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  • 101.
    Andersson, Mikael
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Johansson, Josefine
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    "Where I come from cannot make me who I want to be”: A Minor Field Study in the townships of Cape Town2012Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Mål: Denna uppsats syftar till att undersöka hur ungdomar, som har genomgått Leadership South’s program, upplever utbildningen. Syftet är också att analysera deltagarnas upplevda känsla av egenmakt, så kallad empowerment, och uppfattningar om deras eget lärande och erfarenheter av att vara en fadder (peer educator). Slutligen vill vi också undersöka hur respondenterna agerar för att dela med sig av sina erfarenheter.

    Metod: Grundad teori är den metod som använts i forskningen som presenteras i denna uppsats. Datainsamlingen genomfördes med hjälp av en enkät med öppna frågor följd av en kvalitativ intervju.

    Resultat: Resultatet visar att de ungdomar som deltagit i vår undersökning har stärkts genom ökad självkänsla och ökad motivation. Utbildningen har också gett dem ökade kunskaper i kommunikation, att lyssna och att facilitera andra. Vidare har ungdomarna, genom ökad självkännedom, lärt sig att motivera och stötta sina kamrater och tillsammans dela och sprida information.

  • 102.
    Andersson, My
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Sandblom, Petra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Våga vilja förändra: Övervikt och fetma – en bestående beteendeförändring2014Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    Overweight and obesity have become a worldwide epidemic, when people choose to eat and live unhealthy. The epidemic will, according to the researchers to harvest more victims than an epidemic normally do, they believe that more than a million people at risk of dying prematurely of complications from obesity. The nurse responsible for the patient's health and can make use of the method of motivational interviewing as treating methods for patients with obesity. Aim: The aim of this study was to describe the obese patient's road to a lasting behavioral change. Method: A literature review was used to analyze scientific articles related to the subject area. One qualitative- and eight quantitative studies are included in this review. Results: The result is based on the main category, the patient summarizing the seven subcategories, obstacle, consciousness, emotions, food, discipline, physical facility and failure and good results. These categories describe the patient's road to lasting behavioral change. Conclusion: It is the patient who must have the courage to want to change their unhealthy behavior. Seven steps are defined with the result that reflects the patient's path toward a behavior change, the patient must undergo all the seven steps to achieve lasting change

  • 103.
    Andersson, Oskar
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Rosengren, Jessica
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    God man i vården av personer med psykiska funktionsnedsättningar: En kvalitativ intervjustudie2015Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Trustee is an actor who a specialist nurse in psychiatry may cooperate within the care of people with mental disabilities. Trustee works as a deputy to a person who himself cannot protect their own interests. Mental disability is a reason why trustee is held by the Swedish courts. There are no new measurements of how many people's with mental disabili-ties that have a trustee, but research shows that this insert is a common occurrence for these people. No previous research has been found which describe trustee's impact on the nursing care of people with mental disabilities.

    Aim:

    The aim of this study was to describe the specialist nurse in psychiatry experiences of a trustee in the care of people with mental disabilities in psychiatric outpatients.

    Method:

    The study was based on interviews with 10 specialist nurse in psychiatry, working in psychiatric outpatient. A qualitative content analysis was conducted.

    Results:

    In the present study the specialist nurse in psychiatry describe that trustee can be promoting in the care of people with mental disabilities. The nurses described that the trustee was a person who they could cooperate with and who also guarded the patient´s rights. Trus-tees could also be aggravating to the care when the cooperation was hampered by various fac-tors such as the trustee's personality and the patient opposed the insert.

    Conclusion:

    Trustee has an impact on the care of people with mental disabilities. There are opportunities for cooperation between the specialist nurse in psychiatry and the trustee that can promote a more full care of people with mental disabilities.

  • 104.
    Andersson, Paula
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Åberg, Nathalie
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Närståendes erfarenheter av att vårda en person med Alzheimers sjukdom2019Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Alzheimers sjukdom är den vanligaste av alla demenssjukdomar. När en person insjuknar i Alzheimers sjukdom får närstående ofta ta på sig rollen som vårdare och det är därför viktigt att ta del av deras upplevelser och erfarenheter.

    Denna studie handlar om närståendes erfarenheter av att vårda en person med Alzheimers sjukdom.

    Elva kvalitativa artiklar valdes till studiens resultat som resulterade i tre teman och åtta subteman.

    I resultatet framkommer det att närstående har svårt att kommunicera med personen som insjuknat i Alzheimers sjukdom och när det tar lång tid att få ett svar blir närstående rädda över att personen inte längre kan prata. Närstående känner sig ensamma och isolerade från omgivningen när de vårdar en person med Alzheimers sjukdom, de väljer ändå att fortsätta vårda då de anser det vara deras plikt. Det framkommer även att närstående hittar olika metoder att avleda personen med Alzheimers sjukdom och genom att lära sig mer om sjukdomen kan de också acceptera situationen.

    Det är påfrestande att vårda en person med Alzheimers sjukdom och mycket ansvar hamnar på närstående. Sjuksköterskor behöver känna till hur det är att vårda en person med Alzheimers sjukdom för att kunna hjälpa närstående som är i stort behov av stöttning.

  • 105.
    Andersson, Sanna
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på grundnivå.
    Khalily-Larsson, Sandra
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på grundnivå.
    Riskfaktorer för självskadebeteende hos kvinnor som avtjänar ett fängelsestraff: En litteraturöversikt2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

  • 106.
    Andersson, Sanne
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Vega, Claudia
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Aggressiva och antisociala beteenden hos ungdomar i Marocko och Sverige2019Självständigt arbete på grundnivå (högskoleexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Kunskap om ungdomars aggressiva och antisociala beteenden är ytterst angeläget att besitta inom människobehandlande organisationer. Kunskapen behöver utgå från den holistiska helhetssynen där det tas hänsyn till miljön (sociala och kulturella faktorer) omkring människan. Tidigare forskning om ungdomars aggressiva och antisociala beteenden undersökte främst från biologiska och sociala aspekter vilket gör det relevant för denna studie att komplettera tidigare forskning och att fokusera på miljön från ett kulturellt perspektiv.

    Syfte: Syftet med studien var att beskriva och jämföra aggressiva och antisociala beteenden hos gymnasieelever i Marocko och Sverige. 

    Metod: Information om frekvensen av aggressiva och antisociala beteenden samlades in med det tidigare validerade instrumentet "Life History of Aggression" genom självskattningar. Studiepopulationen bestod av 361 gymnasieelever i Marocko och 276 gymnasieelever i Sverige. Mann-Whitney U test användes för att undersöka skillnader i frekvensen av aggressiva och antisociala beteende hos marockanska och svenska gymnasieelever. Eta2 användes för att beräkna effektstorlek.

