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  • 151.
    Arveklev Höglund, Susanna
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Berg, Linda
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Wigert, Helena
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Morrison-Helme, Morag
    Faculty of Education, University of Cambridge, United Kingdom.
    Lepp, Margret
    Østfold University College, Halden, Norway, School of Nursing and Midwifery, Griffith University, Australia.
    Nursing students experiences of learning about nursing through drama2018In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 28, no 1, p. 60-65Article in journal (Refereed)
    Abstract [en]

    The ability to understand, interact and create a caring relationship with the patient is a core component in nursing. A shift in nursing education from traditional classroom teaching towards more experiential approaches should be encouraged as this will support learning that links theory with practice. The aim of this study was to describe nursing students' experiences of learning about nursing through drama. This qualitative study was conducted at a university in Sweden. Four focus group interviews were conducted with a total of 16 nursing students and the data was analyzed using a phenomenographic approach.Three themes with their attendant categories emerged through the analysis: "To explore the future professional self", "To develop an understanding of the patient perspective", and "To reflect on the nature of learning". In conclusion this study shows that the use of drama in nursing education can provide opportunities to explore interactions with others which can increase students' self-awareness and ability to reflect on their future professional identity. Acting in role as a patient can provide an opportunity to experience the patient perspective. Also clear was the importance of commitment and engagement ofthe students as a prerequisite for optimizing this form of learning experience through drama

  • 152.
    Arveklev Höglund, Susanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Gunnarsdottir, Hrafnhildur
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Relations and interrelations between Sense of Coherence, socioeconomic status and health behaviour: A systematic review2019Conference paper (Refereed)
    Abstract [en]

    Background/Objectives

    Previous research shows that the stronger the sense of coherence (SOC) the healthier behaviour. A strong SOC seems to be related to lower consumption of drugs and smoking, more frequent physical exercises and healthier food choices. Further it is established by previous research that there is a difference in health behaviour between socioeconomic groups. Individuals with lower socioeconomic status (SES) smoke to greater extent, have more sedentary lifestyle and make unhealthier food choices than individual with higher SES. The evidence regarding the interactive relations of SOC and SES to health behaviour or the potential mediating role of SOC in the relationship between SES and health behaviour is more unclear. In order to explore this, there is a need of systematic reviews of the evidence concerning SOC and health behaviour and interactions with SES.

    Thus, the objective of this study is to explore and synthesize empirical findings on the relationship between SOC and health behaviour among adults. Further the aim is to explore to what extent interactions with SES is considered in the studies of SOC and health behaviour.

     Methods

    The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic research focusing on the relationship between sense of coherence and health behaviour among adults and interrelations with socioeconomic status. The review covers scientific publications as well as doctoral theses published 2008–2018. The review is systematic in the sense that all the included papers will be critically examined and analyzed according to (1) the study objective, (2) the study designs and methods for analysis and, (3) the applicability and practical use of the results.

     Results

    Expected outcomes of this study will be established state of the art regarding the relationship between sense of coherence and health behavior and interrelations with socioeconomic status. Further the results will identify knowledge gaps important to address in future research.

    Discussion

    The potential contribution of the synthesized knowledge to achieve a sustainable and equal development of health will be discussed as well as to what extent health inequalities can be explained or understood by SOC.

     

     

     

  • 153.
    Arveklev Höglund, Susanna
    et al.
    Institute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Wigert, Helena
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Berg, Linda
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Burton, Bruce
    Griffith University, Mt. Gravatt Campus, Queensland, Australia.
    Lepp, Margret
    Østfold University College, Halden, Norway.
    The use and application of drama in nursing education: An integrative review of the literature2015In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, no 7, p. e12-e17Article in journal (Refereed)
    Abstract [en]

    Background Caring is grounded on universal humanistic values such as kindness, empathy, concern and love for self and others. Nurses need to learn how to implement these values in the care for patients. Nursing students find it hard to assimilate theoretical knowledge in practice. Experiential learning in the form of drama has been used in several studies to enhance nursing students' learning. Aim The aim of this study was to review empirical and theoretical articles on the use and application of drama in nursing education. Design An integrative review of the literature.MethodThe databases CINAHL, PubMed, ProQuest and Academic search elite were searched for articles. Result The search generated 64 articles, with 20 articles meeting the inclusive criteria. Three themes with their attendant subthemes emerged through the analysis. The themes are: The Framing, The Objectives and The Embodiment. Conclusion Drama is effective in entry level courses in nursing education to enhance student learning and can be flexible and adjusted to various contexts. Further research using drama to enroll nursing students as fictive patients and relatives and thereby explore different perspectives is suggested, and more research on the application of drama in nursing education at an advanced level is required.

  • 154.
    Arveklev Höglund, Susanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences. Sahlgrenska Academy.
    Wigert, Helena
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Berg, Linda
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Lepp, Margret
    Østfold University College, Halden, Norway.
    Specialist nursing students experiences of learning about paediatric care through dramaManuscript (preprint) (Other academic)
  • 155.
    Arvidsson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hernevik, Sabina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sociala mediers påverkan på ungdomars psykiska häls: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The increasing prevalence of mental illness among adolescents has become a burden to health care. Simultaneously the use of social media has become pervasive among adolescents. How does the increased use of social media affect the mental health among adolescents?      Aim: The aim of this study is to investigate how the use of social media effects adolescents´ mental health. Method: Both qualitative and quantitative data was collected and used in a literature overview with the analysis method of Friberg through a descriptive summary of the area. Ten articles was used. Results: The use of social media can both promote and counteract the mental health among adolescents. Thus it can create a sense of context and connection it can also contribute to stress, impaired sleep quality, development of eating disorders and also to a lower selfesteem.   Previously mental illness was shown to be fortified by the use of social media.    Conclusion: The prevalence of mental illness was associated with a high usage of social media.       

  • 156. Arvidsson, Barbro
    et al.
    Skärsäter, IngelaUniversity West, Department of Nursing, Health and Culture, Division of Nursing.
    Psykiatrisk omvårdnad: Att stödja hälsofrämjande processer.2006Collection (editor) (Other academic)
  • 157.
    Arvidsson, David
    et al.
    University West, Department of Nursing, Health and Culture.
    Ryding, Christian
    University West, Department of Nursing, Health and Culture.
    Kan utnyttjandet av betald friskvård samvariera med den upplevda arbetsmotivationen?: en studie på anställda i Trollhättans Stad2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie berör friskvårdsförmåner och dess utnyttjande, som anställda kan få betalda av sin arbetsgivare samt hur detta utnyttjande kan påverka arbetsmotivationen. Detta sker inledningsvis genom en beskrivning av friskvård mer generellt, därefter följer en skildring kring skapandet av arbetsmotivation samt dess utformande. Vårt syfte med denna studie var först att undersöka utnyttjandet av betald friskvård och den upplevda arbetsmotivationen hos de anställda i Trollhättans Stad. Efter denna kartläggning var syftet att identifiera hur det differentierade utnyttjandet kunde samvariera med den upplevda arbetsmotivationen.

