposed individual later in life.

  • 119.
    Andersson, Susanne
    et al.
    University of Skövde, Sweden.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bennet, Louise
    Lunds universitet, Centrum för primärvårdsforskning, Limhamns vårdcentral, Region Skåne, Sweden.
    Fellbrant, Klas
    Family Medicine, Department of Primary Health Care, Skövde, Sweden.
    Hellgren, Margareta
    University of Gothenburg, Institute of Medicine, Department of Primary Health Care, Sahlgrenska Academy, Gothenburg, Sweden.
    Attitudes Regarding Participation in a Diabetes Screening Test among an Assyrian Immigrant Population in Sweden2016In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 1504530Article in journal (Refereed)
    Abstract [en]

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

  • 120.
    Andersson, Susanne
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Scandurra, Isabella
    Centre of Empirical Research in Information Systems, Örebro University, Örebro (SWE).
    Nyström, Ulrika
    Health Centre Dagson Uddevalla, Primary Care Västra Götalandsregionen and Municipal Care, Trollhättan (SWE).
    Varemo, Marika
    Department of Medicine, Northern Älvsborg County Hospital, Trollhättan (SWE).
    Tang, Ulla Hellstrand
    Department of Prosthetics and Orthotics, Sahlgrenska University Hospital, Gothenburg (SWE); Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Experiences of a Novel Structured Foot Examination Form for Patients With Diabetes From the Perspective of Health Care Professionals: Qualitative Study2023In: JMIR Nursing, ISSN 2562-7600, Vol. 6, no 1, p. 1-12, article id e45501Article in journal (Refereed)
    Abstract [en]

    Background: Diabetes is a growing threat to public health, and secondary diseases like foot complications are common. Foot ulcers affect the individual’s quality of life and are a great cost to society. Regular foot examinations prevent foot ulcers and are a recommended approach both in Sweden and worldwide. Despite existing guidelines, there are differences in the execution of the foot examination, which results in care inequality. A structured foot examination form based on current guidelines was developed in this study as the first step toward digitalized support in the daily routine, and was validated by diabetes health care professionals. Objective: The study aimed to validate a structured foot examination form by assessing health care professionals’ experiences of working with it “foot side” when examining patients with diabetes. Methods: Semistructured interviews were held in a focus group and individually with 8 informants from different diabetes professions, who were interviewed regarding their experiences of working with the form in clinical practice. The users’ data were analyzed inductively using qualitative content analysis. The study is part of a larger project entitled “Optimised care of persons with diabetes and foot complications,” with Västra Götaland Region as the responsible health care authority, where the results will be further developed. Results: Experiences of working with the form were that it simplified the foot examination by giving it an overview and a clear structure. Using the form made differences in work routines between individuals apparent. It was believed that implementing the form routinely would contribute to a more uniform execution. When patients had foot ulcers, the risk categories (established in guidelines) were perceived as contradictory. For example, there was uncertainty about the definition of chronic ulcers and callosities. The expectations were that the future digital format would simplify documentation and elucidate the foot examination, as well as contribute to the accessibility of updated and relevant data for all individuals concerned. Conclusions: The foot examination form works well as a support tool during preventive foot examination, creates a basis for decision-making, and could contribute to a uniform and safer foot examination with more care equality in agreement with current guidelines.

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  • 121.
    Andersson, Theres
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åkesson, Kajsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter och den yrkesprofessionella betydelsen för ett adekvat omhändertagande av patienter utsatta för sexuella övergrepp: - En systematisk litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract: Sexual assault is a serious matter, the World Health Organization calls the violence against women, a global health problem of epidemic proportions. The nurse has a personal and moral responsibility to address this public health problem in order to try to influence a positive change towards improved health.

    Aim: This literature review aims to describe nurses´experiences in the care of patients exposed to sexual assault.

    Results: The results shows that many aspects affect the nurses´ experiences. Many countries struggled, trying to keep up with an adequate care, especially with regard to forensic care, which is very important aiming to also satisfy the justice aspect for the victims. Political, institutional and organizational structures create the conditions that constitute the nurse´s experience. Most nurses did not have sufficient training nor education to perform forensic care even though most did. Many nurses described difficult emotional demands of working with these victims and asked for better support. Interdisciplinary teamwork proved to be important taking into account the holistic perspective.

    Conclusion: Sustainable improvement work is required to start the work of being able to handle adequate care for patients affected by sexual abuse. Sustainable improvement work that starts from the top with political, institutional and organizational changes which in turn can providea positive healthcare development with the help of the staff's commitment and job satisfaction.