    Resultat: De manliga eleverna i Marocko och Sverige skattade sitt aggressiva och antisociala beteende högre än de kvinnliga eleverna. Marockanska manliga elever hade signifikant högre utåtriktad och självriktad aggressivt beteende än svenska manliga elever, medan svenska kvinnliga elever skattade sina antisociala beteenden signifikant högre än de marockanska kvinnliga eleverna.

    Konklusion: Resultatet visade skillnader i frekvensen av aggressiva och antisociala beteenden mellan gymnasieelever i Marocko och Sverige. Generellt rapporterade de marockanska eleverna flera aggressiva och antisociala beteenden än de svenska eleverna. Detta betyder dock inte att eleverna i Marocko i högre utsträckning har ett atypiskt och normbrytande beteende enligt deras kultur. Resultatet visade även att det finns könsspecifika beteendeskillnader mellan länderna.

  • 107.
    Andersson, Sara
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Backman, Emma
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Vårdpersonals upplevelser av att vårda personer med ätstörningar: En litteraturbaserad studie2015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    Eating disorder was a serious health disorder that was mostly common in the western world. An eating disorder meant that a person had an uncontrolled eating behavior and control needs of their weight. It was classified in three groups, Anorexia nervosa, Bulimia nervosa and eating disorder no other specificated.

    Aim:

    Study health professional's experience of caring for persons with an eating disorder.

    Method:

    Ten qualitative articles according to the aim had been analyzed in this literature study.

    Result:

    The result showed two main theme. Theme one was "experience barriers" which included the negative feelings about caring for eating disorders. Theme two was "the experience of developing good relations" which included the positive feelings for the persons with an eating disorder.

    Conclusion

    Caring for persons with an eating disorder aroused a lot of feelings among the healthcare professionals which influenced the care.

  • 108.
    Andersson, Sarah
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Faktorer som hindrar patienter med diabetes typ 2 att genomföra livsstilsförändringar.2019Självständigt arbete på avancerad nivå (yrkesexamen), 5 poäng / 7,5 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Diabetes typ 2 är en sjukdom som bland annat drabbar personer med övervikt, är fysiskt inaktiva eller tidigare haft graviditetsdiabetes. Sjukdomen har även genetiska anlag. Fler och fler personer lever idag med diabetes typ 2 i Sverige. Syftet med detta arbete var att identifiera faktorer som hindrar patienter att genomföra livsstilsförändringar. 

    Att allt fler personer lever med diabetes typ 2 beror på flera faktorer, exempelvis att befolkningen idag lever längre, fler personer har övervikt samt invandring från områden med hög risk för diabetes typ 2. Att få diabetes typ 2 innebär livslång behandling av sjukdomen. Behandlingen innefattar livsstilsförändringar såsom förändrade kostvanor och ökad fysisk aktivitet. Även flera olika typer av läkemedel finns att tillgå idag som komplement till livsstilsförändringar. Den metod som användes i detta arbete var en systematisk litteraturstudie där sju vetenskapliga artiklar kom att forma resultatet. Innehållsanalys av artiklarna mynnade ut i två kategorier med sex underkategorier. Kategorier; Inre faktorer och yttre faktorer. Underkategorier; Brist på inre motivation, brist på stöd, brist på kunskap/information attityd/förväntningar till livsstilsförändringar, fysiska hinder och omgivande hinder. I resultatet framkom olika hinder till att genomföra livsstilsförändringar, exempelvis bristande stöd från familjemedlemmar, svårigheter att acceptera sjukdomen samt att diabetes typ 2 inte sågs som en allvarlig sjukdom och därför kände patienter sig inte drivna till att genomföra livsstilsförändringar. I diskussionen framkom flera andra studier som bekräftade denna litteraturstudies resultat. 

    Denna litteraturstudie skulle kunna användas som en vägledning för specialistsjuksköterska inom diabetes där hen verkar. Specialistsjuksköterskan skulle kunna vara bättre förberedd på de hinder som patienter möjligen upplever till att genomföra livsstilsförändringar. De flesta patienter med diabetes typ 2 går på regelbundna kontroller på sin vårdcentral och det är där som specialistsjuksköterskor inom diabetes arbetar eller kommer att arbeta. Men även inom hemsjukvård där många äldre patienter är inskrivna finns ett stort behov av att kunna stötta patienter till att genomföra livsstilsförändringar. Önskvärt vore om denna litteraturstudie skulle kunna spridas till dessa ovannämnda verksamheter för att på så sätt vara ett stöd i omvårdnaden av patienter med diabetes typ 2. Det skulle även kunna vara av stort värde för sjuksköterskor som träffar på patienter med diabetes typ 2 att använda sig av litteraturstudien. Mer forskning krävs för att kunna få en bättre kunskap och förståelse kring vilka faktorer som hindrar personer med diabetes typ 2 att genomföra livsstilsförändringar och på så sätt bättre hjälpa patienterna i genomförandet av deras livsstilsförändring. 

  • 109.
    Andersson, Sofia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Holmgren, Anders
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Patienters upplevelser av bemötande på akutmottagning: En litteraturöversikt2012Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Aim: The aim of this study was to describe how patients with acute illness experience their given care in the emergency department. Method: A literature review of ten studies where differences and similarities were analyzed. These studies had been published between the years of 2000 and 2011. Results: The analysis showed a lack of sufficient care concerning patients’ subjective experiences. The researchers found three themes that specifically stood out when studies that had already been made were researched. These themes played an important role in care in the emergency department and insufficient attention to these from the staff could lead to a negative impact on patients’ experiences. The themes were: patients’ participation, patients’ need of communication and information and waiting period. The result showed that a lack in these presented themes could cause feelings of distress, frustration and irritation among patients. Because of this they often used different kinds of strategies to get more involved in their own caring process. Conclusion: The conclusion of this study was that there is a lack of resources within the emergency department where lack of personnel is the most forthcoming reason to patients’ negative experiences. There was however ways for the nurses to improve patients’ experiences within the emergency department by using Travelbee’s philosophy. This was to better interact and understand the patients’ lived experiences as a whole. Every patient is unique and by using proper communication, nurses can understand the patients’ whole life situation and by that, improve the quality of care.

  • 110.
    Andersson, Sofie
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Hannu, Annina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Barns upplevelser av våld i hemmet och dess samband till psykisk ohälsa i vuxen ålder2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund:Att vara utsatt för våld är ett trauma för varje individ som utsätts. Om ett barn blir utsatt för våld finns en risk att barnet får konsekvenser som i vissa fall även följer med barnet ända in i vuxenlivet.

    Syfte: Syftet med denna uppsats är att beskriva hur upplevelser av fysiskt och/eller psykiskt våld i barndomen kan påverka den psykiska hälsan i vuxen ålder.

    Metod: Studien är gjord genom en litteraturöversikt där data inhämtats från redan befintlig forskning. Sju vetenskapliga artiklar har granskats enligt en femstegsmodell.