     Studien grundar sig på en kvantitativ undersökning i enkätform, vilken har utförts inom den offentliga verksamheten i Trollhättans Stad. Av de 440 stycken utskickade enkäterna fick vi totalt in 282 stycken, vilket gav undersökningen en svarsfrekvens på 64 procent. Könsfördelningen hos respondenterna i undersökningen var 78 procent kvinnor och 22 procent män. Bland våra respondenter kan det utläsas att det generellt existerar en positiv upplevelse kring att Trollhättan Stad som arbetsgivare väljer att erbjuda någon form av friskvård till sina anställda. Dock är inte utnyttjandet av dessa lika stort i relation till respondenternas positiva attityder till friskvård. Dessutom uppvisas en generell tillfredsställelse i upplevd arbetsmotivation, vilket delvis exemplifieras genom en hög meningsfullhet och motivationsnivå bland respondenterna. Resultatet påvisar genomgående att det existerar tendenser, som uppvisar att regelbundet friskvårdsutnyttjande är en faktor som kan samvariera med den upplevda motivationen hos de anställda på en arbetsplats. Däremot får dessa tendenser ses som relativt svaga då det är komplicerat att identifiera kausaliteten mellan dessa ämnesområden.

     Vi menar att eventuella insatser för att förbättra de kommunanställdas utnyttjande av betald friskvård, främst bör inriktas på de som mer sällan eller aldrig väljer att utnyttja någon form av betald friskvård. Detta då det troligen hade gett störst effekt på organisationens verksamhet, då ett brett utnyttjande av samt positiva attityder till friskvårdsförmånerna, är en god förutsättning för en främjande arbetssituation. Dessutom menar vi att det krävs ett långsiktigt strategiskt arbete för att uppnå denna främjande arbetssituation, vilket i sig skulle kunna bidra till en ökad arbetsmotivation för den enskilde individen.

  • 158.
    Arvidsson, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Grönqvist, Malin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Individers upplevelser av ofrivillig barnlöshet i samband med utredning och behandling: En litteraturstudie2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One in ten couples suffers from some form of involuntary childlessness or infertility in Sweden. Involuntary childlessness or infertility is when an individual or a couple has a desire for a child but are unable to conceive on their own. To suffer from involuntary childlessness can be a mental strain that can result in a personal crisis, where the existential issues become central and contested. Regardless of the reason for their changed life world is because of involuntary childlessness or infertility, it is always important for the nurse to have an understanding of individual’s life-changing world and experiences. 

    Aim: The aim of the study was to describe men and women experiences of involuntary childlessness during investigation and treatment.

    Method: Selected method was a literature review. The study was based on articles from systematic and unsystematic searches in databases and analyzed from the chosen method.

    Results: Four main themes emerged from the analysis, 'The changing life-world', 'The mental strain', 'Perceptions of relationships and social life' and 'experiences related to treatment'.

    Conclusion: Being involuntarily childless and infertile create a mental, physical and social stress. Clinically, this means a responsibility to offer a personalized support. For the nurse it is important to have an understanding of individual life-world and how the involuntary childlessness affects them.

     

  • 159. Arvidsson Lenner, R
    et al.
    Carlgren, G
    Carlgren, G
    Hardell, LI
    Johansson, B
    Jonsson, G
    Samuelson, Gösta
    Sandström, B
    Food and nutrient intake in Swedish diabetic children1989In: Näringsforskning, Vol. 33, no 4, p. 149-53Article in journal (Other academic)
  • 160.
    Askarian, Zahra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans erfarenhet av undervisning om egenvård hos utlandsfödda patienter som har astma2014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Asthma disease is a public health problem. The incidence of asthma can vary depending on the patient's ethnicity. There is a risk for patients who have language difficulties with non-Swedish background that do not always tell you about the extent of their problems, and/or to express their symptoms differently and or do not complete their treatments or the recommendations given on self-care. The language barrier can make following self-care advice difficult, even compliance to taking their medicine in a correct fashion. The nurse's perception of the patient lived situation, knowledge and to see the patient as a whole, can increase the nurses' knowledge and compliance in giving relevant information to the patient which he/she understand. This will in turn strengthen the patient's capability to follow advice and complete their prescribed health care regime. Purpose with study was to describe the nurse’s experience of teaching on self-care in patients with non-Swedish background with asthma. The study is based on qualitative method. Sex nurses interviewed in this study January and February 2014 in Gutenberg in Sweden. Inductive qualitative content analysis is used. The Results of this study are presented in three categories: experience of communication on self-care, experience of patient's self-care and experience of follow-up patients. I believe that nurses with a better understanding of patient who have a non-Swedish background can achieve higher compliance from the asthma patient which in turn can lead to effective self-care outcomes

  • 161.
    Askland, Daniel
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ahmad Sadik, Nawsaid
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patientutbildning för personer med bipolär sjukdom: Upplägg och innehåll av utbildningar inom psykiatrisk öppenvård2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    To suffer from bipolar disorder can cause significant distress. Bipolar disorder causes severe shifts in mood. The person can, apart from having a normal mood, experience depressive episodes or a highly elevated mood – hypomania or mania. Psychoeducation as a complement to medicine treatment can help persons manage their disorder and reduce severe changes in mood. Little is known about psychoeducation programs in the country as a whole. Knowledge about these programs can be useful for evaluation and can contribute to valuable insights. The aim of this study was to survey the setup and content of psychoeducation programs for people with bipolar disorder in outpatient care in the country. To accomplish this a cross-sectional study was made through a web-based questionnaire sent to staff involved in outpatient psychoeducation. The Swedish National Quality Register for Bipolar Disorder – BipoläR contributed with contact information to the outpatient clinics. All 234 clinics involved were linked to BipoläR, 56 answers were returned resulting in the following information: Most of the psychoeducation programs were group-based. The major part used programs designed by themselves. Nurses were the most frequently staff involved. The mean amount of time for education delivery was 12 hours. The psychoeducation content was rich in important aspects related to the disorder. The programs were delivered through lectures and discussion. The conclusion of this study was the emphasis on group-based programs developed at the clinics, the quality content of programs and the possible need for more evidence-based programs.