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  • 122.
    Andersson, Thomas
    et al.
    Högskolan i Skövde.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Understanding institutional work through social interaction in highly institutionalized settings: Lessons from public healthcare organizations2020In: Scandinavian Journal of Management, ISSN 0956-5221, E-ISSN 1873-3387, Vol. 36, no 2, article id 101107Article in journal (Refereed)
    Abstract [en]

    The present study describes and analyses how social interactions between individual actors form institutional work in the highly institutionalized setting of healthcare organizations. Based on a qualitative case study, we affirm that social interactions mainly form maintaining institutional work, thus primarily upholding the rigidity of healthcare organizations. Social interactions either preserve distance between different actors or prevent their mutual influence, which decreases the effects of institutional complexity. However, when institutional work goes beyond maintaining, social interaction is characterized by processes of claiming influence and granting influence between individual actors who adhere to different institutional logics, which allows effects of institutional complexity. Such institutional work is contingent upon physicians' strong power position, and granting influence is likely to precede claiming influence.

  • 123.
    Andersson, Ulf
    et al.
    University West, School of Business, Economics and IT, Division of Media and Design.
    Truong, Anh
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Virtual care for the virtually dying2022Conference paper (Other academic)
  • 124.
    Andersson Värnlund, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Victoria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Inte bara glömska: partnerns erfarenheter av att leva tillsammans med en person som har demens2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

  • 125.
    Andersson Öberg, Emelie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ashrafi, Jina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans förhållningssätt i mötet med ungdomar med självskadebeteende: Litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is a growing problem for young adults, particularly self-harm behavior. Young adults who self-harm usually doing it because of the mental pain is strong. The intention is not to take their own life, it is a relief for the moment. 

    Aim: The aim of the study was to illustrate the nurses’ approaches in meeting with young adults with a self-harm behavior.

    Method: This is a literature-based study based on three qualitative articles and five quantitative articles and two mixed methods articles. The analysis was performed by Friberg´s analysis model.

    Results: The nurses want to and need more knowledge in self-harm behavior. The nurses felt frustrated because they know there is more to learn. Three main themes emerged: Nurses attitudes, Nurses experiences in meeting with young-adults and nurses need of knowledge and education. The sub-themes were: attitudes, conversations with young-adults, treatment, feelings, experiences, training and to balance professional boundaries.

    Conclusion: Nurses who work with self-harm behavior patient need more knowledge to help the patient become healthy and for the nurses to feel that their job is worthy. Nurses need more education about self-harm to give the right treatment. Otherwise, the patients are soon back for further care and it can be a bad cycle.  

  • 126.
    Andreasson, Kasper
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ekman, Eric
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    De svåra samtalen: En studie om sjuksköterskors upplevelser av att vårda suicidala patienter2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Suicide is a worldwide problem that generates both great suffering for the individual and its family as well as a large economic impact for the society. 800 000 people commit suicide each year globally, of whom many have already been in contact with the care system without getting the help they need. The aim of this study was to describe nurses’ experiences of caring for suicidal patients. We conducted a literature study based on analysis of qualitative studies according to Friberg’s five step model. Ten studies, published 2011-2021, were included. When asked about their experiences, nurses empathize the need of patient safety and the importance of forming a close partnership with the patient. They also empathize the emotional impact the caring of these patients put on them. Patient safety for these patients is a matter of both a safe hospital environment and nurses being well educated and aware of suicidal cues. The formation of a partnership is crucial for the nurse’s ability to make a good assessment and is usually facilitated by nurses being open and personal as well as empathic and present in the moment. However, becoming too close to the patient may be emotionally tough if the patient commits suicide. Nurses therefore need support and tools for handling their emotions. Further on, to make a good assessment the nurses also need to be able to tune into the patients verbally unexpressed needs. 

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  • 127.
    Andreasson, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alexandersson, Jonas
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stress på akutmottagningen: sjuksköterskors erfarenheter2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 128.
    Andreasson, Malin
    et al.
    University West, Department of Health Sciences.
    Hilmér, Malin
    University West, Department of Health Sciences.
    När barnet vårdas på sjukhus för nedre luftvägsinfektion - Föräldrars upplevelse: En systematisk litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year, many children are treated in hospital because of a lower respiratory tract infection, usually caused by respiratory syncytial virus. A large number of these children need treatment with, among other things, inhalations and oxygen. When a child is being cared for in hospital, at least one parent is expected to be with the child. Parents often feel unsafe in hospital and are worried about the child’s condition. This makes demands on the parents to participate in the care and to be a security for the child. The pediatric nurse has an important role in supporting the parents and working in a family-centered way.

