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  • 1251.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Omvårdnadshandledning i teori och praktik2009In: Omvårdnadshandledning: ur etiskt och tvärdisciplinärt perspektiv / [ed] Barbosa da Silva, António,Berggren, Ingela, Nunstedt, Håkan, Lund: Studentlitteratur , 2009, 1., p. 23-43Chapter in book (Other academic)
  • 1252.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Vårdandets etik2010In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, p. 125-144Chapter in book (Other academic)
  • 1253.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vårdandets etik2019In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 151-171Chapter in book (Other academic)
  • 1254.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Barbosa da Silva, António
    University of Stavanger.
    Severinsson, Elisabeth
    University of Stavanger, Department of Health Studies.
    Core ethical issues of clinical nursing supervision2005In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 7, no 1, p. 21-8Article in journal (Refereed)
    Abstract [en]

    Clinical nursing supervision enables supervisees to reflect on ethically difficult caring situations, thereby strengthening their professional identity, integrating nursing theory and practice, and leading to the development of ethical competence. The aim of this study was to develop an understanding of the core ethical issues of clinical nursing supervision, using previous research as well as philosophical analysis of the theories of three moral philosophers: Harald Ofstad, Richard Hare and Carol Gilligan. The ultimate aim of this study was to develop a general model for ethical decision-making and to establish its relevance for clinical nursing supervision. The findings highlight four important values for the development of a basis for ethical decision-making. These values are caring, dignity, responsibility and virtue.

  • 1255.
    Berggren, Ingela
    et al.
    University West, Department of Nursing.
    Bégat, Ingrid
    University West, Department of Nursing.
    Severinsson, Elisabeth
    University of Oslo, Institute of Nursing Science.
    Australian clinical nurse supervisors' ethical decision-making style2002In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 4, no 1-2, p. 15-23Article in journal (Refereed)
    Abstract [en]

    This paper explores clinical nurse supervisors' ethical styles with regard to supervision in healthcare. Eighty-six registered nurses, all with experience of supervising clinical nurses and students in nursing, completed a specifically designed questionnaire. A qualitative interpretative content analysis identified three core themes: (i) 'Is it safe?'; (ii) 'Is it right?'; and (iii) 'Is it kind?', describing the clinical nurse supervisors' ethical styles. The first core theme 'Is it safe?' covered the supervisors' rules, codes and values that guide their supervisory actions, as well as two sub-themes: (i) empowerment and (ii) integrity. The second core theme 'Is it right?' described the supervisors' responsibility and advocacy as well as the ethical dilemmas experienced in the supervisory process. The third core theme 'Is it kind?' included the supervisors' relationships with patients, professionals and supervisees. The results demonstrate the value of offering a support system, such as clinical supervision, which helps nurses to explore their professional identity for the benefit of the patients.

  • 1256.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlstrom, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Decision making within a community provider organization2010In: British Journal of Community Nursing, Vol. 15, no 12, p. 611-617Article in journal (Refereed)
    Abstract [en]

    Aim: To explore community nurses' experiences of decision making within the community provider organization. Background: Recent changes in health care with an increasing number of patients being cared for outside of institutions can put considerable pressure on the nurse with respect to decision making. Methods: In-depth interviews were performed with 6 registered nurses in two communities. The interviews were analysed by means of phenomenological hermeneutics. Results: The community nurses' experiences of decision making were interpreted as spiders or octopuses, consultants and troubleshooters. The subthemes were; networking and structuring, responsibility, availability and knowledge, assessment power, information selection, avoiding rules and bypassing managers. In accordance with hermeneutical phenomenology, the findings were discussed and explained with reference to Ofstad's philosophy of freedom to make decisions. Conclusion: In their decision making, community nurses are committed to finding administrative solutions that satisfy patient needs.

  • 1257.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Ho, Agnes Yin Kwan
    Diabetes empowerment related to Pender's Health Promotion Model: A meta-synthesis2010In: Nursing & Health Sciences, ISSN 1441-0745, Vol. 12, no 2, p. 259-267Article in journal (Refereed)
    Abstract [en]

    Diabetes self-management is a challenge for both clients and health-care professionals. Empowerment plays a vital role in helping clients to achieve successful self-management. This study adopted a meta-ethnographic approach. Nine qualitative studies were synthesized in order to contribute to a deeper understanding of what clients perceive as being important in an effective empowerment strategy for diabetes self-management. Four central metaphors that influenced empowerment were identified: trust in nurses' competence and awareness, striving for control, a desire to share experiences, and nurses' attitudes and ability to personalize. The lines-of-argument synthesis suggested the need for an evaluation system to appraise clients' diabetes knowledge, health beliefs, and negative emotions, as well as the outcome of interventions. Based on Pender's Health Promotion Model, this study emphasizes the fact that health-care professionals need to understand and address modifiable behavior-specific variables. The study suggests that an effective empowerment strategy would be to use activity-related affect, as well as interpersonal and situational influences, as a means of facilitating and enhancing clients' health-promoting behaviors.

  • 1258.
    Berggren, Ingela
    et al.
    University West, Department of Nursing.
    Severinsson, Elisabeth
    Hedmark University College, Faculty of Health Studies.
    Nurse supervisors' actions in relation to their decision-making style and ethical approach to clinical supervision.2003In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 41, no 6, p. 615-22Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of the study was to explore the decision-making style and ethical approach of nurse supervisors by focusing on their priorities and interventions in the supervision process. BACKGROUND: Clinical supervision promotes ethical awareness and behaviour in the nursing profession. METHODS: A focus group comprised of four clinical nurse supervisors with considerable experience was studied using qualitative hermeneutic content analysis. FINDINGS: The essence of the nurse supervisors' decision-making style is deliberations and priorities. The nurse supervisors' willingness, preparedness, knowledge and awareness constitute and form their way of creating a relationship. The nurse supervisors' ethical approach focused on patient situations and ethical principles. The core components of nursing supervision interventions, as demonstrated in supervision sessions, are: guilt, reconciliation, integrity, responsibility, conscience and challenge. The nurse supervisors' interventions involved sharing knowledge and values with the supervisees and recognizing them as nurses and human beings. CONCLUSION: Nurse supervisors frequently reflected upon the ethical principle of autonomy and the concept and substance of integrity. The nurse supervisors used an ethical approach that focused on caring situations in order to enhance the provision of patient care. They acted as role models, shared nursing knowledge and ethical codes, and focused on patient related situations. This type of decision-making can strengthen the supervisees' professional identity. The clinical nurse supervisors in the study were experienced and used evaluation decisions as their form of clinical decision-making activity. The findings underline the need for further research and greater knowledge in order to improve the understanding of the ethical approach to supervision.