  • 162. Asp, NG
    et al.
    Hallberg, L
    Hallmans, G
    Samuelson, Gösta
    Reutersvärd, AL
    Iron nutrition in health and disease: Referat från ett internationellt symposium1996In: Scandinavian Journal of Nutrition, ISSN 1102-6489, Vol. 40, no 2, p. 76-80Article in journal (Refereed)
  • 163.
    Aspegren, Moa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wik, Joanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans uppfattning av nutritionsansvaret för patienten: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Nutrition plays an important role in the lives of all people, both for health and for illness. Malnutrition has a negative impact on the human body, especially in the case of illness, as both mortality and complications increase in this condition. The Nurse has the highest level of nursing responsibility for the patient, where nutrition is an important part. Aim The purpose of this literature review was to describe how nurses perceive their nursing responsibility for the patient’s nutrition on a somatic ward.  Method The research method was a literature review based on articles with both qualitative and quantitative stirring. Articles were analyzed according to Friberg (2012). Four themes submerged from the analysis: lack of knowledge, barriers to nutritional care, nurses’ attitudes, and nursing role.   Results The Nurse generally considered that the nutrition of the patients was within their area of responsibility, however, they felt that they did not have enough knowledge to meet the needs, both in terms of nutrition knowledge and the national assessment tools available. After receiving education in nutrition, the nurse felt safer in this role. Time and staff shortages in combination with competing tasks were considered barriers to effective nutrition care. Attitudes towards nutrition and shortcomings in collaboration between occupational categories were also considered as obstacles. Conclusion More knowledge is needed about nutrition along with a distinct accountability for nurses. Also a better working interdisciplinary between doctors,  nurses and dietitians. Nurses also wanted better meal options and more flexible time for patients to eat.

  • 164.
    Asplund, Charlotta
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hallgren, Magdalena
    University West, Department of Health Sciences, Section for nursing - graduate level.
    "En tickande bomb": Sjuksköterskors upplevelser av att vårda hotfulla och våldsamma patienter i psykiatrisk slutenvård2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Inpatient aggression is common as a phenomenon in psychiatric inpatient care. Inpatient aggression arises for several reasons. It disturbs the nurses in their work assignments and causes negative emotions, which can be reflected in the interaction with the patients.

    Aim: To describe nurse's experiences of caring for aggressive patients in psychiatric inpatient care

    Method: An interview study was conducted with eight nurses at two psychiatric clinics at a hospital in a big town in Western Sweden. The material was analysed through qualitative content analysis.

    Results: The analysis resulted in four main categories. The first category is uneasiness, with subcategories: to feel anxiety, to feel stress, to feel sad and to feel offended. The second category is fear, with subcategories: to feel fear for the aggressive patient and to feel fear for others sake. The third category is powerlessness, with subcategories: to lose control, to feel frustration and to work with a ticking time bomb. The fourth category is work to create security policies with subcategories: understanding the patients' situation and courage to remain in an aggressive encounter.

    Conclusion: Inpatient aggression is often associated to symtoms and/or drug abuse, which also was confirmed in our study. In most scenarios the nurses had a deeper understanding for the patients behavior and thereby a higher tolerance towards inpatient aggresion. The nurses claimed that beeing available to the patients was very important, since that created an atmosphere of security for both parties and it was assumed a presumtion for a good caring relationship.

  • 165.
    Astonson, Emma
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Smith, Hanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vad som påverkar sjuksköterskans beslut vid smärtskattning och smärtlindring av barn: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Pain assessment and pain relief in children has traditionally remained a subject where research has been lacking. In recent years this has changed, but new knowledge about pain in children and how to relieve it still isn’t used in full capacity in clinical practice.

    Aim

    The aim of the review was to assess what’s affecting the nurse’s decision when doing pain assessment and relieving pain in children.

    Method

    A systematic literature overview study based on nine articles, both qualitative and quantitative. The results of the nurse’s decision when doing pain assessment and relieving pain in children were divided in to themes and subthemes.

    Results

    Many things can affect how the nurse decides how to do her pain assessment and the following pain relieving in children. Three themes came up and were named knowledge, organizational structure and attitudes.

    Conclusion

    The nurses need more knowledge about pain and children and how to assess and manage the pain. Guidelines might help nurses make the right decisions when doing pain assessment and relieve pain in children

  • 166.
    Athlin, Elsy
    et al.
    Karlstad University, Department of Nursing.
    Larsson, Maria
    Karlstad University, Department of Nursing.
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    A model for a national clinical final examination in the Swedish bachelor programme in nursing2012In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, no 1, p. 90-101Article in journal (Refereed)
    Abstract [en]

    Aim To describe the development and evaluation of a model for a national clinical final examination in the bachelor nursing education.

    Background After the transfer of nursing education to the academy, concerns have been raised among nurses, nurse leaders, lecturers and researchers about the nursing students clinical competence at the entrance to professional life.

    Methods During 2003 to 2005, a collaborative project was carried out between four universities and adjunctive health-care areas supplying clinical placements in Sweden. A two-part examination was agreed upon comprising a written theoretical test and a bedside test. An assessment tool for the bedside test was created. Nursing students, nurses and clinical lecturers participated voluntarily in the evaluation.

    Results The model was highly appreciated, and its relevance, usability, and validity were considered quite good for the assessment of nursing students clinical competence at the final stage of their education. Several deficiencies were revealed, which led to further development of the model.

    Conclusions and implications for nursing management The development and first evaluation of the model proved encouraging for further use, but it needs further evaluation. Involvement of nursing managers is necessary in order to satisfy new demands on competence and staffing of clinical nurses.

  • 167.
    Attar, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av tvångsvård: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Admitting psychiatric patients against their will is a criticized form of care. Decisions stating that a patient needs to be hospitalized under coercion are based on their incapability to voluntarily participate in their care. Former patients reported that coercive care led to lower satisfaction with their care. Although most former patients experienced negative care, there where patients that understood their care. Previous studies stated a need to examine how patients experienced being under coercive care and subjected to coercive measures such as seclusion, mechanical restraint and forced medication.

    Aim: This study aimed to illuminate adult psychiatric inpatients experiences of coercive care.

    Method: A literature-based study based on analysis of ten qualitative scientific studies.