    Resultat: Resultatet påvisar att olika typer av våld mot barn ofta sker parallellt med varandra. Resultatet visar även att konsekvenserna för den utsatte individen skiljer sig beroende på vilket/vilka sorters våld som använts samt i vilken utsträckning. Utöver olika typer av psykisk ohälsa tillföljd av våld i barndomen tenderar de utsatta att utveckla negativa beteenden, exempelvis iform av problematik med impulskontroll och svårigheter att anpassa sig till förändringar.

    Konklusion: I denna uppsatsen framkommer det att våld, oavsett form, har negativ inverkan på barnet som är utsatt. Våldet påverkar individen negativt inte enbart när denne är barn och under den aktuella perioden då denne är utsatt utan även senare i barnets liv.

  • 111.
    Andersson Solum, Linus
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Wallin, Lisa
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Att beskriva personers upplevelser av att lära sig leva med diabetes typ 22015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Diabetes type 2 is a disease that is getting more common in the society and the numbers of diagnosed people are expecting to grow markedly. Self-care is an important part in the managing of the disease that demands education and guidance so that persons with diabetes type 2 can take control of the disease and achieving a good health. The nurse´s responsibility is to educate the patient so that a good self-care can be pursued.

    Aim: To describe persons experiences of learning to live with diabetes type 2.

    Method: A literature study was carried through based on 11 qualitative scientific articles.

    Results: The analysis resulted in three main themes and six sub-themes that describe the experiences of learning to live with type 2 diabetes from a patient perspective.

    Conclusion: The result shows that persons with diabetes type 2 go through various periods showing the handling of the disease from diagnosis determined until the disease is accepted. Which shows how important it is with the support of health care and the environment.

  • 112.
    Andersson, Susanne
    et al.
    University of Skövde, Sweden.
    Karlsson, Veronika
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    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 Sweden2016Ingår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, artikel-id 1504530Artikel i tidskrift (Refereegranskat)
    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.

  • 113.
    Andersson, Viktoria
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Karlsson, Sara
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Distriktssköterskors upplevelser av att involvera närstående i omvårdnaden av patienter med diabetes typ 22015Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background;

    Approximately four percent of women and six percent of men in the Swedish population is estimated to have diabetes, 80-90% of those with diabetes type 2. Family focused care is of great importance in families where one member is suffering from a chronic illness. A family-focused approach to diabetes care supports positive family function. Health professionals should spend more time and attention to non-clinical factors such as social support.

    Aim;

    To identify primary health care nurses´ experiences of involving family members in the care of patients with diabetes type 2.

    Methods;

    Data was collected by written narratives from ten primary health care nurses working with patients with diabetes type 2 and qualitative content analysis was used for analysis of data.

    Results;

    The result was based on the theme Intimate as enhanced cooperation partner in the meeting, with categories Intimate as resource and Intimate as obstacle. Intimate as resource was divided into subcategories Lifestyle changes as a joint project, The creation of knowledge and security, A different point and Facilitation of communication in language problems. Intimate as obstacles were divided into Intimate taking over, Private conversations substances and Family conflicts.

    Conclusions;

    To suffer from diabetes type 2 sets high demands on the daily life of the patient. Primary health care nurses experiencing intimate as a resource in nursing care. In some cases primary health care nurses has experienced intimate as an obstacle in the meeting.

  • 114.
    Andersson Värnlund, Johanna
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Larsson, Victoria
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Inte bara glömska: partnerns erfarenheter av att leva tillsammans med en person som har demens2016Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

  • 115.
    Andreasson, Ingegärd
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Patienterfarenheter av organisationen på en mammografiavdelning2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: The women who were called in for further examinations after a breast screening had all their examinations and test during one day. This organization has been conducted since 1993 in this clinic, but has not previously been evaluated. Aim: The aim of this study was to investigate the patients’ experiences of the organization, in a radiologic breastcancer clinic, where all the examinations and the test-results were given at the same day. Method: An empirical quantitative study was performed. The study was performed in eighty-one consecutive women who had an appointment for further investigations after a breast screening. A self-administered questionnaire was designed specifically for this study and mailed to the participants. Results: All of the participants where very satisfied to have all the examinations, tests, counseling with a doctor and to see a nurse in the same day. The results included both woman diagnosed with and without cancer and independent on the type or number of examinations the women had had.

  • 116.
    Andreasson, Johan
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Wiklander, Christine
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Hälsoprofessioners uppfattningar om arbetet med överviktiga barn i skolan: En fenomenografisk studie2013Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Övervikt och fetma hos barn har ökat kraftigt sedan 1980-talet i Sverige. Det finns flera hälsorisker för barn med övervikt eller fetma och problemen kan bli större om övervikten permanentas kvar till vuxen ålder. Diabetes typ-2, lågt självförtroende och hjärt- och kärlsjukdomar är ett fåtal exempel på besvär som kan uppstå i samband med övervikt och fetma. Fetma och fetmarelaterade sjukdomar kostar samhället tre miljarder kronor per år i Sverige för vård och behandling. Därefter tillkommer kostnader för bland annat läkemedel, sjukskrivning och förtidspensionering. Ur ett kulturellt perspektiv finns ett samhällsideal där hälsa har fått innebörden att vara smal.

    Då övervikt och fetma har ökat hos barn ville vi undersöka hur överviktsproblematiken såg ut i en svensk kommun. Demografin i kommunen antyder ett socioekonomiskt samband med elevernas överviktsproblematik då de skolor som finns i villaområden endast har ett fåtal elever med övervikt eller fetma jämfört med de skolor som finns i lägenhetsområden, där problem med övervikt och fetma är betydligt större. Skolsköterskor valdes som målgrupp för att undersöka problemet då de har kontakt och arbetar med barns hälsa i både grundskolan och gymnasiet.

     

    Syfte var att undersöka skolsköterskors och samverkande professioners uppfattningar och erfarenheter av övervikt hos barn och ungdomar, samt hur de arbetar med denna problematik. Vi inspirerades av den fenomenografiska ansatsen och genomförde femton semistrukturerade intervjuer där femton skolsköterskor, en skolläkare och en sjukgymnast deltog, 17 personer totalt.

    Resultatet visade på en demografisk skillnad i överviktsproblematiken där kultur och socioekonomi låg som främsta orsaker. Det framkom även att föräldrarna måste ta ansvar för sina barns hälsa genom att själva skapa goda levnadsvanor i hela familjen, med stöd och hjälp från kommunen. Dock uppfattades det finnas en brist på insatser mot övervikt. Skolsköterskorna hade en varierad syn på vilka kunskaper som behövs samt hur man kan arbeta med överviktiga barn och deras familjer. Ansvarsfördelningen mellan kommunen och skolsköterskor behöver ses över och omarbetas.