  • 1259.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth
    University of Oslo.
    The influence of clinical supervision on nurses' moral decision making.2000In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 7, no 2, p. 124--133Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate the influence of clinical supervision on nurses´

    moral decision making. The sample consisted of 15 registered nurses who took part in

    clinical supervision sessions. Data were obtained from interviews and analysed by a

    hermeneutic transformative process. The hermeneutic interpretation revealed four

    themes: increased self-assurance, an increased ability to support the patient, an increased

    ability to be in a relationship with the patient, and an increased ability to take responsibility.

    In conclusion, it seems that clinical supervision enhances nurses´ ability to provide

    care on the basis of their decision making. However, the qualitative and structural aspects

    of clinical supervision have to be investigated further in order to develop professional

    insight into the way that nurses think and react. 

  • 1260.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth
    University of Stavanger, Faculty of Social Sciences.
    The significance of nurse supervisors' different ethical decision-making styles2006In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 14, no 8, p. 637-43Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The role of the nurse supervisor is very important, because of his/her ability to influence the atmosphere within the clinical nursing supervision group. AIM: To present and interpret nurse supervisors' different ethical decision-making styles. METHOD: A hermeneutic interpretation of three studies on nurse supervisors' different ethical decision-making styles. RESULTS: The significance of the nurse supervisor's ethical decision-making style is reflected in the awareness of their responsibility for creating a relationship with the supervisee. The supervisors focus on ensuring safety, integrating theoretical knowledge and clinical practice, willingness and preparedness to supervise on the substance of nursing, sharing the supervisees' feelings and challenging them, reflecting on the content of clinical nursing supervision as well as promoting justice and integrity in clinical nursing supervision. CONCLUSIONS: The interpretation highlights the importance of the nurse supervisor's style for the outcome of clinical nursing supervision, as they are role models for the supervisees. There is a need for further research to explore the advantages and disadvantages of nurse supervisors' different ethical decision-making styles, especially in relation to the influence of clinical nursing supervision on the quality of care and various support systems.

  • 1261.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth
    Vestfold University College, Tönsberg, Norway.
    The State of the Science of Clinical Supervision in Europe 2010In: Routledge handbook of clinical supervision : fundamental international themes   / [ed] Cutcliffe, John, Hyrkäs, Kristiina, Milton Park, Abingdon, Oxon. UK: Routledge , 2010, p. 327-337Chapter in book (Other academic)
  • 1262.
    Berggren, Julia
    et al.
    University West, School of Business, Economics and IT, Division of Business Administration.
    Carlsson, Jennifer
    University West, School of Business, Economics and IT, Division of Business Administration.
    Attraktivt arbete och främjande ledarskap enligt 90-talisterna: Med fokus på arbetets innehåll, tillfredsställelse och förhållanden samt motivationsfaktorer2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    One of an organizations most important assets is the employees and today, changing workplace is common, especially for younger generations. Therefore, organizations face a challenge in creating attractive work and retaining the employees.

    The purpose of this study was to identify what 90-talists considered attractive work to be in terms of work content, job satisfaction, working conditions and motivation factors, but also how leadership can create an attractive work.

    The study examines general traits of 90-talists, what they consider attractive work to be and which motivational factors they consider important. Furthermore, the role of leadership in the context of an attractive work is examined. A Facebook-survey has been conducted to reach out to 90-talists, where thirty questions were answered. In total, 133 respondents answered the survey, where 100 of the answers came from respondents born in the 90s. Their answers have resulted in statistics that have been presented in the study.

    From the responses in the questionnaires, it was possible to conclude that the 90-talists saw themselves as cooperative and ambitious. They value freedom of action, where they can influence and control their own work and that there are opportunities for development. Having the opportunity to come up with own ideas and make own decisions was also something that the 90-talists considered important. They also felt that social contact, both with employees and leaders, was important. Committed and responsive were the leadership qualities that were valued highly by the 90-talists. The 90talists considered it important that the leader shows appreciation through feedback and dialogue and also promotes cooperation.

    From the empirical material, the analysis was one of the most important dimensions in the work content of freedom of action, in terms of job satisfaction, the perceived internal and external recognition of the 90s was in the employment relationship, the social contact at the workplace that weighed heavily.

    The study shows that in order to attract or retain the 90-talist in workplaces, an attractive work content, job satisfaction and working conditions need to be created in order to create an attractive work. An attractive work based on the 90-talists perspective is mainly based on the fact that development opportunities exist, that there is possibility of freedom of action and also social cohesion. A leadership that promotes these factors can thus also promote attractive work for the 90-talists.

    Proposals for future research are to implement qualitative studies in order to reach underlying thoughts and explanations that could have deepened the study´s results.

  • 1263.
    Berggren, Malin
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Lundgren, Maria
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Man kan ju inte vara ensam:: En kvalitativ studie om våld i nära relation2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Violence in close relationship occurs in all social classes. The purpose of the study was to gain in-depth knowledge of the work of various social institutions concerning violence and particularly violence in close relationships, as well as how they work to reduce violence. Interviews were conducted with eight different actors in society to find out more and to investigate violence in close relationships. Using a norm-critical perspective, the study investigated whether the results support the assumption that a society-breaking behavior stems from norms. The interviews were semi-structured with an open-ended interview guide. The empirical material was analyzed with thematic analysis. The result shows that the violence in close relationship is physical violence, often combined with other forms of sexual and psychological violence. The violence in close relationships leads in addition to physical injuries and mental disorders, to long-term consequences for the individual individuals, society and the family. Violence in close relationship is considered a major social problem both internationally and in Sweden and is an infringement of human rights. The responsibility of Swedish society is to work against violence in close relation while supporting the citizens who are and have been exposed to violence in a close relation. The result showed that Trollhättan's city collaborates with several different social institutions to counter men's violence in close relationships and that they are at the forefront in Sweden in preventing and at the same time reducing the consequences of violence in close relationships while reducing social costs.