    Results: 3 themes with 10 subthemes emerged from the analysis; interpersonal relationships, lack of influence while under coercive care and good coercion. The results showed that negative experiences of coercion were often linked to the actions of the mental health care staff. The relationship to the staff could contribute to their experiences being negative or positive. Patients also stated that they felt powerless and experienced loss of autonomy during coercive care. Good coercion was experienced when they felt seen and taken seriously.

    Conclusion: Patients expressed both negative and positive experiences of coercion. Patients wished for better adjusted information and opportunities to participate. They also expressed the need for trusting and supportive relationships to the mental health care staff. This could lead to greater understanding for their coercive care.

  • 168.
    Avdagić, Mesud
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Att förmedla trygghet: En studie om distriktssköterskor och derasrelation till patienter2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background One of the main demands on Swedish and global health care in general is to meet the patient’s need for safety. By general health care law this also comprises district nurses’ field of responsibility. Although there are numerous studies describing the concept of safety and its different shapes, no research could be found exploring how safety is, or supposed to be, mediated by district nurses’ in a Swedish context. Research about this is therefore needed. Aim The aim of this qualitative study was to explore how district nurses’ mediate safety to their patients. Method Qualitative data were collected from seven district nurses’ by means of semi structured interviews. Thereafter, a concept analysis was carried out. Results Responses revealed that district nurses’ consider themselves mediate safety through a variety of ways. Five major categories emerged: (1) complaisance’s; (2) competence; (3) patient participation; (4) same caregiver; (5) personal characteristics. Conclusion District nurses’ mediate safety through a combination of general attitudes and concrete acts. Preconditions are bound to each district nurse’s individual ability to give a good complaisance, his/her competence and ability to involve patients in treatment and care. Other, less pronounced, are bound to the district nurse’s ability to create continuity in contact with patients’ and his/her personal characteristics.

  • 169.
    Avellán, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Örtendahl, Linda
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Livskvalitet hos kvinnor med urininkontinens: En kvantitativ studie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Urinary incontinence is a major health problem that affects many women. It usually affects quality of life in a negative manner which may cause suffering for the women. The purpose of this study was to investigate in what ways urinary incontinence had an impact on quality of life among women seeking help in primary health care. The method used was a quantitative non-experimental cross-sectional study. Data was collected from two different health centres in the region and totally 187 women were asked to participate in the study. A validated instrument, Incontinence and quality of life (ICIQ-UI-SF), was used for data collection and one additional question was constructed. In total 132 women (71 %) participated in the study. The result showed a median age of 75 years (range 36-94 years). Furthermore, the study showed that urinary incontinence had a greater negative impact on quality of life of the younger women compared to the older women. Frequency, quantity and severity of urinary incontinence had a great impact on the quality of life of the women. Fifty percent of the women had not been treated for the urinary incontinence. The treated women had a significantly lower average age. Urinary incontinence treatment did not have any significant impact on the quality of life of the women in the study. Worth noting was that treated younger women experienced significantly less quality of life compared to untreated younger women. Despite urinary incontinence treatment the women experience worse quality of life which could indicate that the women are under-treated. To be able to help women with urinary incontinence it is important that health care personnel are aware of how these women experience their quality of life.

  • 170.
    Awome, Josefin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Fekete, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av familjecentrerad omvårdnad när ett barn vårdas på sjukhus2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a child is cared for in hospital, the child's well-being and ability to influence its own care must be taken into consideration. Children should not be separated from their parents unless the purpose is to protect the child. Children are entitled to a relative's presence and participation throughout the care period. The environment affects the child's experience of health and well-being during hospitalization. The presence of the family is of great importance and creates a well-being that gives the child security, harmony and an inner calm. 

    Aim: The aim of this study was to highlight nurses' experiences of family-centered care when a child is admitted to hospital.

    Method: The method was a literature-based study that contributes to evidence-based care, eight scientific articles with qualitative data were analysed using Friberg's five-step model. The method was used to compile and analyse previous research into a new whole and to use the identified scientific knowledge into practically useful knowledge.

    Results: Three main themes and ten subthemes were identified. The first theme describes the relationship between the nurse and the family. The subthemes were; The importance of the family, Creating a trusting relationship, Involving the family in the child's care, The family may hinder family-centration. The second theme describes the importance of communication. The subthemes were; Need for communicative skills, Nurses' retention of certain information, Cultural barriers. The third theme describes lack of resources preventing family-centration. The subthemes were; Insufficient material and infrastructural resources, Insufficient human resources and Lack of knowledge about family-centering.

    Conclusion: Family's presence is of great importance to the child, that the nurse should be able to involve the family in the child's care and create a trusting relationship with the family. Nurses' approach is meaningful to how the family's participation in the child's care is perceived. The family can be seen as an obstacle or an advantage to the nurse's work. The nurses acknowledge that they need more knowledge about family-centered nursing in its entirety, and how to work with the family.

  • 171.
    Ax Hansson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Derdziak, Anna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Närståendes behov av stöd då de vårdar eller stödjer en person med långvarig psykisk sjukdom2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To illuminate relatives need of support when caring for or supporting a person suffering from mental illness

    Background: Relatives of a person suffering from mental illness have different needs. It has for the past few years merely been little improvements in the relative's situation.

    Methods: Focus group interviews with fourteen relatives. Data were analyzed through manifest content analysis.

    Findings: Three categories were found: Functioning contact channels to the psychiatric health care organization, Need of an active support from the psychiatric health care organization and Need of support from community resources.

    Conclusion: The relatives need more attention and understanding for their situation. The support of relatives must be designed and monitored individually. A collaboration or a well-functioning relation with the psychiatric nurses, other professionals working in the health care organisation and social services gives a mutual respect and trust which in turn leads to that the relative is confirmed as an important resource in the care of the mentally ill person. The relatives need an increased support and understanding from the community.

  • 172.
    Axelsson, Andrea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Friman, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas erfarenheter av att leva med ADHD: En litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background ADHD is a disability with symptoms like inattention, impulsivity and hyperactivity. The symptoms can make everyday life difficult for the adults with ADHD. In Sweden, 2,5% of the adult population is expected to have ADHD. Previously, the diagnosis has been noted as a disability that is only found in children. This has meant that many adults have not received the help they need.

    Aim The aim of this study was to describe adults´ experiences of living with ADHD.

    Method The method chosen for this study was to contribute to evidence-based nursing with ground in analysis of qualitative research. By using this method, experiences from adults living with ADHD could be described. Eight articles were analysed from which three main themes och ten sub themes arose.

    Results The result showed that living with ADHD both is about handling a life with limitations and strengths caused by its symptoms. It also showed how the symptoms impact the everyday life and the experience of failure in both social life and work life. It is important for adults with ADHD to gain self awareness and awareness from others. It is also described how adapting the environment can help the adult with ADHD.