    Aim: To describe parents' experience of their child being cared for in hospital for a lower respiratory tract infection.

    Method: A systematic literature study has been carried out where six articles were analyzedaccording to Evans (2002) method for qualitative data.

    Results: Based on the analysis, two themes emerged; a desire to know and a care environment that evokes emotions and four subthemes; to feel unprepared and lacking knowledge; a desire for clear information; torn apart as a parent; a fear for the unfamiliar.

    Conclusion: Parents felt that their knowledge about respiratory infections was poor, which could lead to a feeling of insecurity and a lack of information could increase their anxiety. Parents needed to receive adapted information both about diagnosis and treatment, but also about how they could participate in nursing care.

  • 129.
    Andreasson, Petra
    et al.
    University West, Department of Health Sciences.
    Junkvist, Kristin
    University West, Department of Health Sciences.
    Mannens upplevelse av att leva med blåsdysfunktion2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bladder dysfunction is seen as a public health problem with a strongly increasing incidence in older men. Despite this, the man's experience of bladder dysfunction is a topic that has not been researched in the empirical field as much as women’s experiences. Not highlighting the man's experience leads to suffering and constitutes an obstacle to equal care. The aim of this study was to illustrate the man's experience of living with bladder dysfunction.

    This study is intended to illustrate experiences, therefore it was well suited to make an integrative compilation of qualitative research – inspired by meta-synthesis. Nine qualitative articles that described the man's experiences were analysed schematically and resulted in three themes and six sub-themes.

    Experiences that were noticed in the man were the impact of the environment in bladder dysfunction which included environmental and health care responses. Emotional impact in bladder dysfunction, which highlighted the experiences that arose in connection with bladder dysfunction. The life adaptations in bladder dysfunction was an experience which described the changes the man made to achieve a normality in everyday life as well as changes to hide the condition.

    The man used a range of strategies to maintain normality in life and to keep his condition a secret from those around him. This is seen because of the stigmatization that emerged through this study. Healthcare failed to care for the man with bladder dysfunction and was seen as partially responsible for the stigmatization the man experienced.

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  • 130.
    Andréasson, Elin
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Mjölnevik, Madeleine
    University West, Department of Health Sciences, Nursing Programme.
    Att leva i skuggan av psykisk sjukdom2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backround: Many people today live with mental illness. But what is often forgotten is their families that also they will be affected. Knowledge of how families perceive their situation is of great importance to health care. This is to be able to involve family members in care and meet their needs for support, which in the long term is vital for patient recovery. Aim: To illustrate the relatives' experiences of having a loved one with mental illness. Metod: A literature study with qualitative approach. Ten articles where chosen to be read, reviewed and analyzed according to Friberg (2012a) analysis model.

    Results: Two themes with eight subthemes appeared. The first theme was: Experiences of inner suffering. The theme was marked by feelings of concern, fear, shame, guilt, and sorrow. The second theme was: Experiences of increased responsibility. This revealed feelings of a wasted life, feelings of lack of knowledge and the need of confirmation. Conclusion: The result of this study shows that the need for support from health care his huge for the next of kin. The feelings of concern, fear, shame, guilt and sorrow leads to inner suffering, and can there for involve to a depression for themselves. With a few actions from the nurse, which involves to listen to the next of kin, give emotional and practical support and to give knowledge of the mental illness, there can lift a huge load of the mental stress the next of kin is feeling.

  • 131.
    Andréasson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När livet är en berg- och dalbana: En litteraturbaserad studie om att leva med ett barn med diabetes2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 132.
    Andrén, Ulla
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kinnander, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Utveckling av ett nytt yrke inom socialpsykiatrisk vård2019Report (Other academic)
    Abstract [en]