  • 1264.
    Bergh, Anne-Louise
    et al.
    University of Borås.
    Friberg, Febe
    University of Stavanger.
    Persson, Eva
    Lund University.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Perpetuating ‘New Public Management’ at the expense of nurses’ patient education: a discourse analysis2015In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 22, no 3, p. 190-201Article in journal (Refereed)
    Abstract [en]

    This study aimed to explore the conditions for nurses’ daily patient education work by focusing on managers’ way of speaking about the patient education provided by nurses in hospital care. An explorative, qualitative design with a social constructionist perspective was used. Data were collected from three focus group interviews and analysed by means of critical discourse analysis. Discursive practice can be explained by the ideology of hegemony. Due to a heavy workload and lack of time, managers could ‘see’ neither their role as a supporter of the patient education provided by nurses, nor their role in the development of nurses’ pedagogical competence. They used organisational, financial, medical and legal reasons for explaining their failure to support nurses’ provision of patient education. The organisational discourse was an umbrella term for ‘things’ such as cost-effectiveness, which were prioritised over patient education. There is a need to remove managerial barriers to the professional development of nurses’ patient education. Managers should be responsible for ensuring and overseeing that nurses have the prerequisites necessary for providing patient education as well as for enabling continuous reflective dialogue and opportunities for learning in practice.

  • 1265.
    Bergh Johnsen, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rosander, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av att få en bröstcancerdiagnos: en litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

  • 1266.
    Bergh, Madeleine
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans pedagogiska funktion och kompetens i mötet med närståeden2012In: Pedagogik inom vård och handledning / [ed] Pilhammar Andersson, Ewa, Lund: Studentlitteratur, 2012, 2., [rev.] uppl, , p. 172 s.p. 65-88Chapter in book (Other academic)
  • 1267.
    Bergh, Madeleine
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Carlson, Elisabeth
    Malmö högskola. Fakulteten Hälsa och samhälle.
    Friberg, Febe
    Sahlgrenska akademin vid Göteborgs universitet.
    Gedda, Birgitta
    University West, Department of Nursing, Health and Culture.
    Häggström, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pilhammar, Ewa
    Sahlgrenska akademin vid Göteborgs universitet.
    Pedagogik inom vård och handledning2012 (ed. 2., [rev.] uppl.)Book (Other academic)
  • 1268.
    Bergh, Sonja
    University West, Department of Social and Behavioural Studies.
    Integrationsprocessen i boendemiljö för människor medpsykiskt funktionshinder2008Independent thesis Advanced level (professional degree)Student thesis
    Abstract [sv]

    Syftet med studien är att studera vilka processer som sker hos människor när de ska integreras med varandra. Det handlar om psykiskt funktionshindrade människor i gruppbostäder och deras grannkontakter. Första frågeställningen är: Hur ser det ut med grannkontakterna till gruppboenden för psykiskt sjuka människor? Andra frågeställning är: Hur är upplevelsen för de psykiskt sjuka när det gäller dessa grannkontakter? Denna studie är kvalitativ. Det empiriska materialet består av litteraturstudier, deltagande observation och tematiska intervjuer med "experter" och brukare. Bearbetningen av det empiriska materialet består av ordagranna intervjuutskrifter som jag sedan tolkat och återgett i studien tillsammans med litteratur. Resultatet visar att det ofta förekommer protester vid etablerandet, men att de med tiden klingar av och de psykiskt funktionshindrade upplever sina grannar bra, men känner ett utanförskap i samhället.

  • 1269.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Is being physically active the key to a good quality of life for patients living with Fontan circulation?2016In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 11, p. 1257-1258Article in journal (Other academic)
  • 1270.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. Sahlgrenska Academy, Institute of Medicine.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Rydberg, Annika M.
    University of Umeå, Department of Clinical Sciences, Pediatrics.
    Dellborg, Mikael
    Sahlgrenska Academy, Institute of Medicine.
    Ekman, Inger
    University of Gothenburg, Centre for Person-Centred Care.
    Committed to Life: Adolescents’ and Young Adults’ Experiences of Living with Fontan Circulation2015In: Congenital Heart Disease, ISSN 1747-079X, E-ISSN 1747-0803, Vol. 10, no 5, p. 403-412Article in journal (Refereed)
    Abstract [en]

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

  • 1271.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, B.
    Umea University, Department of Public Health and Clinical Medicine, Umea, Sweden.
    Mattson, E.
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Moons, P.
    The Sahlgrenska Academy at Gothenburg University, Institute of health and caring sciences, Gothenburg, Sweden;.
    Dellborg, M.
    University of Gothenburg, Institute of medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    Exploration of disagreement between the patient’s self reported limitations and limitations assessed by caregivers in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no Suppl 1, article id 2406Article in journal (Refereed)
    Abstract [en]

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

  • 1272.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. The Sahlgrenska Academy at University of Gothenburg, Institute of Medicine, Gothenburg, Sweden.
    Mattsson, Eva
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Moons, Philip
    University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Dellborg, M.
    The Sahlgrenska Academy at University of Gothenburg, Institute of Medicine, Gothenburg, Sweden.
    Comparison of participants and non-participants in patient-reported outcome surveys: the case of Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study2017In: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 27, no 3, p. 427-434Article in journal (Refereed)
    Abstract [en]

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

  • 1273.
    Bergholm, Daniel
    et al.
    University West, Department of Nursing, Health and Culture.
    Möller, Hannes
    University West, Department of Nursing, Health and Culture.
    Mer liv till åren och inte enbart fler år till livet: Kan en ökad fysisk styrka och explosivitet bidra till en ökad livskvalitet?2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research on Sarcopenia shows that muscle atrophy affects the physical functioning during aging and can be prevented by various forms of strength training. Research on muscle atrophy aroused our interest in strength training for older adults and also the strength training effects on quality of life.

    Aim: The aim of this study is to investigate whether an increase in physical strength and explosiveness contributes to a better quality of life in people aged between 55 and 65 years.

    Method: This has been explored with inspiration from action research in a group of fifteen participants. Data was collected with the instruments MuscleLab, SF-36v2 and memos.

    Results: Nine participants showed an increase in power development and six participants showed a decrease. Quality of life has increased in all eight categories for the group as a whole, meaning that both the physical and mental health has increased in the group.

    Conclusion: Increased strength and explosiveness does not, in our case, necessarily mean a better quality of life, but we consider that the change in quality of life rather depends on a higher level of activity in itself. This is because the strength of the group as a whole increased only marginally, but that quality of life has increased all the more.

  • 1274.
    Berghé, Lisa
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Johansson, Caroline
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    “Vi behöver varandra”: En kvalitativ studie om psykologiska kontrakt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to describe employees' expectations for their employment and to increase understanding of how the expectations influenced their work behaviour. The theoretical framework that was used was the concept of the psychological contract based on employee and employer perceptions of mutual obligations in an employment relationship. Depending on how the work situation develops, it can have negative and positive effects on the psychological contract (Robinson & Rousseau, 1994; Turney & Feldman, 2000). A psychological contract takes form in the process of recruitment, sometimes even earlier (Rousseau, 1995; Kahlke & Schmidt, 2002). In this study, employee's expectations of their employer, Göteborg Stad, and the development of the relationship with the employer during the first year of employment are examined. By interviewing six employers with a semi-structured interview, data were collected and analysed with a qualitative thematic analysis.