    Conclusion It is important for adults with ADHD to get good knowledge about the diagnosis, to get support and that both healthcare professionals and relatives are well informed about the need and support.

  • 173.
    Axelsson, Christer
    et al.
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Herlitz, Johan
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Karlsson, Anders
    Ambulance Service Sothern,Älvsborg Hospital,Borås,Sweden..
    Sjöberg, Henrik
    Ambulance Service Sothern,Älvsborg Hospital,Borås,Sweden..
    Jiménez-Herrera, Maria
    Nursing Department,Universitat Rovira I Virgili,Tarragona,Spain.
    Bång, Angela
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Jonsson, Anders
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Bremer, Anders
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Andersson, Henrik
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Gellerstedt, Martin
    University West, Department of Economics and IT, Divison of Law, Economics, Statistics and Politics.
    Ljungström, Lars
    Infektion Disease Department,Skaraborg Hospital,Skövde,Sweden.
    The Early Chain of Care in Patients with Bacteraemia with the Emphasis on the Prehospital Setting.2016In: Prehospital and Disaster Medicine, ISSN 1049-023X, E-ISSN 1945-1938, Vol. 31, no 3, p. 272-277Article in journal (Refereed)
    Abstract [en]

    Purpose There is a lack of knowledge about the early phase of severe infection. This report describes the early chain of care in bacteraemia as follows: (a) compare patients who were and were not transported by the Emergency Medical Services (EMS); (b) describe various aspects of the EMS chain; and (c) describe factors of importance for the delay to the start of intravenous antibiotics. It was hypothesized that, for patients with suspected sepsis judged by the EMS clinician, the delay until the onset of antibiotic treatment would be shorter. Basic Procedures All patients in the Municipality of Gothenburg (Sweden) with a positive blood culture, when assessed at the Laboratory of Bacteriology in the Municipality of Gothenburg, from February 1 through April 30, 2012 took part in the survey. Main Findings/Results In all, 696 patients fulfilled the inclusion criteria. Their mean age was 76 years and 52% were men. Of all patients, 308 (44%) had been in contact with the EMS and/or the emergency department (ED). Of these 308 patients, 232 (75%) were transported by the EMS and 188 (61%) had "true pathogens" in blood cultures. Patients who were transported by the EMS were older, included more men, and suffered from more severe symptoms and signs. The EMS nurse suspected sepsis in only six percent of the cases. These patients had a delay from arrival at hospital until the start of antibiotics of one hour and 19 minutes versus three hours and 21 minutes among the remaining patients (P =.0006). The corresponding figures for cases with "true pathogens" were one hour and 19 minutes versus three hours and 15 minutes (P =.009).

    CONCLUSION: Among patients with bacteraemia, 75% used the EMS, and these patients were older, included more men, and suffered from more severe symptoms and signs. The EMS nurse suspected sepsis in six percent of cases. Regardless of whether or not patients with true pathogens were isolated, a suspicion of sepsis by the EMS clinician at the scene was associated with a shorter delay to the start of antibiotic treatment. Axelsson C , Herlitz J , Karlsson A , Sjöberg H , Jiménez-Herrera M , Bång A , Jonsson A , Bremer A , Andersson H , Gellerstedt M , Ljungström L . The early chain of care in patients with bacteraemia with the emphasis on the prehospital setting. Prehosp Disaster Med. 2016;31(3):1-6.

  • 174. Axelsson, I
    et al.
    Gebre-Medhin, M
    Hernell, O
    Jakobsonn, I
    Michaelsen, K F
    Samuelson, Gösta
    [Recommendations for prevention of iron deficiency. Delay cow's milk intake as a beverage to infants until 10-12 months of age!].: Rekommendationer för att förebygga järnbrist. Vänta med komjölk som dryck tills barnet är 10-12 månader!1999In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 96, no 18, p. 2206-8Article in journal (Refereed)
    Abstract [sv]

    Breast-feeding is to be encouraged during the first six months of life. Iron deficiency is extremely rare in exclusively breast-fed infants during this period. Any cow-milk based formula used should be iron-fortified. During the second half of infancy, the iron content of weaning foods is important in preventing iron deficiency. Indeed, owing to the low iron content of dairy products, it is hard to compose a weaning diet sufficiently rich in iron to meet the demands of rapidly growing infants, if it is to include substantial amounts of cow milk, sour milk or yoghurt. Accordingly, the Paediatric Committee on Nutrition and Health, of the Swedish Paediatric Association and the National Food Administration, recommend delaying the introduction of cow's milk and cow-milk products until the infant is 10-12 months of age. Until then, breast-feeding, and the use of iron-fortified formula or gruel with modified protein and sodium content are encouraged; iron-fortified porridges of softer consistency can be prepared to circumvent the need of extra fluids, or porridge can be served with breast milk or iron-fortified formula; small amounts of milk may be used for cooking purposes.

  • 175. Axelsson, I
    et al.
    Gebre-Medhin, M
    Hernell, O
    Jakobsson, I
    Michaelsen, K F
    Samuelson, Gösta
    [A reply about milk porridge. Infant food is also a question of nutritional physiology].: Replik om mjölk på gröten. Spädbarns kost också en näringsfysiologiskfråga1999In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 96, no 21, p. 2624-5Article in journal (Refereed)
  • 176. Axelsson, I
    et al.
    Gebre-Medhin, M
    Hernell, O
    Jakobsson, I
    Michaelsen, K F
    Samuelson, Gösta
    [The AD-drops can be replaced by D-drops].: AD-dropparna kan ersättas med D-droppar1999In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 96, no 18, p. 2200-4Article in journal (Refereed)
    Abstract [sv]

    Since 1932, when vitamin A and D supplementation, in the form of cod liver oil, was introduced in Sweden, rickets has been a rare diagnosis among Swedish infants. In 1978, the National Board of Health and Welfare issued recommendations of daily supplementation with 300 micrograms (1000 IU) of vitamin A and 10 micrograms (400 IU) of vitamin D. This has recently been under review by the Paediatric Committee on Nutrition and Health, of the Swedish Paediatric Association and the National Food Administration, who concluded that there is no reason to retain vitamin A supplementation, but that vitamin D supplementation should continue to be recommended at the same daily dose (400 IU).