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

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  • 133.
    Ankerson, Elin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pham, Yen
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers upplevelser av livsstilsförändring vid diabetes typ 22019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 134.
    Ankerson, Elin
    et al.
    University West, Department of Health Sciences.
    Zerka, Zakia
    University West, Department of Health Sciences.
    Föräldrars erfarenheter av transition från neonatalvårdavdelning till hemmet: En litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There can be various reasons for a child needing care in neonatal care unit. Forthe family to feel secure before the transition to home, good planning and cooperation is required throughout the continuity of patientcare, from neonatal care unit to children healthcare services. It creates conditions for promoting health in the family. Parents, with the support of the nurse specialist, are important for the child’s development and well-being. Previous research shows that parents who are involved in their child’s care become confident in caring for the child themselves, which strengthens the connection and can lead to a shorter period of care at the neonatal care unit. The nurse specialist is the one who has knowledge of the meaning of the transition and can adapt support to the family’s needs to maintain health. Aim: The aim was to describe parents’ experiences of the transition from neonatal care unit to home. Method: A scoping review that was analysed with qualitative content analysis. Results: Three main themes emerged in the result; The importance of the transition, A changed life world and Parents’needs. The first theme consists of three subthemes; Feeling joy and anxiety before going homewhich highlights parent’s ambivalent feelings connected to the transition home and the importance of competent healthcare professionals for parents to feel security. Not feeling included as a father shows fathers’ feelings of not being included in their child’s care, which makes them experience difficulty in supporting their partners and child. Improving the transition to the home highlights parents’ different perspectives of preparation for transition.The second theme contains three subthemes; Being in their home environment describes parents’ experiences of coming home with their child. Gaining new perspectives in lifehighlights parents’ experiences of becoming parents when the child comes home, but also experiences of being able to continue living after the transition. Wanting to protect the childincludes experiences and perspectives of creating a daily life with the child. In the third theme, two subthemes emerged; Getting support in the parental role describes different types of support that parents experience during the transition and Strategies to handle the situationexplain methods that parents found support through. Conclusion: It might imply a great challenge when parents get a child in need of care at neonatal care unit. The transition to home needs preparation. Parents experienced security and felt less ambivalence when they get through nursing staff got support and guidance. Parents who been involved in their child’s care in the neonatal care unit experienced the transition more joyous than parents who was not involved. The nurse specialist has an important role in facilitating the transition. To make the parents secure and safe taking care of their child at home. Further competence of parents’experiences requires in both neonatal care units and in child health services.

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  • 135.
    Antblad, Alexandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sundelius, Jenny
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Det sociala stödets betydelse vid återhämtning från egentlig depression: En litteraturbaserad studie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is a growing problem worldwide where depression is reported as the most common underlying cause. Living with depression can adversely affect individuals' abilities, functions and their quality of life. There are various forms of treatment that can benefit recovery. Studies show that social support obtain quality aspects that can support the individual in his or her recovery. Since there was little research regarding how social support promotes recovery in major depression, it became an interesting area to research further. Aim: The aim of this study was to investigate adult experiences of how social support promotes recovery. Method: To answer the purpose, a literature-based study was chosen for examining patients' subjective opinions. Results: The results appeared in two themes: Promoting information with subthemes Support through knowledge transfer, and Getting to communicate; To be supported with care with subthemes The value of emotional and practical support, and To support oneself helps. Conclusion: Social support could promote recovery by providing individuals with the knowledge, skills and ability to communicate. The knowledge contributed to perceived participation, increased sense of control and empowerment. Social support supported people emotionally and practically by helping, listening, confirming and providing people with love and hope. Social support could promote recovery by providing space and opportunity for people to support themselves

  • 136.
    Antonsson, Helena
    et al.
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Hällgren Graneheim, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Umeå , Department of Nursing , Umeå , Sweden.
    Isaksson, Ulf
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Åström, Sture
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Umeå , Department of Nursing , Umeå , Sweden.
    Lundström, Mats O
    University of Umeå , Department of Nursing , Umeå , Swede.
    Evaluation of a Web-Based Training Program for Professional Carers Working With People With Learning Disabilities and Challenging Behavior: A Pilot Study with SSED-Design.2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 10, p. 734-743Article in journal (Refereed)
    Abstract [en]

    The interaction between people with intellectual disabilities and professional carers is often influenced by communicative difficulties contributing challenging behaviours. The aims of this study were to evaluate to a web-based training program aimed at improving carers' abilities to interact with people with learning disabilities who exhibit challenging behaviours and to explore carers' experiences of participating in such a program. A single-subject experimental design and mixed methods were used to integrate qualitative and quantitative data. Triangulation of questionnaires, interviews with carers, and assessments of one woman's behaviour was performed. The participants were professional carers aged 20 to 55 years. The web-based training program increased carers' abilities to handle challenging behaviours and decreased challenging behaviours in daily care. The program improved the opportunities to offer training to carers who work in community-based accommodations with limited time to receive training.