  • 117.
    Andreasson, Lisa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Alexandersson, Jonas
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Stress på akutmottagningen: sjuksköterskors erfarenheter2016Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

  • 118.
    Andreasson, Maria
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Berglund, Nina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    How nurses at a state health clinic in Namibia work to reduce diarrheal diseases among children under five years of age.: - How do they work preventive and what obstacles are they facing? -2013Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Diarrheal diseases are one of the leading causes in the world that leads to mortality for children under the age of five. A very common factor for an undeveloped country’s lower class is that the access to clean water, sanitation, education and the right nutrition for children are lacking. Part of the nurse profession is to prevent and to make sure that the message is being received by the client in order to reduce sickness.

    Aim: The aim of this study is to find out how nurses at a state health clinic work preventive to reduce diarrheal diseases among children under five years of age and what obstacles nurses are facing in their daily work when giving preventive advice.

    Method: The method used is qualitative research. In depth interviews were conducted with six nurses that lasted 30-45 min.

    Result: To prevent diarrheal diseases the nurses at the state clinic are using a national guideline and they give health education. The obstacles they face in their daily work are communication difficulties due to many different ethnical groups and different languages in the country, poverty and sanitation. Many mothers are working or are infected by HIV and do not want to breastfeed.

    Conclusions: More research should focus on how to give health education to people in society and the connection between nursing education and practice. Preventive work is a relatively cheap way to reduce suffering and make a whole population healthier.

    Keywords: Communication, Hygiene, Namibia, Nursing, Preventive work

    Acknowledgements: We would like to express our sincere gratitude to Sida that gave us a scholarship so we were able to make a minor field study in Namibia.

     

  • 119.
    Andréasson, Anna
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Wirheim, Sara
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Psykisk ohälsa hos barn som växer upp hos vårdnadshavare med borderline personlighetsstörning: - en litteraturöversikt2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    It is not unusual that a child grows up with a guardian with mental illness, such as borderline personality disorder. It is important that children grow up in a safe environment where their needs are met. It is known, that when children grow up with a guardian with borderline personality disorder, it can affect their mental health and their social skills. These children are in need of extra care and attention from heath care personal and from the society, but these needs are sometimes not met.

    Aim:

    The aim of this study was to enlighten children's mental health when growing up with a guardian with borderline personality disorder

    Method:

    A literature review based on three quantitative and six qualitative articles was conducted.

    Result:

    Three main themes and six subthemes emerged: Emotional instability, with subthemes Aggressive and avoiding behavior and Fear of abandonment; difficulties in intimate relations with subthemes Bad integration with the guardian and Lack of social interaction; and finally reduced wellbeing with subthemes Depressive symptoms and anxiety and Guilt and shame.

    Conclusion:

    The result show through the study that mothers BPD has a negative impact on children's mental health. This was demonstrated by low self-esteem, low self-control, aggression, separation anxiety, less responsive to their mothers, less integrated with their family, difficulty in social situations. This literature review can help health professionals to gain a greater understanding of how much a guardian with borderline personality disorder actually affects children. Through this understanding, the caregivers can give these children the support they need.

  • 120.
    Andréasson, Elin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på grundnivå.
    Mjölnevik, Madeleine
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på grundnivå.
    Att leva i skuggan av psykisk sjukdom2015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

  • 121.
    Andréasson, Malin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Andersson, Sandra
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    När livet är en berg- och dalbana: En litteraturbaserad studie om att leva med ett barn med diabetes2018Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

  • 122.
    Andrén, Eva
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Carl, Yelena
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Musikens effekter på personer med demenssjukdomar: En litteraturöversikt2015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    The rising living standard leads to an increase in age of population. With higher age the risk to develop dementia increase. In 2050 approximately 250 000 people in Sweden are likely to be affected by the dementia. Cognitive failure and irrational behavior is large problem that challenge the care and many of the patients are pharmacological treated.

    Aim:

    The aim of the study was to describe the music's effects on people with dementia.

    Method:

    A systematic literature review study based on twelve articles, both qualitative and quantitative.

    Results:

    Four themes developed and were named, behavior, quality of life, cognitive functions and interactions between caregivers and caretakers. Music's effects can advantageously to break aggressive and agitated behavior as well as other behavioral and psychological symptoms caused by the pathological changes in the brain.

    Conclusion:

    The result showed that music and song had generally positive effects on health, well-being and quality of life and can be an efficient help in caretaking. All types of music had some effect. Individually adapted live music was most effective.

  • 123.
    Andrén, Ulla
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Ahlström, Britt Hedman
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Student’s trajectory through the education into the labour market2014Ingår i: Conference Proceedings Abstracts, 2014, s. 1-23Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    A range of programmes and new vocations emerge as an answer to societal changes that suggest new work functions as well as new sub-specializations of already existing professions and work functions. In 2010, a multidisciplinary designed training programme started at the University West in Social Psychiatric Care (SPC). The new occupation can be said to fall within the category of pre-professions, a third generation of professionals seeking professional status. The possibility for employment is broad and unspecified and in worst case might go no further than the students' hopes of new careers. Against this background, an inside perspective is given from students experiences. The purpose was to gain a deeper understand of student's trajectory through a new education into the labour market. Eleven female students were interviewed prior to graduation. A hermeneutical phenomenological approach was conducted in order to identify central themes important in students professional becoming. As preliminary result three themes were identified. The theme 'tensions between high and low position' concerning level of involvement in treatment and care or in morea dministrative leading function, were connected to power and payment. The theme 'generalistor specialist' concerned specialist in the respect of expert on broadness suitable for coordinating positions, otherwise broadness was defined as knowing everything anddifficulties in finding professional identity. The theme 'change and tradition' concerned questions concerning establishment where new vocations seek legitimacy among employers and colleagues in the workplace. Standing at the threshold to labour market is an existentially challenging position between hope and despair.

  • 124.
    Andrén, Ulla
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Hedman Ahlström, Britt
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Kinnander, Monica
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Skyvell Nilsson, Maria
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Nunstedt, Håkan
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Utveckling av ett nytt yrke inom socialpsykiatrisk vård2019Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    Programmet i Socialpsykiatrisk vård är ett treårigt program på högskolenivå som leder till en yrkesexamen inom socialpsykiatrisk vård och en kandidatexamen i huvudområdet Vårdvetenskap. Fram till våren 2018 har sex kullar tagit sin examen. Studenter i programmet för Socialpsykiatrisk vård har ofta ett personligt intresse, tidigare yrkeserfarenhet från verksamhetsområdena eller inspiration från närstående/vänner som arbetar inom verksamhetsområdet. Även personliga erfarenheter av problem inom verksamhetsområdena är framträdande bland studenterna. Studenterna anser att den personliga erfarenheten, viljan och förmågan är viktigt för att kunna verka inom yrket. Utmärkande egenskaper hos studenterna är också ett specifikt intresse och en tydlig empatisk vilja av att arbeta med människor och de anser att yrket framförallt kräver egenskaper som altruism, empati, social kompetens samt en fördjupad kunskap och förståelse inom området. Efter avslutad utbildning önskar studenterna få möjligt till en yrkesroll där de kan hjälpa andra människor, eller så har de sikte på en specifik befattning eller ett speciellt verksamhetsområde. Såväl chefer som alumner från programmet Socialpsykiatrisk vård värdesätter den breda yrkeskompetens som programmet leder till. Den psykiatriska kompetensen betonas som särskilt värdefull av både alumner och chefer. Denna kompetens innebär att de också utgör ett komplement till övriga professioner inom verksamheterna. Studenterna anser sig ha erövrat en professionell identitet som handlar om att föra in psykiatriska och vårdande kunskaper till organisationer som tidigare saknat dessa perspektiv. Något som också medför nya förhållningssätt till patienter, brukare och klienter. Att kunna använda kunskap från flera discipliner anses som en styrka och en kompetens som är välbehövd i miljöer där personer med psykisk ohälsa vårdas. Alumnerna uppfattar sin kunskap som både tvärdisciplinär och interprofessionell.