  • 177.
    Axelsson, Madeleine
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Olsson, Susanne
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ensamhet. En begreppsanalys: Den ensamhet som råder i den djupaste skog2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Loneliness can be experienced in different ways. By visualizing the dimensions of loneliness, healthcare professionals have a deeper understanding of what the concept of loneliness is. The purpose of this study was to analyze the meaning of the word loneliness through a concept analysis. The method used in this study was a concept analysis according to Peep Koort´s semantic method. Loneliness was defined according to etymological dictionaries as in the relationship to be lonely, for example,”A frozen trail that disappears in the loneliness of the forest”. In the definition of loneliness the analysis of the dictionaries resulted in several synonyms, three of which were chosen for further analysis. The most prominent synonyms was ”ödslighet” (desolation),” enslighet” (solitude) and ”isolering” (isolation). The theoretical definition of the outcome was discussed in a philosophical and health science perspective. The result showed both positive and negative aspects of loneliness. Loneliness can be a time of silence and reflection, but can also mean human suffering. From a scientific perspective, it is important to pay attention to the experiences of loneliness in patients and relatives in order to be able to provide appropiate support as a heathcare professional. In summary, loneliness can be illustrated by the metaphor ” The loneliness that exists in the deepest forest”.

  • 178.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Conscientiousness – an influential personality trait of adherence behaviour in persons with asthma and allergic rhinitis2011Conference paper (Refereed)
  • 179.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture.
    Personality and adherence to medication treatment2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Striving for improved adherence to medication treatment is of vital concern, as low adherence is a major obstacle in treating many prevalent chronic diseases. Several factors have been identified that seem to influence adherence behaviour, but limited research exists on the significance of personality for adherence to medication treatment. According to the Five-Factor Model (FFM), personality can be described in terms of five broad personality traits: Neuroticism, Extraversion, and Openness to experience, Agreeableness, and Conscientiousness. Reports on health-related quality of life (HRQL), asthma control and selfefficacy may also be influenced by personality. Therefore, the overall aim of the present research project was to explore the significance of personality traits in relation to adherence to medication treatment and asthma control, health-related quality of life and self-efficacy. 

  • 180.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Personality and reasons for not using asthma medication in young adults2013In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 42, no 4, p. 241-246Article in journal (Refereed)
    Abstract [en]

    Objectives: To identify young adults' stated reasons for not taking asthma medication and to determine the significance of personality, asthma control and health-related quality of life in relation to these stated reasons. Background: Reasons for non-adherence to asthma medication treatment have previously been studied, but research on the significance of personality in relation to stated reasons for not taking asthma medication is limited. Methods: Young adults with asthma (age 22years; n=216) stated their most common reasons for not taking asthma medication and completed postal questionnaires on personality, asthma control and health-related quality of life (HRQL). Results: The most common reason for non-adherence was ". No perceived need" (n=141). Participants giving this reason for not taking asthma medication scored lower on the personality trait Negative Affectivity and reported both higher asthma control and higher mental HRQL. "Insufficient routines" was the second most common reason (n=66), and participants stating it scored higher on Negative Affectivity and reported lower asthma control. An increase in asthma control increased the odds of stating ". No perceived need" as the reason for not taking asthma medication. An increase in Negative Affectivity was associated with an increase in the odds of giving ". Insufficient routines" as a reason. Conclusions: The personality trait Negative Affectivity and perceived asthma control played a role in the young adults' stated reasons for not taking asthma medication, which indicates that these parameters are of importance to young adults' medication management. © 2013 Elsevier Inc.

  • 181.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Personlighetens betydelse för uppnådd och upplevd astmakontroll2011In: Fagbladet Allergi i praksis, ISSN 0806-5462, ISSN 0806-5462, p. 12-15Article in journal (Other academic)
  • 182.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Report on personality and adherence to antibiotic therapy: a population-based study2013In: BMC Psychology, E-ISSN 2050-7283, Vol. 1, no 1, p. 24-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:Antimicrobial resistance results from inappropriate use of antibiotics and makes common or life-threatening infections more difficult or sometimes impossible to treat. Proper adherence to antibiotic therapy is one among several measures required to prevent antimicrobial resistance. Knowledge of personality traits could help in identifying patients who need support with their adherence behaviour. Previous research has presented associations between personality traits and adherence to long-term medication treatment in individuals with different chronic diseases. However, there is limited knowledge about associations between personality traits and adherence to both antibiotic therapy and to shorter treatment periods. The aim was to explore the relation between personality and adherence behaviour in people prescribed antibiotics for common infections.METHODS:In a population-based study, 445 respondents reported on their prescribed antibiotic therapy and completed the Neuroticism, Extraversion, and Openness to experience Five-factor Inventory and the Medication Adherence Report Scale. Data were statistically analysed using descriptive statistics, t-tests, bivariate correlations, multiple and logistic regressions.RESULTS:Non-adherence was estimated to be 9.4%. The most common reasons for stopping therapy prematurely was that the respondent was now healthy and that the respondents experienced side-effects. Non-adherent respondents scored lower on the personality traits Agreeableness and Conscientiousness. A logistic regression showed that higher scores on Agreeableness decreased the risk for non-adherence to antibiotic therapy. In a multiple regression, Neuroticism was identified as a negative predictor, and both Agreeableness and Conscientiousness were identified as positive predictors of adherence behaviour.CONCLUSIONS:Preventive measures to decrease non-adherence may be to inform patients not to interrupt the antibiotic therapy when they start to feel healthy and to inform them about how to prevent and handle common side-effects. As associations between personality and adherence mainly have been described in relation to long-term treatments in chronic diseases, the current study add to the literature by showing that personality traits also seem to be reflected in adherence to shorter treatment periods with antibiotics for common infections. More studies in this specific area of adherence research are recommended.