  • 137.
    Antonsson, Lisa
    et al.
    University West, Department of Health Sciences.
    Karlsson, Sandra
    University West, Department of Health Sciences.
    Hälsofrämjande arbete med skolbarn som har övervikt: skolsköterskans erfarenhet2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity have increased and are a global health problem. Being overweight can lead to physical sequelae and mental illness. The school nurse works with health promotion, and mission is to offer every student repeated health visit during school. During the health talk, the child is given the opportunity to reflect on health and things that may cause anxiety in the child. The school nurse can identify overweight during the health talk, and then the caregivers should be involved. Motivational talks are a way of working to motivate children to make lifestyle changes and create conditions for good health. The best interest of the child must be considered in all situations. Health is a multidimensional concept that individuals can influence through different choices in live. The aim: of the study was to shed light on school nurses´ experiences of meeting overweight school children. Method: an integrative literature review with an inductive approach based on 8 qualitative and 2 quantitative studies. Studies have been analyzed according to Whittemore and Knafl. Results: three categories emerged; the school nurse´s preventive work, overcoming hindering factors in health promotion work and communication as a tool. Conclusion: school nurses have different experiences of meeting overweight children and their caregivers. They feel that early interventions were important and that the focus of the work should be health promotion and prevention. Various hindering factors could arise that make it difficult to carry out one´s duties. Collaboration and a child´s perspective are important in order to give the child good conditions for good health. There was a need for additional competence in order to feel secure in their professional role.

  • 138.
    Anwar, Kavin Shwan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Starlander, Karin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av egenvård i det postoperativa skedet: En litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Self-care is a healthcare measure that is performed by the patient themselves. Postoperative recovery is described as an energy-consuming process where the goal is to regain the independence that the patient had before the surgery. Previous research shows a positive impact on recovery by involving the patient in postoperative care with the help of self-care measures. The aim of this study was to examine patients' experiences of postoperative self-care. The method that was used is a literature study based on analysis of qualitative research. 10 Qualitative articles were selected to gain a deeper understanding of patients' experiences of performing postoperative self-care. The findings were presented by using three themes; To become an active participant, The challenges of self-care and The contact between nurse and patient. The result highlights the patient's experiences of taking responsibility and becoming independent as well as experiences of feeling insecure and the need for support. The patients also experienced a lack of information to perform self-care and found it difficult to perform self-care when they didn’t know where to turn when complications occurred. In order for self-care to free up resources and develop the quality of health care, the patient's need for continuity needs to be prioritized by assigning a contact nurse to each patient who performs postoperative self-care. In order to reduce the uncertainty that the patients experienced, the nurse needs to focus on self-care education. It is important to plan and adapt the education based on the patient’s individual needs by offering several teaching methods.

  • 139.
    Aoude, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mengstab, Yolanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas upplevelser av att leva med diabetes typ 22017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 140.
    Appasi, Bisan
    et al.
    University West, Department of Health Sciences.
    Settergren, Stina
    University West, Department of Health Sciences.
    Specialistsjuksköterskans stöd för egenvård till diabetes mellitus typ 2 patienter, inom primär- och kommunal hälso- och sjukvård2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes Mellitus type 2 is one of the folk diseases in Sweden and continues to increase. It is a serious disease which can lead to severe complications such as cardiovascular disease, eye complications, neuropathy, and nephropathy. The treatment includes antidiabetictablets or insulin injections but also self-care which includes lifestyle changes. The self-care mainly consists of dietary changes and increased physical activity as well as weight loss.

    Aim: The aim of this study is to study the caregivers’ conditions for supporting self-care with diabetes type 2 patients, in primary and municipal care.

    Method: The conducted method for the study is a literature-based study with qualitative approach.

    Results: The categories found were: ”Providing conditions and face problems”, Creating an empathetic and trusting environment” and ”Developing a supportive organization”. The analysis showed that individualized care and goalsetting were important conditions for compliance in self-care. It is important that the patient receives information about options and is being included in decision making and goalsetting. A strong relationship between caregiver and patient is important in order for the caregiver to get to know the patient to find resources, barriers and wishes. The analysis also showed hindering factors in supporting self-care such as lacking competence within different occupational groups, lack of time and lacking motivation from the patient.

    Conclusion: To be able to support patients in their self-care and avoid complications the caregivers need to get to know the patient and individualize care, treatment, goal-setting and follow-ups. Advice should be concrete, and goals should always be set with the patients´involvement. Care-settings that treat patients with diabetes needs adequat competence and increased cooperation between different care-settings as well as clear guidelines and teamwork.