  • 125.
    Angenete, Eva
    et al.
    Sahlgrenska Academy at University of Gothenburg, Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, SSORG, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg.
    Angerås, U.
    Sahlgrenska Academy at University of Gothenburg, Department of Surgery, Institute of Clinical Sciences, SSORG, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg, Sweden.
    Börjesson, M.
    Swedish School of Sport and Health Sciences, Stockholm, Sweden.
    Ekelund, J.
    Sahlgrenska Academy at University of Gothenburg, Department of Surgery, Institute of Clinical Sciences, SSORG, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg, Sweden.
    Gellerstedt, Martin
    Högskolan Väst, Institutionen för ekonomi och it, Avd för juridik, ekonomi, statistik och politik.
    Thorsteinsdottir, T.
    University of Iceland, Faculty of Nursing, School of Health Sciences, Reykjavik, Iceland.
    Steineck, Gunnar
    Sahlgrenska Academy at the University of Gothenburg, Division of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences, Gothenburg, Sweden.
    Haglind, Eva
    Sahlgrenska Academy at University of Gothenburg, Department of Surgery, Institute of Clinical Sciences, SSORG, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg, Sweden.
    Physical activity before radical prostatectomy reduces sick leave after surgery: results from a prospective, non-randomized controlled clinical trial (LAPPRO)2016Ingår i: BMC Urology, ISSN 1471-2490, E-ISSN 1471-2490, Vol. 16, nr 1, s. 50-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Studies have reported that early physical rehabilitation after surgical procedures is associated with improved outcome measured as shorter hospital stay and enhanced recovery. The aim of this study was to explore the relationship between the preoperative physical activity level and subsequent postoperative complications, sick-leave and hospital stay after radical prostatectomy for prostate cancer in the setting of the LAPPRO trial (LAParoscopic Prostatectomy Robot Open). METHODS: LAPPRO is a prospective controlled trial, comparing robot-assisted laparoscopic and open surgery for localized prostate cancer between 2008 and 2011. 1569 patients aged 64 or less with an occupation were included in this sub-study. The Gleason score was <7 in 52 % of the patients. Demographics and the level of self-assessed preoperative physical activity, length of hospital stay, complications, quality of life, recovery and sick-leave were extracted from clinical record forms and questionnaires. Multivariable logistic regression, with log-link and logit-link functions, was used to adjust for potential confounding variables. RESULTS: The patients were divided into four groups based on their level of activity. As the group with lowest engagement of physical activity was found to be significantly different in base line characteristics from the other groups they were excluded from further analysis. Among patients that were physically active preoperativelly (n = 1467) there was no significant difference between the physical activity-groups regarding hospital stay, recovery or complications. However, in the group with the highest self-assessed level of physical activity, 5-7 times per week, 13 % required no sick leave, compared to 6.3 % in the group with a physical activity level of 1-2 times per week only (p < 0.0001). CONCLUSIONS: In our study of med operated with radical prostatectomy, a high level of physical activity preoperatively was associated with reduced need for sick leave after radical prostatectomy compared to men with lower physical activity. TRIAL REGISTRATION: The trial is registered at the ISCRTN register. ISRCTN06393679 .

  • 126.
    Angenete, Eva
    et al.
    University of Gothenburg, Department of Surgery, Sahlgrenska University Hospital/Östra.
    Jacobsson, Anders
    Swedish National Board of Health and Welfare, Stockholm.
    Gellerstedt, Martin
    Högskolan Väst, Institutionen för ekonomi och it, Avd för datavetenskap och informatik.
    Haglind, Eva
    University of Gothenburg, Department of Surgery, Sahlgrenska University Hospital/Östra.
    Laparoscopy on the Risk of Small-Bowel Obstruction: A Population-Based Register Study2012Ingår i: Archives of surgery (Chicago. 1960), ISSN 0004-0010, E-ISSN 1538-3644, ISSN 0004-0010, Vol. 147, nr 4, s. 359-365Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective  To investigate the incidence and risk factors for small-bowel obstruction (SBO) after certain surgical procedures. Design A population-based retrospective register study. Setting Small-bowel obstruction causes considerable patient suffering. Risk factors for SBO have been identified, but the effect of surgical technique (open vs laparoscopic) on the incidence of SBO has not been fully elucidated. Patients The Inpatient Register held by the Swedish National Board of Health and Welfare was used. The hospital discharge diagnoses and registered performed surgical procedures identified data for cholecystectomy, hysterectomy, salpingo-oophorectomy, bowel resection, anterior resection, abdominoperineal resection, rectopexy, appendectomy, and bariatric surgery performed from January 1, 2002, through December 31, 2004. Data on demographic characteristics, comorbidity, previous abdominal surgery, and death were collected. Main Outcome Measures Episodes of hospital stay and surgery for SBO within 5 years after the index surgery. Results A total of 108 141 patients were included. The incidence of SBO ranged from 0.4% to 13.9%. Multivariate analysis revealed age, previous surgery, comorbidity, and surgical technique to be risk factors for SBO. Laparoscopy exceeded other risk factors in reduction of the risk of SBO for most of the surgical procedures.

    Conclusions Open surgery seems to increase the risk of SBO at least 4 times compared with laparoscopy for most of the abdominal surgical procedures studied. Other factors such as age, previous abdominal surgery, and comorbidity are also of importance

  • 127.
    Angervall, Elwira
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Eliasson, Rebecka
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Åtgärder som vidtas för att förhindra spridning av vårdrelaterade infektioner: en litteraturöversikt2014Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background. Hospital-acquired infections are/is a major problem in health care. In order to reduce the spread of these infections, it is important that health professionals perform basic hygiene practices and precautions. Aim. The aim is to highlight the steps that are taken, in health care, to prevent the spread of hospital-acquired infections in health care. Method. A literature review based on qualitative and quantitative research. Result. The findings show the different measures taken and reported in the following five thematic areas: staff hygiene, protection equipment, environment, isolation and training/responsibility. In these outlines basic hand hygiene, cautions, cleaning and the nurse's responsibility. Conclusion. Healthcare staff is aware of the precautions to be taken but the infections spread anyway. It is located in the nurse's responsibility to engage in a good and safe care with high standards of hygiene, which means to be responsible that the hygiene procedures are followed in the workplace.