  • 183.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, Jesper
    Avdelningen för psykologi, Göteborgs Universitet.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Personality traits in relation to health-related quality of life in persons with asthma and/or allergic rhinitis2011In: 30th Congress of the European Academyof Allergy and Clinical Immunology in Istanbul, 2011Conference paper (Refereed)
  • 184.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, Jesper
    University of Gothenburg, Department of Psychology.
    Lötvall, Jan
    University of Gothenburg, Krefting Research Centre, Internal Medicine, Institute of Medicine, Sahlgrenska Academy.
    The influence of personality traits on reported adherence to medication in individuals with chronic disease: An Epidemiological study in West Sweden2011In: PLoS ONE, Vol. 6, no 3Article in journal (Refereed)
    Abstract [en]

    Background: Limited research exists exploring the influence of personality on adherence behaviour. Since non-adherence is a major obstacle in treating prevalent chronic diseases the aim was to determine whether personality traits are related to reported adherence to medication in individuals with chronic disease. Methodology/Principal Findings: Individuals with chronic disease (n = 749) were identified in a random population sample of 5000 inhabitants aged 30-70 in two municipalities in West Sweden. Data on five personality traits, Neuroticism, Extraversion, Openness to experiences, Agreeableness, and Conscientiousness, and medication adherence behaviour was collected by questionnaires. Statistical analyses resulted in a negative relationship between Neuroticism and medication adherence (P<0.001), while both Agreeableness (P<0.001) and Conscientiousness (P<0.001) were positively related to adherence. At high levels of Conscientiousness, low adherence was related to higher scores in Neuroticism. At high levels of Agreeableness, low adherence was related to low scores in Conscientiousness and high scores in Openness to experiences. Conclusions: This study demonstrated that multiple personality traits are of significant importance for adherence behaviour in individuals with chronic disease. The findings suggest that several personality traits may interact in influencing adherence behaviour. Personality traits could putatively be used to focus efforts to educate and support patients with high risk of low medical adherence. © 2011 Axelsson et al.

  • 185.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lötvall, Jan
    University of Gothenburg, Krefting Research Centre, Institute of Medicine and Clinical Nutrition, Internal Medicine, Sahlgrenska Academy.
    A personality and gender perspective on adherence and health-related quality of life in people with asthma and/or allergic rhinitis.2014In: Journal of the American Association of Nurse Practitioners, ISSN 2327-6886, E-ISSN 2327-6924, Vol. 26, no 1, p. 32-39Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Poor adherence to medication treatment for asthma and allergic rhinitis could challenge a positive health outcome. Health-related quality of life (HRQL) is an important measure of health outcome. Both personality and gender could influence adherence and perceptions of HRQL. The purpose was to clarify the role of personality and gender in relation to adherence and HRQL in people with asthma and/or rhinitis.

    DATA SOURCES: Participants (n = 180) with asthma and allergic rhinitis, selected from a population-based study, filled out questionnaires on the five-factor model personality traits-neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness-HRQL, and adherence to medication treatment. Data were statistically analyzed using t-tests, Mann-Whitney tests, bivariate correlations, and multiple regressions.

    CONCLUSIONS: Personality traits were associated with adherence to medication treatment in men. The influence of personality traits on HRQL also differed between men and women. These differences suggest that both a personality and gender perspective should be considered when planning care support aimed at improving adherence and HRQL in people living with asthma and/or allergic rhinitis.

    IMPLICATIONS FOR PRACTICE: It is suggested that both a personality and gender perspective be taken into account in care support aimed at improving adherence and HRQL in people with asthma and allergic rhinitis.

  • 186.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Lundgren, Jesper
    Avdelningen för psykologi, Göteborgs Universitet.
    Patients´ adherence reasoning in relation to asthma medication2011In: 30th Congress of the European Academy of Allergy and Clinical Immunology in Istanbul, 11-15 june 2011, 2011Conference paper (Refereed)
  • 187.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Lundbäck, Bo
    Krefting Research Centre, Göteborgs universitet.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    The function of medication beliefs as mediators between personality traits and adherence behavior in people with asthma2013In: Patient Preference and Adherence, ISSN 1177-889X, E-ISSN 1177-889X, Vol. 7, p. 1101-1109Article in journal (Refereed)
    Abstract [en]

    Background:

    There is evidence that both personality traits and personal beliefs about medications affect adherence behavior. However, limited research exists on how personality and beliefs about asthma medication interact in influencing adherence behavior in people with asthma. To extend our knowledge in this area of adherence research, we aimed to determine the mediating effects of beliefs about asthma medication between personality traits and adherence behavior.

    Methods:

    Asthmatics (n=516) selected from a population-based study called West Sweden Asthma Study completed the Neuroticism, Extraversion and Openness to Experience Five-Factor Inventory, the Medication Adherence Report Scale, and the Beliefs about Medicines Questionnaire. Data were analyzed using confirmatory factor analysis and structural equation modeling.

    Results:

    Three of the five investigated personality traits – agreeableness, conscientiousness, and neuroticism – were associated with both concerns about asthma medication and adherence behavior. Concerns functioned as a partial mediator for the influencing effects of agreeableness, conscientiousness, and neuroticism on adherence behavior.

    Conclusion:

    The findings suggest that personality traits could be used to identify individuals with asthma who need support with their adherence behavior. Additionally, targeting concerns about asthma medication in asthmatics with low levels of agreeableness or conscientiousness or high levels of neuroticism could have a favorable effect on their adherence behavior.

  • 188.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Emilsson, Maria
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, J.
    University of Gothenburg, Department of Psychology.
    Torén, K.
    University of Gothenburg, Sahlgrenska Academy, Department of Community Medicine.
    Lötvall, J.
    University of Gothenburg, Sahlgrenska Academy, Department of Internal Medicine.
    Personality, adherence, asthma control and health-related quality of life in young adult asthmatics2009In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 103, no 7, p. 1033-1040Article in journal (Refereed)
  • 189.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Recent educational interventions for improvement of asthma medication adherence.2012In: Asia Pacific allergy, ISSN 2233-8276, Vol. 2, no 1, p. 67-75Article in journal (Refereed)
    Abstract [en]

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

  • 190.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lötvall, Jan
    Krefting Research Centre, Institute of Medicine, Internal Medicine, Sahlgrenska Academy, University of Gothenburg.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Self-efficacy and adherence as mediating factors between personality traits and health-related quality of life2013In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 22, no 3, p. 567-575Article in journal (Refereed)
    Abstract [en]

    Purpose Personality traits are rather stable dispositions inadulthood, while self-efficacy and adherence may bemodified through targeted interventions. Health-relatedquality of life (HRQL) serves as a vital outcome measure.The present aim was to explore the function of self-efficacyand adherence as mediators for the influencing effect ofpersonality traits on HRQL in people with chronic disease.Methods An epidemiological sample of 786 personscompleted questionnaires on personality, general self-efficacy,adherence behaviour and HRQL. Data were statisticallyanalysed using descriptive statistics, correlationanalyses and path models.Results Self-efficacy mediated the effect of Extraversionand Conscientiousness on mental HRQL. Neuroticism hada direct effect on both physical and mental HRQL.Adherence partially mediated the effect of both Agreeablenessand Conscientiousness on mental HRQL.Conclusions The mental HRQL in people scoring low onExtraversion or low on Conscientiousness could beimproved by strengthening general self-efficacy. Increasingadherence in people scoring low on Agreeableness orConscientiousness could improve their mental HRQL, butthe improvement was small and may be of lesser clinicalrelevance. These results argue for personalized interventionsintended to positively affect health outcomes inpeople with chronic disease.