  • 141.
    Appelgren, Camilla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahl, Inger Helén
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När kroppen inte gör som hjärnan vill: En litteraturstudie om personers erfarenheter av att leva med Parkinsons sjukdom2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 142.
    Appelt, Kalle
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Karlsson, Rasmus
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Motivation till fysisk aktivitet: Skillnader och bidragande faktorer2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Different kinds of physical activity were and had been of interest to both of us for the larger part of our lives. This made us decide to create a quantitative survey study. The focus of this study would be on motivation for being physically active. The reason for this decision being, that we both thought it would be interesting to study what motivates gym-goers to be and stay physically active. The positive effects of physical activity are well documented in today’s society. It helps diminish the effects of heart problems, strengthens the immune system, and makes the individual more energetic.

    Purpose & Issues: The purpose of this study, was to investigate, and try to pinpoint what makes people motivated to be and stay physically active. Further important topics and issues that were to be investigated in this study, was if there were any differences regarding gender, and how motivation could differentiate between subgroups regarding the subject of physical activity.

    Method: This study has been a quantitative cross-sectional study, using a survey to collect data.

    Results: The result shows that most people who responded to this survey, indicated that the health and pleasure that exists within physical activity are the main motivational factors. Further comparisons also show that there are some differences in what men and women prefer to do in correlation of physical activity, and how the level of motivation may differ from earlier exercise experiences. Our results showed, that in general strength training was more popular among men, while endurance training was more popular among women.

    Conclusion: After the analysis of the result of this study, the conclusion could be made that people are motivated by what they think is fun. To preserve the health and joy in their physical activity, was what appeared to be the main motivation sources. A further conclusion was also that people became more motivated, the longer they had been regularly physically active. A slight difference was also observed between men and women regarding training habits. Men engage more in strength training, whilst women are more active regarding endurance training.

  • 143.
    Arakelian, Erebouni
    et al.
    Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala (SWE).
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway (NOR).
    Managerial challenges faced by Swedish nurse managers in perioperative settings: a qualitative study2021In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 20, no 1, p. 1-10, article id 117Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Nurse managers need to create cultures that are worthy, not only of the commitment of everyone who comes to work but also of the trust of everyone who comes to be served. The aim of our study was to describe the challenges faced by Swedish nurse managers in a perioperative setting.

    METHODS: A qualitative study was conducted. The participants were chosen by convenience sampling, and individual in-depth interviews were conducted. Data were analysed by Systematic Text Condensation. The COREQ checklist was consulted throughout the study to optimise the quality.

    RESULTS: Nineteen nurse managers (all women) participated. Six themes were identified: "striving to treat employees with consideration and solicitude"; "the obligation to take care of each employee's individual needs"; "convincing others was an uphill battle", "finding solutions when things seem impossible"; "staff recruitment, allocation, and management"; "working with constantly changing planning".

    CONCLUSIONS: The nurse managers faced challenges because of the overwhelming amount of work tasks, with almost no time for reflection. Having carefully chosen tasks and a realistic time schedule for each work task, plus time to find one's own path to inner peace, are essential for nurse managers. Organisations that provide these prerequisites show that they care about their nurse managers. The results of this study indicate the need for time to reflect, as well as support from superior managers and from the human resources department.

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  • 144.
    Arakelian, Erebouni
    et al.
    Uppsala University, Department of Surgical Sciences, Uppsala University Hospital, Entrance 70, 1st Floor, 751 85, SE, Uppsala, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Nursing and Health Sciences, 8049, Bodø, Norway (NOR).
    Reaching a tipping point: perioperative nurse managers' narratives about reasons for leaving their employment - a qualitative study.2021In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 29, no 4, p. 664-671Article in journal (Refereed)
    Abstract [en]

    AIM: To describe reasons why nurse managers in perioperative settings decide to leave their employment.

    BACKGROUND: Current literature has shown that perioperative nurse managers' reasons to leave their positions are formed through an interaction of factors.

    METHODS: Individual in-depth interviews were performed with seven nurse managers, all women, in perioperative settings in Sweden. Data were analysed using Systematic Text Condensation.

    RESULTS: Five key themes were identified: a- To end where I started, as a front-line nurse; b- I wanted to develop further to the next level in my career; c- I ran out of ideas; d- I lost trust in my head manager and did not believe in the new organization, and e- I had had enough of being offended by my superior manager and my employees.