  • 128.
    Ankerson, Elin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Pham, Yen
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Personers upplevelser av livsstilsförändring vid diabetes typ 22019Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

  • 129.
    Antonsson, H
    et al.
    Umeå University, Department of Nursing.
    Åström, Sture
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Lundström, M
    Umeå University, Department of Nursing.
    Graneheim, U H
    Umeå University, Department of Nursing.
    Skilled interaction among professional carers in special accommodations for adult people with learning disabilities.2013Ingår i: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, nr 7, s. 576-583Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Communicative difficulties affect interactions between people with learning disabilities and their carers. Despite such difficulties, however, some carers seem to interact successfully with people who have limited ability to communicate verbally and exhibit challenging behaviour. This study aims to illuminate skilled interaction among carers working in special accommodations for people with learning disabilities. Interactions between 16 caregivers and 11 residents with learning disabilities were recorded on video. Verbal and non-verbal interaction skills among the carers were identified. Four caring situations with people with learning disabilities were chosen to illuminate skilled interaction. The transcribed text was subjected to qualitative content analysis and core stories were created. The results show that skilled interaction between the carers and the people with learning disabilities is based upon being confirming, sharing daily life experience, giving time and space, and using congruent and distinct language. In this paper we present examples that offer concrete suggestions of how to promote successful interaction and create meaning in the shared day-to-day life in special accommodations for people with learning disabilities.

  • 130.
    Antonsson, Helena
    et al.
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. University of Umeå , Department of Nursing , Umeå , Sweden.
    Isaksson, Ulf
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Åström, Sture
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. 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.2016Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, nr 10, s. 734-743Artikel i tidskrift (Refereegranskat)
    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.

  • 131.
    Antonsson, Lisa
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Gustavsson, Carolina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Livet efter organtransplantation: En litteraturbaserad studie om patienters upplevelser2015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: For patients with end-stage organ failure receiving an organ is lifesaving. To be transplanted means a big change and adjustment in life with lifelong medication. The ambition for these patients is to go back and live as normal of life as possible.

    Aim: The aim of this study was to describe patients experiences of being organ transplanted.

    Method: The method used was a literature-based study based on qualitative scientific articles. A total of 9articles were analyzed with a qualitative content analysis.

    Result: After analysis 5 categories emerged; indebted, limitations in daily life, fear of organ rejection, concerns about medicine and a positive attitude to life. It showed that patient´s experiences of being organ transplanted are individual and unique. Some experiences are harder to deal with than others.

    Conclusion: Patients describe both negative as well as positive experiences of being transplanted. They express a need for more knowledge about their condition and a need that health care staff enhance their knowledge and understanding about their unique situation.

  • 132.
    Aoude, Amanda
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Mengstab, Yolanda
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Vuxnas upplevelser av att leva med diabetes typ 22017Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

  • 133.
    Appelgren, Camilla
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Dahl, Inger Helén
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    När kroppen inte gör som hjärnan vill: En litteraturstudie om personers erfarenheter av att leva med Parkinsons sjukdom2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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

  • 134.
    Appelt, Kalle
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Karlsson, Rasmus
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Motivation till fysisk aktivitet: Skillnader och bidragande faktorer2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Med ett stort intresse för alla former av fysisk aktivitet under flera års tid, så bestämde vi oss för att genomföra en enkätstudie med fokus på motivation kopplat till fysisk aktivitet. Vi ansåg att det skulle vara intressant att undersöka vad som motiverar människor som tränar på gym till att vara fysiskt aktiva. Den fysiska aktiviteten och dess betydelse för hälsan är idag väldigt väldokumenterad. Det finns väldigt många hälsoeffekter av att vara regelbundet fysiskt aktiv. Det motverkar bland annat hjärtproblem, stärker immunförsvaret samt skapar mer ork i vardagen.

    Syfte & frågeställning: Syftet med denna studie är att ta reda på vad som kan få individer att bli motiverade till att vara fysiskt aktiva. Viktiga frågeställningar var, könsskillnader och hur motivation kan skilja sig mellan olika grupper.

    Metod: I den här studien har vi har använt oss av en kvantitativ metod i form utav en enkätundersökning. Studien är en kvantitativ tvärsnittsstudie.

    Resultat: Resultatet visar att de flesta som svarat på denna enkätundersökning, anger att bevarad och förbättrad hälsa samt nöjet som finns inom fysisk aktivitet är de största motivationsfaktorerna. Vidare jämförelser visar även att det finns en viss skillnad i vad kvinnor och män helst ägnar sig åt inom fysisk aktivitet, samt hur motivationsnivån kan skilja sig gällande träningserfarenhet. Män ägnar sig i regel mer till styrketräning medan kvinnor ägnar sig mer åt konditionsträning.

    Slutsats: Efter analys av resultatet för denna studie, är slutsatsen att människor blir motiverade av det som de tycker är roligt. Att bevara hälsan och känna glädje i sin fysiska aktivitet, var det som visade sig vara de viktigaste motivationskällorna. En ytterligare slutsats var även, att människor blir mer motiverade desto längre de varit regelbundet fysiskt aktiva. En viss skillnad kunde även observeras mellan män och kvinnor gällande träningsvanor. Styrketräning var mer populärt hos män medans konditionsträning var mer populärt hos kvinnor.

  • 135.
    Arakelian, Erebouni
    et al.
    Uppsala University, Department of Surgical Sciences, Uppsala, Sweden.
    Rudolfsson, Gudrun
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    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 Workplace2019Ingår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, nr 3, s. 633-644Artikel i tidskrift (Refereegranskat)
    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.

  • 136.
    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
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. 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 review2017Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, nr 17-18, s. 2527-2544Artikel i tidskrift (Refereegranskat)
    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.

  • 137.
    Araujo, Johane
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Calo, Nyssa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Att vara närstående till en person med afasi2016Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    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.

  • 138.
    Arifaj, Fitore
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Larsson, Kerstin
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lågaffektivt bemötande: ett verktyg för den psykiatriska slutenvården? En studie av sjuksköterskors erfarenheter.2019Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Ett lågaffektivt bemötande definieras som ett arbetssätt som inriktar sig på interaktionen mellan patienten och vårdaren. Bemötande är ett av de viktigaste redskapen inom psykiatrisk slutenvård, som inriktar sig på att få patienten att behålla kontrollen över sina affekter. Arbetssättet är väl utvärderat inom verksamheter som ligger utanför psykiatrin såsom skola och i arbetet med funktionshindrade, men sparsamt utvärderat inom psykiatrisk slutenvård. Målet med studien har varit att öka kunskapen om lågaffektivt bemötande och dess effekt inom psykiatrisk slutenvård.