    The results of the study showed that employers were predominantly relationship-oriented in their employment. Four relations were identified to have effects on the psychological contract; relationship to organizational structure, the manager, the colleagues and the task. Based on these relationships, there were both obstructive and motivating forces that could influence the employee's perception of the employment. Disappointments based on unmet expectations were in line with Schalk och Freese's theory (1993) to violate the psychological contract (Schalk & Freese, 1993; refererad i Anderson & Schalk, 1998). At the same time, meaningful relationships could create strong bonds to the employer and could ease the damage of a violated contract and make an incentive work situation. The results indicate the importance of communicating expectations on the employment relations to avoid losing motivation.

  • 1275.
    Bergkvist, Per
    University West, Department of Technology, Mathematics and Computer Science.
    Seam tracking in a complex aerospace component for laser welding2004Independent thesis Advanced level (degree of Master (One Year))Student thesis
  • 1276.
    Bergkvist, Sofia
    et al.
    University West, Department of Engineering Science, Division of Computer, Electrical and Surveying Engineering.
    Runge, Johanna
    University West, Department of Engineering Science, Division of Computer, Electrical and Surveying Engineering.
    Allmänna och enskilda vägar: Väghållaransvar utanför detaljplanelagt område2017Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In terms of traffic, in order for the infrastructure to work it requires that the road network fulfills its function. Communication between the different parties, the Swedish Transport Administration (Trafikverket), municipalities and individual property owners is important, and situations with conflicts and disagreement are easy to evolve. Which part should manage the operation and maintenance to a certain road and what the laws say about each road are sometimes unclear. The Swedish Transport Administration, municipalities and individual property owners are the three different parties that can be responsible for operation and maintenance, also known as road holders, by roads. If the road is located within or outside of the planned area depends on which legislation is applicable. Planning and building act (PBL) and road legislation (VägL) are the laws used inside the planned area, but so is the plant legislation (AL) in the formation of community facilities. It is mainly the planning and building act that is applied because it regulates the planning, the road is then named street according to PBL, but in some cases the municipalities may choose to plan the road according to the road legislation. In cases where the road legislation is applied the process is more extensive and for this law to apply, the roads must be public. Outside planned area there is no law that regulates in the same way as the planning and building act, instead the plant legislation is applied for the individual roads mainly to establish a community facility. It is at the establishment of the community facilities the statutes are set, these regulate the operation and maintenance of the road which concerns the individual property owners. The study includes a survey conducted to 49 municipalities in the county Västra Götaland. Four of these municipalities were then selected for a further interview. The Swedish Transport Administration and National federation individual roads (Riksförbundet enskilda vägar) were also interviewed, this in order to get an overall view and not only information from different municipalities.The result is based primarily on the interviews but also the answers from the survey. The information that emerged from the interviews with the municipalities differs from the answers received from the survey whether the municipalities experience problems with managing individual roads. Instead, the municipalities mean that there are generally more problems in the planned area than outside. The result also indicates a variation between the municipalities, while the Swedish Transport Administration has clear limits on the selection of road holders. REV addresses the problem of the difficulty of getting people to arrange  ii Allmänna och enskilda vägar – Väghållaransvar utanför detaljplanelagt område  the board work on an individual road. The definition of public and individual road differs between the different interviewed parties. The study reflects on distinct guidelines for when a road should be public respectively individual in order to clarify the boundary of when road maintenance takes over and another ends.

  • 1277.
    Berglin, Veronica
    University West, Department of Economics and Informatics.
    Personalens attityder till datorisering av administrativa rutiner inom äldreomsorgen2005Independent thesis Advanced level (professional degree)Student thesis
  • 1278.
    Berglind, Betty
    University West, Department of Nursing, Health and Culture.
    Sjuksköterskans omvårdnad av patienter med myelomatos och associerad kronisk smärta: en litteraturstudie2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Multiple myeloma is a malignant incurable cancer disease associated with severe chronic pain. The nurse has several important roles in the management of patients with multiple myeloma. This study focuses on nurse´s roles including the caring of pain relief.

    Aim: The aim of this study was to elucidate the nurse’s role in giving care to patients with multiple myeloma and associated chronic pain.

    Method: This literature study was based on scientific articles.

    Results: The nurse is in a key position to facilitate ongoing adequate pain and psychosocial assessment of patients with multiple myeloma. The study presents ways of relieving pain and suffering via different ways of caring management. Five themes emerged: communication, support, distraction, information and education, pain assessment and evaluation. The nurse´s roles are acknowledged, and associated ethical dilemmas are presented. Knowledge about how to decrease pain and suffering by non-pharmacological means, improves the nurse´s possibility to manage difficult situations in patients with incurable cancer.

  • 1279.
    Berglund, Britta
    et al.
    Karolinska University Hospital, Nursing Division, Department of Medical and Surgical Gastroenterology.
    Mattiasson, Anne-Cathrine
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Randers, Ingrid
    Sophiahemmet University College.
    Dignity not fully upheld when seeking health care: Experiences expressed by individuals suffering from EhlersDanlos syndrome2010In: Disability and Rehabilitation, ISSN 0963-8288, Vol. 32, no 1, p. 1-7Article in journal (Refereed)
    Abstract [en]

    AIM: The principle of human dignity has assumed importance in ethics and constitutional law throughout the 20th century in the Western world. It calls for respect of each individual as unique, and of treating him or her as a subject, never as a mere object. As such, the principle constitutes an ethical cornerstone in health care. Patients suffering from Ehlers-Danlos syndrome (EDS) challenge medical care and knowledge in health-care professionals' as symptoms sometimes are vague. Individuals with this disorder have reported not being respected when seeking health care.

    PURPOSE: To describe encounters in health-care situations when individuals suffering from EDS experienced that their dignity was not fully upheld. A further aim was to describe the long-term consequences of these experiences.

    METHOD: A study-specific questionnaire was designed, where individuals with EDS described their encounters with health care from a personal perspective.

    RESULTS: After qualitative content analysis, the following five categories were identified: 'Being ignored and belittled by health-care professionals,' 'Being assigned psychological and/or psychiatric explanations', 'Being treated and considered merely as an object', 'Being trespassed in one's personal sphere' and 'Being suspected of family violence'. Consequences of these encounters were 'Mistrusting the physician' and 'Risking bad health'.