    CONCLUSION: Nurse managers experienced feeling forced into a decision to leave because of being offended by their superiors or their employees. Furthermore, the findings indicate that nurse managers should be offered support from superior managers and the organization together with time for discussions.

    IMPLICATIONS IN NURSING MANAGEMENTS: The most essential element should be the influence of caritative leadership and the obvious expectation of being treated with dignity, respect, and appreciation.

  • 145.
    Arakelian, Erebouni
    et al.
    Uppsala University, Department of Surgical Sciences, Uppsala, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Norway; Bocconi University, Milan, Italy.
    Rask-Andersen, Anna
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Runeson-Broberg, Roma
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Wålinder, Robert
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    I Stay: Swedish Specialist Nurses in the Perioperative Context and Their Reasons to Stay at Their Workplace2019In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 3, p. 633-644Article in journal (Refereed)
    Abstract [en]

    Purpose To investigate why nurse anesthetists and operating room nurses choose to stay in the same workplace.

    Design Qualitative design.

    Methods Individual interviews were conducted with 15 nurse specialists from four hospitals in Sweden. Two men and 13 women aged between 43 and 63 participated. Data were analyzed with systematic text condensation according to Malterud.

    Findings Three themes were identified. (1) Organizational stability contributed to low staff turnover, with good spirits between colleagues, representing everyone’s equal value and resulting in a feeling of homelikeness. (2) Sustained development in one’s own profession. (3) A humane head nurse who was at hand, who was a facilitator, who knew staff members, and eliminated obstacles for them.

    Conclusions In a nonhierarchical and stable organization with a head nurse with caritative leadership skills, a welcoming working environment with opportunities for professional development is created. Thus, nurse specialists choose to stay, contributing to organizational development.

  • 146.
    Arakelian, Erebouni
    et al.
    Uppsala University Hospital,Department of Surgical Sciences, Entrance 70, SE-751 28..
    Swenne, Christine Leo
    Uppsala University, Department of Public Health and Caring Sciences, Box 564, SE-751 22, Uppsala, Sweden.
    Lindberg, Susan
    Skaraborg Hospital, Department of Anaesthesia, SE-541 85, Skövde, Swede.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Faculty of Professional Studies, University of Nordland, 8049, Bodø, Norway..
    von Vogelsang, Ann-Christin
    Karolinska Institutet, Department of Clinical Neuroscience,Stockholm, Sweden..
    The meaning of person-centred care in the perioperative nursing context from the patient's perspective: an integrative review2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 17-18, p. 2527-2544Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To determine the meaning of person-centred care from the patient's perspective and in the context of perioperative nursing. BACKGROUND: Person-centred care (PCC) is used but not defined in the perioperative context. The concept indicates an interest in the patient's own experience of health, illness, needs and preferences. As with many terms that are frequently used, there is a tendency for person-centred care to mean different things to different people in different contexts. METHODS: A two-part search strategy was employed; firstly, a computerized database search of PubMed and CINAHL, using Medical Subject Headings and free terms to search articles dating from 2004 to 2014, and secondly, a hand-search of those articles' reference lists was performed. Twenty-three articles were selected and an integrative review was conducted. RESULTS: Four themes were discovered: 'Being recognized as a unique entity and being allowed to be the person you are', 'Being considered important by having one's personal wishes taken into account', 'The presence of a perioperative nurse is calming; prevents feelings of loneliness and promotes wellbeing, which may speed up recovery', and 'Being close to and being touched by the perioperative nurse during surgery'. CONCLUSIONS: PCC means respecting the patient as a unique individual, considering the patient's particularities and wishes, and involving the patient in their own care. PCC also implies having access to one's own nurse who is present both physically and emotionally through the entire perioperative process and who guides the patient and follows up postoperatively, guaranteeing that the patient is not alone. RELEVANCE TO CLINICAL PRACTICE: By having a common understanding of the concept of PCC, the nurse anaesthetists' and theatre nurses' caring actions or concerns will be directed towards the patient', resulting in personalization of care rather than simply defining the concept. This article is protected by copyright. All rights reserved.

  • 147.
    Arakelian, Erebouni
    et al.
    Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, Sweden.
    Wålinder, Robert
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Rask-Andersen, Anna
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Nursing and Health Sciences, Bodø, Norway (NOR).
    Nurse managers in perioperative settings and their reasons for remaining in their jobs: A qualitative study2020In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 28, no 6, p. 1191-1198Article in journal (Refereed)
    Abstract [en]

    AIM: The study describes what helps nurse managers maintain the strength to keep going as leaders.