    Syfte: Syftet med studien var att beskriva sjuksköterskors erfarenheter av lågaffektivt bemötande inom psykiatrisk slutenvård.

    Metod: Studien är en beskrivande kvalitativ intervjustudie som gjorts med tio sjuksköterskor inom barn- och vuxenpsykiatrisk slutenvård. Data har analyserats genom kvalitativ innehållsanalys. Ett induktivt tillvägagångssätt användes där likheter och skillnader i det insamlade materialet beskrivits.

    Resultat: Analysen resulterade i tre kategorier. Lågaffektivt bemötande Ger en inre och yttrestyrka, Ger en känsla av osäkerhet samt Sätter patienten i fokus. Resultatet visar å ena sidan att sjuksköterskorna erfar en styrka i det lågaffektiva bemötandet men samtidigt kan de känna en osäkerhet när det finns kunskapsluckor både hos dem själva eller i personalgruppen. Sjuksköterskorna i studien upplever att det lågaffektiva bemötandet gör att patienten ses som en individ, oberoende av diagnos.

    Slutsats: Då sjuksköterskan känner sig trygg i sin kunskap, och arbetsgruppen arbetar på ett personalgemensamt arbetssätt inriktat mot lågaffektivt bemötande, kan detta skapa en lugnare vårdmiljö och ett bra arbetsklimat. Sjuksköterskorna upplever också att arbetssättet ger patienten en ökad möjlighet att kontrollera sina känslor och på så sätt öka patientens känsla av empowerment.

  • 139.
    Arnold, Melina
    et al.
    Erasmus University Medical Center,Department of Public Health, Rotterdam.
    Moore, Suzanne P
    International Agency for Research on Cancer, Section of Cancer Information, Lyon, France.
    Hassler, Sven
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa och kultur.
    Ellison-Loschmann, Lis
    Centre for Public Health Research, Massey University, Wellington, New Zealand.
    Forman, David
    International Agency for Research on Cancer, Section of Cancer Information, Lyon, France.
    Bray, Freddie
    International Agency for Research on Cancer, Section of Cancer Information, Lyon, France.
    The burden of stomach cancer in indigenous populations: a systematic review and global assessment2014Ingår i: Gut, ISSN 0017-5749, E-ISSN 1468-3288, Vol. 63, nr 1, s. 64-71Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective Stomach cancer is a leading cause of cancer death, especially in developing countries. Incidence has been associated with poverty and is also reported to disproportionately affect indigenous peoples, many of whom live in poor socioeconomic circumstances and experience lower standards of health. In this comprehensive assessment, we explore the burden of stomach cancer among indigenous peoples globally.Design The literature was searched systematically for studies on stomach cancer incidence, mortality and survival in indigenous populations, including Indigenous Australians, Maori in New Zealand, indigenous peoples from the circumpolar region, native Americans and Alaska natives in the USA, and the Mapuche peoples in Chile. Data from the New Zealand Health Information Service and the Surveillance Epidemiology and End Results (SEER) Program were used to estimate trends in incidence.Results Elevated rates of stomach cancer incidence and mortality were found in almost all indigenous peoples relative to corresponding non-indigenous populations in the same regions or countries. This was particularly evident among Inuit residing in the circumpolar region (standardised incidence ratios (SIR) males: 3.9, females: 3.6) and in Maori (SIR males: 2.2, females: 3.2). Increasing trends in incidence were found for some groups.Conclusions We found a higher burden of stomach cancer in indigenous populations globally, and rising incidence in some indigenous groups, in stark contrast to the decreasing global trends. This is of major public health concern requiring close surveillance and further research of potential risk factors. Given evidence that improving nutrition and housing sanitation, and Helicobacter pylori eradication programmes could reduce stomach cancer rates, policies which address these initiatives could reduce inequalities in stomach cancer burden for indigenous peoples.

  • 140.
    Arnoldsson, Karin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Cederqvist, Lisa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    '' När jag visste att jag hade MS trodde jag att jag skulle dö inom 6 månader": en litteraturbaserad studie om patienters upplevelser av att leva med Multipel Scleros2016Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

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

  • 141.
    Aro, Mirja
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Bemötande av patienter med oro på sjukhus i Namibia.: Empirisk studie om sjuksköterskors och sjuksköterskestudenters bemötande.2018Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

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

  • 142.
    Aronsson, Emma
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Magnusson, Hanna
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    När hjärtat är skadat: En kvalitativ litteraturbaserad studie som beskriver patienters erfarenheter av att leva med hjärtsvikt2018Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

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

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

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

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

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

  • 143.
    Aronsson, Jennifer
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Sikström, Lina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    De osynliga barnen: En kvalitativ litteraturbaserad studie2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: One-third of patients in psychiatric care were also parents who lived with their children. There is a connection between mental illness among parents and mental illness among children. Mental illness may affect the parental ability. Despite laws and regulation that exists to protect and support children who were living with a parent suffering from mental illness, these children are often forgotten. Children's needs are sometimes not recognized and met. Aim: The aim of this study was to investigate children's experience of living with a parent who suffers from mental illness. Method: A qualitative literature study based on 13 qualitative studies was conducted. Results: The result of this study is divided in two themes of experiences. The results shows that children who were living with a parent who suffers from mental illness experiences a different everyday life and feelings of being different and alone. A life full of fear and worries, a shifting parenting role, lack of knowledge and feeling of being invisible constitute the first theme. The second theme shows children's experiences of being on the outside, alone with thoughts and living in uncertainty. Conclusion: The result shows that children who lived with a parent with mental illness are affected in one or another way. An interpretation of the result is that parents who suffers from mental illness deficits to vouch for the children and that children are forced to handle strenuous situations on their own.

  • 144.
    Aronsson, Lovisa
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Svanung, Linda
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Barns upplevelser av stöd vid förälders sjukdom eller död: en litteraturbaserad studie2015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    According to previous studies there is little known about children's experiences of support when a parent is seriously ill or dying. Even though children have the right to gain information and support when a parent is seriously ill or dying there has not been extensive study regarding the children´s own experiences. Aim: This study aimed to explore children´s support experiences when a parent becomes ill or dies. Method: A literature review was used to analyze ten qualitative articles. Analyses are made according to Friberg's model. Family-related care is used as a thematic framework throughout the essay. Result: Three themes were found describing children's support experiences: children's support experiences in daily life, children's support experiences from health care professionals and children's own support system. Conclusion: It was found that family and friends constitutes a secure base for the children. The children asked for more information and support to handle stressful situations in family life. Children wish to remove responsibility and continuing being a child.