    CONCLUSIONS: The memory of not being respected is substantial for individuals with EDS and can last for years. As a result, lack of trust for the health-care system is created and they may experience difficulties in future encounters with health care. Therefore, health-care professionals should base their actions on norms that protect human dignity and confirm each patient as a unique human being with resources and abilities to master their own life.

  • 1280.
    Berglund, Christin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Stake, Emma
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Tillsammans kämpar vi mot cancer som en familj: En litteraturbaserad studie om barns erfarenheter av att ha en förälder med diagnostiserad cancer2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Every year 3000-4000 children in Sweden loses a parent due to accident and illness which means that every day nine children suffer from losing one of the most important person in their life. Cancer is expected to increase from 14 million to 22 million over the next two decades, in the future it will become increasingly common for nurses to meet a child whose parent has cancer. Aim: The aim of this study was to illuminate children's experiences of having a parent diagnosed with cancer. Method: A literature-based study based on eight articles from the databases Cinahl and ProQuest was chosen, read, reviewed and analyzed according to Friberg's analyzing model. Results: Five themes with 11 sub-themes emerged; "Feeling need of support", "The world turns upside down", "Cancer is equal to death", "Changed outlook on life" and "Putting words into feelings". According to young people's perspective the crisis resulted in a positive way of life. Conclusion: Children's anxiety and fear is the greatest when the parent get the diagnosis and future forecast. It is important to provide a safe support since the children's world is turned upside down.

  • 1281.
    Berglund, Emil
    et al.
    University West, Department of Engineering Science.
    Thörnqvist, Simon
    University West, Department of Engineering Science.
    Detaljplan med enskilt huvudmannaskap för allmänna platser: planering kontra genomförande2012Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    I denna studie har vi utrett om genomförandet av allmänna platser inom detaljplanelagda områden med enskilt huvudmannaskap utförts i enlighet med kommunens intentioner. Studien baserades på elva detaljplaner inom tre kommuner i Västra Götalandsregionen där planhandlingar granskats och jämförts med de förrättningar som skett på områdena. Slutligen besiktigades också områdena för att se hur det blev i verkligheten. Granskningen visade att kommunernas intentioner har följts överlag men avvikelser förekommer. Vi kom fram till att enskilt huvudmannaskap kan vara en fungerande lösning för att säkerställa kommunens intentioner om de använder sig av planbestämmelser för att reglera utformningen av allmänna platser i detaljplan.

    En kortare studie av aktuell lagstiftning visar att kommunerna får använda sig av planbestämmelser på allmän plats vid enskilt huvudmannaskap i samma grad som kommunen skall använda sig av dessa vid kommunalt huvudmannaskap.

    Med ett kommittédirektiv som bakgrund, där det b.la. skall utredas hur tillgängligheten till allmänna platser med enskilt huvudmannaskap skall vara, har vi under besiktningen av områdena också undersökt hur tillgängligheten faktiskt var. Besiktningen visade att tillgängligheten till de allmänna platserna varierade mellan de kommuner vi granskade.

    En enkätundersökning visar att lantmäterimyndigheterna anser att samarbetet med kommunerna är för dålig p.g.a. bristande resurser. Lantmäterimyndigheterna har som utgångspunkt att följa planbestämmelser gällande utformning av allmänna platser. Det förekommer att lantmäterimyndigheterna förbiser prövning av väsentlighet och båtnad i de fall detaljplan ligger till grund för förrättningen.

    Övriga slutsatser vi dragit från arbetet är att naturområden som skall vara allmänt tillgängliga ej bör ingå i en gemensamhetsanläggning då väsentlighetsvillkoret enligt Anläggningslagen, AL kan ifrågasättas. Vi kom också fram till att anläggningsbesluten bör utformas mer utförligt för att tydliggöra kostnader och ansvar för fastighetsägare i framtiden.

  • 1282.
    Berglund, Emilia
    et al.
    Göteborgs stad.
    Lager, Karin
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Lundqvist, Jennifer
    Göteborgs stad.
    Gustafsson Nyckel, Jan
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Det dubbla kompetenskravet: en studie av lärarstudenters utveckling av kompetenser inom en ny lärarutbildning2019In: Forskning i Pædagogers Profession og Uddannelse, E-ISSN 2446-2810, Vol. 3, no 1, p. 87-101Article in journal (Refereed)
    Abstract [en]

    "The dual competence requirement - A study of teacher student competences in a new teacher education" examines students dealing with a dual competence requirement in teacher education. The study has its' background in educational trends that aim to bring together a social pedagogical tradition with an educational tradition, with a focus on teacher training in School age educare (fritidshem). Focus group interviews have been used to interview 16 students in teacher education at a university in Sweden with a focus on working in school-age educare. A thematic analysis was implemented, where development of three different competences emerged that correspond to a dual competence requirement, which is Re-creators, Co-Creators and Innovators. The analysis highlights both the differences and similarities between the three competences, while also showing how the competences complement each other. The Re-creators are characterized by adapted and reproduced skills development, in which the student actively chooses to become either a teacher in the school-age educare or his subject. The Co-creators are characterized by the students adapting to the education's implementation and producing parallel skills and becoming teachers in the school-age educare and their subject. The Innovators feature a productive creative competence in which the students use their practical aesthetic subject knowledge in the school-age edu-care activities, and their school-age educare skills in the teaching of the practical aesthetic subject. Findings are discussed in relation to the offering of creative skills.