    BACKGROUND: Good leadership is important for the quality of patient care, patient satisfaction in care and efficiency. Many nurse managers stay on despite challenges at work.

    METHODS: Twelve nurse managers were interviewed. Data were analysed by systematic text condensation according to Malterud.

    RESULTS: The results were as follows: A-Walking side by side with my employees; B-Knowing that I mean something to my employees; C-Talking to myself-asking myself tough questions; D-Having someone to talk to, to decrease the feeling of being alone; E-Leading and managing in my own way-the fear of not succeeding is my motivation.

    CONCLUSION: The nurse managers built their own strategies to get through and get on when difficult situations arose. In order to succeed in leading their employees, the nurse managers gathered their inner strength through moving caritatively back and forth between the 'secret room' and the 'staff room' in the house of leadership.

    IMPLICATIONS IN NURSING MANAGEMENT: The manuscript gives insights into where nurse managers found sources of strengths in their everyday work. To realize their employees' strengths and motivation made a difference for nurse managers as a driving force. By having someone to talk to and by asking themselves tough questions, they were prepared for the challenges that came.

  • 148.
    Araujo, Johane
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Calo, Nyssa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en person med afasi2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 149.
    Ardeshir Davani, Farima
    et al.
    University West, Department of Health Sciences.
    Geiret, Zulihumaer
    University West, Department of Health Sciences.
    En kvalitativ litteraturstudie om vuxna bipolära patientersupplevelser av vården2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bipolar disorder is a chronic and lifelong condition which is characterised by elevated mood swings with manic and depressive episodes. Stigma and suffering are common, therefore it's important in care to have person-centered care and the essential role of the nurse is to be supportive.

    Aim: The aim of this study was to describe bipolar people's experiences of care.

    Method: Literature study, based on seven qualitative original articles.

    Results: The result has two main themes each with three underlined themes. The first main themeis: To be in the center. The three underlined categories are: Uninformed, Doubtful regarding their diagnosis and medical treatment, to be involved. The second main theme is: The human encounter and its three underlined themes are: Burdensome meetings, to be seen and Helpful meetings to reflect on.

    Discussion: People with bipolar disorder experience health, illness and suffering depending on which episode they are in. Care has a huge role in how the patients feel within themselves. Being treated with disrespect and not being seen or heard has a huge impact on the patient's psychic health. Not getting enough information and being misunderstood is common but yet crucial for how the patients react, live with and handle their diagnosis. Theese negative experiences causes suffering.

    Conclusion: There are both positive and negative aspects of a bipolar patient experience. However, the negative aspects are more common and weigh heavier. Therefor it's important for the caregivers to evolve in how they provide care and treat patients to be able to give the optimal quality of care and in that way prevent suffering and stigma within patients.

  • 150.
    Ardeshir Davani, Farima
    et al.
    University West, Department of Health Sciences.
    Geiret, Zulihumaer
    University West, Department of Health Sciences.
    En kvalitativ litteraturstudie om vuxna bipolära patientersupplevelser av vården2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bipolar disorder is a chronic and lifelong condition which is characterised by elevated mood swings with manic and depressive episodes. Stigma and suffering are common, therefore it's important in care to have person-centered care and the essential role of the nurse is to be supportive.

    Aim: The aim of this study was to describe bipolar people's experiences of care.Method: Literature study, based on seven qualitative original articles.

    Results: The result has two main themes each with three underlined themes. The first main themeis: To be in the center. The three underlined categories are: Uninformed, Doubtful regarding their diagnosis and medical treatment, to be involved. The second main theme is: The human encounter and its three underlined themes are: Burdensome meetings, to be seen and Helpful meetings to reflect on.

    Discussion: People with bipolar disorder experience health, illness and suffering depending on which episode they are in. Care has a huge role in how the patients feel within themselves. Being treated with disrespect and not being seen or heard has a huge impact on the patient's psychic health. Not getting enough information and being misunderstood is common but yet crucial for how the patients react, live with and handle their diagnosis. Theese negative experiences causes suffering.

    Conclusion: There are both positive and negative aspects of a bipolar patient experience.However, the negative aspects are more common and weigh heavier. Therefor it's important for the caregivers to evolve in how they provide care and treat patients to be able to give the optimal quality of care and in that way prevent suffering and stigma within patients

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