  • 145.
    Aronsson, Malin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Brobeck, Matilda
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Sociala mediers påverkan på ungdomars psykiska hälsa: en litteraturöversikt2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Adolescents mental health has increased during the past decade, meanwhile social media has expanded in our society. High standards and idealistic expectations for appearance, health and lifestyle are created and maintained through social media. The aim of this study was to describe how social media impact on adolescents mental health. To provide an overwiew of social medias impact on adolescents mental health this study were conducted as a literature review. The search for studies were made in different databases using words like adolescents, mental health and social media. The inclusion criterias were adolescents of both gender, depressive symptoms and social medias. The analysis was conducted by a thematic analysis where the similarities and differences were identified and created themes. The results showed that social media had an impact on adolescents mental health. The impact was made through victimization on social medias and the usage frequency of social medias. Victimization on and usage frequency of social medias showed a relationship to social comparison, lower self-esteem and increased depressive symptoms among adolescents. Social medias impaired adolescents mental health. It needs further research to create future direction how healthcare organizations manage the effects of adolescents social media use.

  • 146.
    Aronsson, Mariana
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Lindström, Åsa
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    "Du får lite att fundera över liksom": En intervjustudie av medarbetarnas upplevelse av reflektion som arbetsmetod inom äldreomsorgen2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med studien har varit att undersöka medarbetarnas upplevelse av reflektion som arbetsmetod. Urvalet för studien har bestått av 16 medarbetare (kvinnor mellan 25-55 år) från fyra särskilda boende inom äldreomsorgen som regelbundet arbetar med reflektion som arbetsmetod. Metoden för studien har varit av kvalitativ karaktär som har inspirerats av ett fenomenologiskt tillvägagångssätt. Den empiri som samlats in har bestått av 16 bandade individuella semistrukturerade intervjuer. Frågorna som ställts har varit öppna för att ge respondenterna möjlighet till att utveckla sina synpunkter och tankar samt ge studien ett djup. Alla 16 intervjuer har sedan transkriberats och analyserats för att komma fram till ett resultat.

    Den teoretiska referensramen för denna studie innefattar litteratur och tidigare forskning om reflektionens betydelse för lärande och kompetensutveckling i arbetslivet.

    I resultatet har tre övergripande teman framträtt;

    Lärande, Professionellt förhållningssätt och Kultur. Dessa teman sammanfattar de kategorier som har kommit fram i studien. Studien visar att reflektion som arbetsmetod ger arbetsgruppen en bättre samhörighet där de lär av varandra samt att de får ett respektfullt förhållningssätt gentemot varandra. För den enskilde personen ger metoden en större självinsikt, en bättre kommunikationsförmåga samt en ökad kompetens. Slutsatsen av studien visar att den reflekterande arbetsmetoden kan betraktas som arbetsredskap som lägger grund för ett gemensamt lärande där medarbetarna får möjlighet till att utveckla såväl omsorgsarbetet som de gemensamma värderingarna för att kunna stärka och utveckla kvalitén av vård och omsorg.

  • 147.
    Aronsson, Patricia
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Hallqvist, Maria
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Livet efter en hjärtinfarkt: En litteraturbaserad studie2015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    Myocardial infarction is one of the most common life threatening diseases in Sweden. Those who suffer have many complications both physical and emotional. In effort to help patients with the rehabilitation nurses need to have knowledge about symptoms, strategies and patients sadness.

    Aim:

    The aim of this study was to illustrate patients' experiences to carry on living after a myocardial infarction.

    Method:

    A literature-based method based on ten articles with a quality approach was chosen.

    Results:

    The analysis revealed three categories and eight subcategories: The new me, A second chance, To move on. To not be able to live life to the fullest because of tiredness caused by fatigue created problems for patients after a myocardial infarction. At the same time they felt happiness surviving and each minute where valuable. The nurse played an important role under the first year of the recovery and it was important to receive right information during the rehabilitation process. It was an important goal for the patients to survive the first anniversary after the myocardial infarction.

    Conclusion:

    Fatigue influenced their lives in a negative way and made it difficult to manage. Nurses' awareness of fatigue and how to overcome it was mostly required from patients. Patients had wishes to access information that's easy to understand and strategies that they could use in daily life. Mentors were very helpful and a complement in the rehabilitation process.

  • 148.
    Aronsson, Therese
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Besic, Damira
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Triage på akutmottagning: ur ett sjuksköterskeperspektiv2014Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    2.5 million people each year, is expected to seek care at emergency rooms. In order to make a correct prioritization of care needs of the patient, the nurse use a triage scale. Knowledge and experience shows there are great demands on the nurse.

    Aim:

    The aim of this study was to illustrate the experiences of the nurse, when perform triage.

    Method:

    In order to capture the experience of the nurse, a qualitative literature- based study was chosen. Ten articles was read several times and analyzed by the writers.

    Results:

    The results are presented in three different themes and three subthemes, which all highlights nurses' experience of performing triage in the emergency department. The three themes that emerged were: Communication, assessment and decision making and ability.

    Conclusion:

    Results of the study show that communication, assessment, decision making and nurses ability are important parts, when nurses describes there experience to perform triage at an emergency department. But also to get to practice and to study cases related to performing triage

  • 149.
    Arthursson, Joakim
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Följder efter behandling av prostatacancer2018Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

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

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

    Method: A literature overview was performed.

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

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

  • 150.
    Arveklev Höglund, Susanna
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg.
    Drama and Learning in Nursing Education: A study in first and second cycle2017Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Aim: The overall aim of this thesis was to explore and describe the nature of students learning through drama in nursing education, in first and second cycle. Methods: Study I was conducted as an integrative review of the literature. Study II was performed as a qualitative phenomenographic study were 16 nursing students was interviewed. In study III 43 group assignment by nursing students in first cycle were analyzed using Qualitative content Analysis. Study IV was conducted as a qualitative phenomenographic study where 15 nursing students in second cycle was individually interviewed. Results: The findings in study I showed that drama can be used effectively in nursing education to enhance students' learning. The summarized results of the empirical studies (II–IV) showed that drama enabled the students to learn about themselves and develop a higher self-awareness. Learning through drama also gave the students opportunities to learn about others by exploring the perspectives of colleagues, patients, and patients' next of kin in fictive nursing situations. The findings showed in addition that drama could make the theoretical course content more concrete and easier to grasp. Learning through drama activated the students' learning by offering them the possibility to be active and explore various roles and scenarios, and by promoting reflection in which they could share experiences with their peers. By participating in drama, the students reached an evolving identification with the profession of a nurse (II–III) and of a specialist nurse in paediatric care (IV). Conclusion: Drama in nursing education has the unique potential to prepare nursing students in both first and second cycle for their future nursing role. Through drama, students are given the opportunity to explore and gain knowledge about how to use theoretical knowledge in practice, about their inner selves, and about other person's perspectives.

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