  • 1283.
    Berglund, Frida
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Laborativ matematikundervisning och dokumentation: Elevers uppfattning om egen dokumentation i samband med laborativ matematikundervisning2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Studien är en kvalitativ studie vars syfte är att belysa hur lärare kan arbeta med elevers egen dokumentation i samband med laborativ matematikundervisning. I forskningsöversikten definieras en laborativ matematikundervisning som ett arbetssätt där eleverna arbetar med praktiska aktiviteter som har ett bestämt undervisningssyfte i matematik. Laborativt material definieras som ett material som kan användas som stöd för elevers tänkande. Men vad händer när matematiklektionerna är över och det laborativa materialet plockas bort? Vad finns då kvar av det matematiska lärandet?  I forskningsöversikten påvisas fördelar med att låta elever dokumentera det laborativa arbetet för att minnas lärandet på olika sätt. Exempel på olika sätt att dokumentera lärandet är att skriva, rita, stillbildsfotografering samt ljud- och videoinspelning. För att undersöka vad elever uttrycker kring dokumentation har studien utgått från barns perspektiv. Deltagande observation och barnintervjuer har använts som metoder för insamling av data. I studien deltog sex elever från årskurs ett och studien genomfördes vid två tillfällen. Vid det första tillfället genomfördes en lektion som handlade om att introducera multiplikation med laborativt material. Under lektionstillfället fick eleverna dokumentera arbetet genom att rita och stillbildsfotografera. Vid det andra tillfället intervjuades eleverna för att undersöka om dokumentationsformerna fungerade som ett sätt att minnas lärandet. Eleverna fick först berätta vad de mindes från det första lektionstillfället utan fotografier och teckningar, de fick därefter berätta vad de mindes med dokumentationen som stöd. Efter att empirin var insamlad genomfördes en transkribering och textkodning för att frambringa resultatet. Resultatet i studien visar att fotografierna fungerade som ett stöd för tanken hos samtliga deltagande elever för att komplettera de muntliga utsagorna om vad de lärt sig. Det framkom även att eleverna uttryckte att fotografier var ett bättre sätt att dokumentera på än att rita för att de då kunde se vilket laborativt material som användes och hur de matematiska problemen löstes.

  • 1284.
    Berglund, Frida
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Olsson, Evelina
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    "Det är roligare när man är två": En kvalitativ studie om hur elever interagerar under parsamtal i matematik när läraren aktivt arbetar med Talk Moves2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund Kommunikation i ämnet matematik är viktigt för att eleverna ska kunna uttrycka och resonera kring matematiska problem. Trots att kommunikation i skolan är nödvändigt finns det en avsaknad av matematiska samtal i den traditionella matematikundervisningen vilket leder till att eleverna inte får lika stor möjlighet att träna på att samtala i matematik. En metod som kan användas för att förbättra elevernas förmåga att resonera är Talk Moves, vilket är samtalsstrategier som kan användas av läraren för att hjälpa elever att träna på att samtala i matematik.

    Syfte Studiens syfte är att med hjälp av Talk Moves undersöka vad som sker i parsamtal mellan elever i årskurs två när läraren arbetar aktivt med dessa samtalsstrategier. Elevernas egna erfarenheter av parsamtal kommer också att undersökas.

    Metod Studien är kvalitativ och för att besvara studiens forskningsfrågor användes både deltagande observationer och barnintervjuer. Metoderna användes för att både undersöka Talk Moves i relation till parsamtal utifrån ett barnperspektiv men även utifrån barns perspektiv då observationerna följdes upp med barnintervjuer.

    Resultat Resultatet visar att när vi arbetade aktivt med Talk Moves blev parsamtalen mer utvecklande och eleverna fick mer talutrymme i klassrummet. När eleverna inte påmindes om att först diskutera igenom hur de skulle gå till väga resulterade det i att elevernas samarbete blev sämre. Samtliga elever kunde se fördelar med parsamtal. Fördelar som eleverna nämnde var att de blev bättre på att lyssna på varandra, samarbeta och kunde lära sig av varandras strategier.

  • 1285.
    Berglöv, Jonna
    University West, Department of Social and Behavioural Studies.
    Två arbetslag inom förskolan och deras syn på trivsel och arbetstillfredsställelse: En kvalitativ studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Det finns lite forskning kring förskollärares upplevelse av trivsel och arbetstillfredsställelse och därför syftade den här studien till att undersöka det hos förskollärare från två nybildade arbetslag. Studien genomfördes med en kvalitativ ansats med en tematisk analysmetod genom halvstrukturerade intervjuer och öppna observationer. Resultatet visade att aspekter som påverkade positivt var känsla av upprymdhet i att gå till arbetet, glädje i att vara med barnen och trygghet i arbetslagen. Aspekter som påverkade negativt var stress, tidsbrist och frustration över saker de inte kunde kontrollera. Deras arbetsmiljö skulle förbättras om de negativa aspekterna reducerades och om de fick göra de förändringar de önskade. Exempel på förändringar var att de ville ha mer tid till planering, mindre barngrupper och större budget.

  • 1286.
    Berglöv, Julia
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    En kvalitativ studie om vad anställda anser är ett givande medarbetarsamtal2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The study investigated employees' subjective experiences and opinions about what a useful employee performance appraisal consists of and it's consequences. A qualitative research method was used with help of semi-structured interviews with a sample of five employees who worked at the same company. Data were analyzed through thematic analysis and the study's result showed three themes of what a useful performance appraisal is according to the participants. The participants thought that a giving performance appraisal is a conversation between themselves and their supervisor where the result of the employees' work is the focus, where the employee's is the main subject of the conversation, and that it has positive outcomes for the employee's work situation. These outcomes can be a sence of satisfaction for the tasks, inspiration, and motivation to perform well and to get a clear vision of what it takes to get there. A relationship-building aspect between the employee's and their supervisor was also raised as a positive desired outcome for the participants of the study

  • 1287.
    Berglöv, Louise
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Söderqvist, Anna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Personcentrerad vård inom BVC2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 1288.
    Bergman, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Westbring, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars behov av stöd från sjuksköterskan2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 1289.
    Bergman, Ann
    et al.
    University West, Department of Social and Behavioural Studies.
    Broberg, Marie
    University West, Department of Social and Behavioural Studies.
    Barnen ska marineras i böcker...: en undersökning om hur skönlitteraturen används i skolans undervisning år 3 och 42004Independent thesis Advanced level (professional degree)Student thesis
  • 1290.
    Bergman, Annika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Våga välja lämna ifrån sig makten: att möjliggöra ökad delaktighet för patienter som behndlas med dialys2013Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 1291.
    Bergman, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Gustavsson, Anna-Lena
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Ökad kunskap hos sjuksköterskor om orsaker till bristande följsamhet förbättrar patienters delaktighet2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In today’s health care it’s most common to treat an illness with a kind of pharmaceutical preparation. But lack of resources, given information and bad communication and collaboration between the patient and the nursing staff can lead to a patient unwilling to follow the doctor’s prescription. This does not just affect the individual patient’s health but it can also result in consequences for other people and the whole society. The purpose of this study was to analyse studies about the concepts compliance and concordance in order to illustrate why patients with chronic illnesses fail to follow their prescriptions. Our method has been to read and analyse the methods and results of articles out of the perspective similarities and differences of the concepts compliance and concordance. It was hard to keep the concepts separated because of their similar meanings. Our result shows that the method used was interviews with questionnaires which has been analysed on the basis of the qualitative studies’ themes and categories. The quantitative articles’ data were displayed statistically. Our analyse showed that patients often lack knowledge about their medical treatment which affects their attitudes and can lead to bad compliance and concordance. As a nurse it’s therefore important to identify the cause that affects the patient. The nursing staff’s goal ought thus to be to get the patient involved as much as possible in their self-care. If the patient is involved in hers/his treatment, it’s more likely that they feel a responsibility towards themselves and therefore gets a better quality of life.

  • 1292.
    Bergman, Cassandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Hektor, Micaela
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Svenska gymnasieelevers drogvanor2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 1293.
    Bergman, Emelie
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Tynkkinen, Tanya
    University West, Department of Health Sciences, Nursing Programme.
    Faktorer som påverkar ungdomars återfall i drogmissbruk2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

  • 1294.
    Bergman, Frida
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    …så då bestämmer jag!: Lekens makt, positioner och genus i förskolan2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Överallt i vår omgivning möts vi av makt av olika slag. Människor både tar och ger makt och fördelar den mellan sig. Redan i tidig ålder utövar barn makt och förhåller sig till genus. Både makt och genus är intressanta ämnen att undersöka i förskolan. Barn har i alla tider lekt, men alla barn är individer och agerar på olika sätt. I leken är det ofta vissa barn som får bestämma mer än andra och i vissa lekar använder barn makt på olika sätt för att få bestämma. I denna undersökning har det gjorts observationer på barns fria lek. Barnen har tagit olika maktpositioner i leken. Det har även gjorts observationer på flickors och pojkars lek samt om deras maktpositioner skiljer sig åt. Vad för slags makt och positioner har barn i förskolan? Hur leker flickor och pojkar, har de liknande sätt att leka eller skiljs det åt?

    Syfte: Syftet är att undersöka hur barnen i sin fria lek fördelar maktpositioner mellan sig samt hur de förhåller sig till dessa positioner utifrån ett genusperspektiv. Mer specifikt är det följande frågeställningar som är i fokus:

    -Vilka maktpositioner tar barn i sin fria lek i förskolan?

    -Hur framträder genus i barns lekar i förskolan?

    Metod: Genom att observera barnens lek synliggörs hur barnen förhåller sig till olika maktpositioner och till genus. Genom observationerna framträder ett mönster i barnens lek. Observationerna genomfördes i en 3-6 årsgrupp.

    Resultat: Det finns flera olika maktpositioner i barnens lekar. Alla dessa positioner är viktiga för barnens utveckling. Även begreppet genus har analyserats i barngruppen och både flickor och pojkar leker liknande lekar. Det finns alltså ingen större skillnad på flick-pojklek men deras maktpositioner är olika. Flickor har en benägenhet att prata och resonera fram till lösningar medan pojkar är mer tävlingsinriktade. Resultatet visar att barnen tar olika positioner i sin lek. Analysen lyfte fram följande positioner: ledandeposition, lösningsbenägenposition, mellanposition och underposition. Alla dessa positioner har lika stor betydelse för barns utveckling.

  • 1295.
    Bergman, Malin
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Karlsson, Jessica
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    En padda i förskolan: En studie i hur Ipaden kan användas i förskolan2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I en mer digitaliserad värld vinner surfplattor och smarttelefoner mark. Dessa verk-tyg har kommit att tillhöra många förskolors vardag. Fler och fler pedagoger ser dessa digitala verktyg som ett möjligt redskap för att underlätta det pedagogiska arbetet som sker på förskolan, framförallt i ett dokumentationssyfte.

    Syfte: Syftet med studien är att undersöka de digitala verktygens användningsområden i för-skolan. Vi vill också få reda på pedagogernas syn på vilka för och nackdelar som de digitala verktygen kan ha i verksamheten.

    Vår frågeställning är:

    1. Inom vilka områden använder pedagogerna de digitala verktygen i förskolans vardag?

    2. Vilka för och nackdelar ser pedagogerna att verktygen kan ha i verksamheten?

    Metod: Vi har använt oss av en kvantitativ webbaserad enkätundersökning och för att få en fördjupad förståelse för vissa frågor gjorde vi fyra semistrukturerade intervjuer.

    Resultat: Resultatet visar att de digitala verktygen har många användningsområden. I studien såg vi att de digitala verktygen i hög grad användes i dokumentationssyfte men att applikationer gör verktygen mer kompletta. Fördelarna med de digitala verktygen var att de bidrog till att barnen fick tänka, prova på och utmana sig själva. Verktygen bidrog också till att dokumentat-ion kunde ske i ett "här och nu"- perspektiv. De är lätta att ta med sig för att kunna dokumentera överallt. Nackdelarna var rädslan att verktygen skulle bidra till ett meningslöst tidsfördriv och att barn inte leker på samma sätt som innan. Det framkom även att pedagogerna ansåg att det var av vikt att verktygen inte ersätter pedagogerna utan istället skulle fungera som ett komple-ment till dem. Studien visar även att krånglande teknik medför att pedagogerna känner frustrat-ion. Möjligheten att reflektera över det dokumenterade materialet var ett ämne som också upp-märksammades. Pedagogerna upplevde att tidsbrist kunde vara ett hinder för dem att hitta ge-mensam reflektionsstund

  • 1296.
    Bergman, Mikael
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Johansson, Stefan
    University West, Department of Social and Behavioural Studies, Division of Social Work and Social Pedagogy.
    Kränkningar på sociala medier: en del av ungdomars vardag2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The social media center is a platform where most of the young people are online a considerable time of their freetime. The new arena to socialize has many advantages, such as containing and exploring the social life. At the same time there are benefits with the huge activity on the internet. There are also plenty of risks such as sleep disorders, internet addiction and internet violations. The purpose of the study is to examine the youth's perception of what kind of violations there are on the social media center and how they may be prevented and inhibited.

    The study has a qualitative approach where our results and analysis are based on three semistructured life-world interviews in form of focus groups. The young people of the study attend a secondary school in a smaller town in southern Sweden and are anonymous in the study. We have used the symbolic interactionism as a theoretical reference framework, where the "definition of the situation", "social interaction", "symbols" and "emphasis on activity" are our theoretical concepts.

    The results of our study show that offensive images and offensive comments about the sexual orientation, political opinion and appearance are the most common violations of social media. It has been shown to be a hard climate on social media and that violations can be seen openly, especially in social media where users can be anonymous. The young participants of the study believe that one of several ways to prevent these violations are through better understanding and continuous discussion among adults and teenagers.

  • 1297.
    Bergman, Peter
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Åsberg, Angelica
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Alla kan inte bli akademiker: en kritisk studie av regeringens kunskapssyn och betygspolitik2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund:

    Bakgrunden till vår uppsats grundar sig på frågan vem skolan egentligen är till för. Vi tog sedan vår utgångspunkt i en föreläsning av Sir Ken Robinson "Changing Education Paradigms". För att smalna av vårt forskningsområde valde vi att inrikta oss mot betyg och dess konsekvenser.

    Syfte:

    Syftet med uppsatsen är att undersöka varför betyg existerar, vad vi betygsätter och hur det påverkar elever att bli betygsatta.

    Metod:

    Metoden som använts i uppsatsen är en diskursanalys, där olika utdrag ur olika artiklar och publikationer (regering, skolminister, självhjälpsbok) analyseras utifrån två teoretiker och två forskare.

    Resultat:

    I vår analys av vårt valda material framkommer en relativt oproblematisk syn på kunskap och betyg, som innebär att fakta är fakta oavsett perspektiv. Analysen visar också att uppfattningen om betyg inte stämmer överens med forskningen

  • 1298.
    Bergqvist, Annie
    et al.
    University West, Department of Social and Behavioural Studies.
    Busche, Charlotte
    University West, Department of Social and Behavioural Studies.
    Lekpedagogik under de första skolåren: en studie om lärares syn på lekens plats i undervisningen2006Independent thesis Advanced level (professional degree)Student thesis
    Abstract [sv]

    Bakgrund: I Lpo 94 står det att skolans uppdrag är att inkludera lek i undervisningen. Särskilt under de tidiga skolåren betyder leken mycket för elevernas kunskapsutveckling. Forskare är eniga om lekens betydelse för barns lärande. Lärarutbildningen förespråkar lek och lustfyllt lärande för att främja barns lärandeprocess. Under vår verksamhetsförlagda utbildning (VFU) har vi dock inte sett mycket lekpedagogik i undervisningen och vi blev intresserade av varför leken är så lite förkommande i skolan. Den lek som vi har observerat under våra VFU-perioder är styrd lek och används av pedagogen antingen som rekreation mellan arbetspass eller som hjälp till inlärning. Syfte: Studien syftar till att undersöka lärares syn på lek i undervisningen under de tidiga skolåren och hur de använder sig av lekpedagogik i undervisningssyfte. Metod: Vi har använt oss av kvalitativ forskningsmetod i form av fokusgruppsintervjuer. Vi har i fyra fokusgruppsintervjuer fört samtal med pedagogerna om vad de anser om lekpedagogik i skolan och hur de använder leken som redskap för lärande. Resultat: Genom fokusgruppsintervjuer med lärare i de tidigare skolåren har vi funnit att samtliga informanter anser sig använda lekpedagogik i undervisningen. De menar att lek kan man använda i alla sammanhang och i alla ämnen. Vår studie visar på att pedagogerna är positivt inställda till lekpedagogik och de anser att det behövs mer lek i skolan. Syftet med lek i undervisningen är främst som inlärning och som paus mellan arbetspass. De anser att fri lek är viktig i undervisningen men använder själva den styrda leken. Pedagogerna menar att det finns olika faktorer som bidrar till att lekpedagogik är svår att ta i bruk.

  • 1299.
    Bergqvist, Anton
    et al.
    University West, Department of Engineering Science, Division of Mechanical Engineering and Natural Sciences.
    Wellme, Andreas
    University West, Department of Engineering Science, Division of Mechanical Engineering and Natural Sciences.
    Kvalitetssäkring med Visionteknik: Inspektion av monterade produkter2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Tyri Sweden AB is a company that produces LED-lights for heavy vehicles. Tyri wants to investigate if machine vision can help them to assure that gaskets and membranes are assembled to ensure that the end customer doesn't get a faulty product. The purpose of the project is to create an understanding on how machine vision can be a tool to detect faulty products. The goal is to answer the question regarding if machine vision is a suitable technique to detect gaskets and membranes. Another thing that is to be investigated is whether the movement of the object and if light conditions affects the reliability of the inspection method. To answer these questions is a literature study conducted followed by an experiment with the suitable method. The company has previously done studies on threedimensional inspection methods and therefore want the focus to be on two-dimensional methods. The two-dimensional methods that are presented are traditional camera and thermal images. A suitable method is identified based on the literature study and criteria from the company. The chosen method is a smart-camera with software developed by the camera manufacturer. This method is used in an experiment with the purpose to collect data for a statistical analysis to determine how reliable the method is. The reliability is tested via hypothesis testing where it is examined how often the method makes a wrong decision. The null hypothesis states that more than one percent of the decisions are incorrect and the counter hypothesis states that less than one percent are incorrect.

    The experiment is done in a production environment that simulates the production of the company. A smart-camera is placed above a conveyer and each time a product pass below the camera a photo is captured. The photo is then analyzed in a software to identify if gaskets and membranes are assembled or not. Four test runs are conducted where gaskets and membranes are tested separately in either factory lighting or controlled lighting. From the statistical calculations based on the results from the test runs the null hypothesis can be seen as false in three of the test runs. The test run where the null hypothesis is true is when gaskets are being detected in factory lighting.

    A conclusion is then made that machine vision is a suitable method to detect if gaskets and membranes are missing. Another conclusion is that the inspection can be made in a reliable way in spite of the movement of the object as long as controlled lighting is used. Controlled lighting is not as critical if the object to inspect is standing still. Controlled lighting can be used to create shadows to optimize the accuracy of the inspection and therefore the importance of the light can be seen as situational.

  • 1300.
    Bergqvist Boström, Ewa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nilsson Wicke, Lena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att lyssna är att stödja: Sjuksköterskors erfarenheter av patienter med utmattningssyndrom2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness where fatigue syndrome is one of the diagnoses is an increasing problem. Many persons with fatigue syndrome experience abandonment and do not achieve the help they need and are entitled to. Time for conversation and self-care is an important part of rehabilitation where primary healthcare and occupational healthcare have a prominent role Aim: This study's purpose was to explore what experience that nurses in primary and occupational healthcare had of patients with fatigue syndrome. Method: Eight nurses from primary and occupational healthcare were interviewed using semi-structured questions. The interview material was analyzed using content analysis. Results: A theme listening and two categories gatekeeper and create comprehensibility emerged. All nurses had initially long conversations with the patients, but their experience differed. Some of the nurses told that they were important to the patients and others indicated that they were not working with this patient group. Conclusion: All nurses describes that what they do means that they are listening to the patients at the same time that several of them not explicit express it as a support. That can be interpreted as the relation part of nursing are invisible for the nurses who does not perceive their listening valuable for the patients.

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