  • 191.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lötvall, Jan
    Krefting Research Centre, Institute of Medicine, Internal Medicine, Sahlgrenska Academy, University of Gothenburg.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg.
    Brink, Eva
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Motivational foci and asthma medication tactics directed towards a functional day2011In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 11, p. 809-Article in journal (Refereed)
    Abstract [en]

    Background:

    There appears to be an obvious gap between a medical and patient adherence perspective.

    Deviating from a medication prescription could be regarded as fairly irrational, but with respect to patients' goals and/or concerns it could be seen as understandable. Thus, the aim was to elucidate adherence reasoning in relation to asthma medication.

    Methods:

    This was a qualitative study; data collection and analysis procedures were conducted according to Grounded Theory methodology. Eighteen persons, aged 22 with asthma and regular asthma medication treatment, were interviewed.

    Results:

    The emerged theoretical model illustrated that adherence to asthma medication was motivated by three foci, all directed towards a desired outcome in terms of a functional day as desired by the patient. Apromotive focus was associated with the ambition to achieve a positive asthma outcome by being adherent either to the received prescription or to a self-adjusted dosage. A preventive focuswas intended to ensure avoidance of a negative asthma outcome either by sticking to the prescription or by preventively overusing the medication. A permissive focus was associated with unstructured adherence behaviour in which medication intake was primarily triggered by asthma symptoms.

    Conclusions:

    As all participants had consciously adopted functioning medication tactics that directed them

    towards the desired goal of a functional day. In an effort to bridge the gap between a patient- and a medical adherence perspective, patients need support in defining their desired functionality and guidance in developing a person-based medication tactic.

  • 192.
    Axelsson, Marcus
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Erfarenheter av vården hos patienter med HIV2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    HIV is a serious infection that leads to AIDS when it's untreated. HIV-epidemic started in the early 80's. Homosexuals became infected and the disease were seen as a "gay-disease". The disease is still today by some seen as a "gay-disease", and affect the patients well-being. The aim of this study was to illuminate experiences of care in patients with HIV. The method was a literature-based study of qualitative scientific articles. The result shows that the patients still experience discrimination and stigmatization. There is a lot of negative attitudes towards the patients, and some health professionals shows a lack of empathy. A lot of the health professionals have a lack of knowledge, and a fear of being contaminated. More knowledge about the diesea, and focus on the patients well-being could make a differens in the patients experiences of care.

  • 193. Axrup, K
    et al.
    Lindqvist, B
    Samuelson, Gösta
    Oral-facial-digital syndrome. A case report1971In: Odontologisk revy, ISSN 0029-8441, Vol. 22, no 2, p. 137-44Article in journal (Refereed)
  • 194.
    Ayewubo, Celestine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patel, Archana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av livet efter hjärttransplantation2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 195.
    Azzeddine, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Brimark, Mia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Livet efter en hjärtinfarkt: en litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart and vascular disease are the most common causes of deaths in Sweden and in the rest of the world. Myocardial infarction is by far the most frequent cause of death in Sweden. By using modern intervention methods the number of deaths in myocardial infarction has decreased. As a result of this the demands on healthcare will increase. Risk factors for suffering a heart attack are well known and may be affected by a healthier lifestyle. For many patients who have had a heart attack lifestyle changes become a necessary measure to prevent recurrence which leads to many changes in daily life.

    Aim: The aim of this study was to describe patient´s experiences after myocardial infarction.

    Methods: A literature study was made of twelve qualitative studies.

    Results: Four themes were found: Fear, Limitations in daily life, Support from healthcare and relatives and A new chance. After a myocardial infarction the patient finds himself in a state of crisis. Life after myocardial infarction offers limitations concerning physical, psychological and practical abilities. Long time support from healthcare personal and relatives is very important. The majority of the patients were grateful for having received a second chance to go on with their lives.

    Conclusion: A patient who has survived a myocardial infarction must be given full information that he suffers from a life threatening and from a chronical disease. To bring about this understanding it is necessary to adopt a longtime follow up policy from the health care professionals. Relatives and healthcare personal play an important part in supporting the patient. To give the right kind of support the relatives need more knowledge of the disease. Women and men use different methods to cope with the consequences of myocardial infarction

  • 196.
    Baatz Asplund, Catarina
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Gustafsson, Lena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att identifiera patienters alkoholvanor2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Alcohol misuse is a growing problem in the world. In Sweden it is estimated that 1 million Swedes have a hazardous use of alcohol and 330,000 suffer from alcohol addiction. Research shows, that high consumption of alcohol is a contributing factor to the extensive sequelae and suffering for the patient and family. Nurses have an important role in working with the prevention of illness and disease. Nurses meet a lot of patients with hazardous use at work and it is important to identify and help these patients. What experiences have nurses to identify patients' drinking habits?

    Aim:

    The aim of the study was to illuminate nurses´ experiences to identify the patients´ drinking habits of alcohol.

    Method:

    A systematic literature study based on eleven articles, including both

    qualitative and quantitative studies was performed.

    Results:

    Most nurses felt that it was an important work to examine patients drinking habits to promote in the health and prevent disease. Nurses' fears came from experienced emotional negative reactions from the patients. Nurses demand more knowledge about alcohol and its difficulties.

    Conclusion:

    Nurses have a certain ignorance to ask patients about their drinking habits. The result is that they feel uncomfortable with taking up the issue and thus cause a lack of health prevention. Many require information, time and a structured workplace. It also appears that the nurses feel a discomfort in talking about alcohol and a fear of offending the patient or intimidation and violence

  • 197.
    Baatz Asplund, Catarina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lundgren Andersson, Ann-Katrin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors attityder och erfarenheter av att arbeta med patienter med en ohälsosam alkoholkonsumtion: En empirisk studie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 198.
    Backlund, Linus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Grundvall, Fredrik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Omvårdnad av anhöriga till traumapatienter: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 199.
    Bador, Kourosh
    et al.
    AGERA KBT AB, Gothenburg, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care2019In: Journal of Behavioral Health Services & Research, ISSN 1094-3412, E-ISSN 1556-3308Article in journal (Refereed)
    Abstract [en]

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

  • 200.
    Bagger, Marie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Johansson, Jenny
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans upplevelse av att vårda barn i hemmet2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    As a nurse working in community home care you should today have enough knowledge to provide patients in different stages of life with good and safe care. The number of children receiving care in their home is increasing. There are today no Swedish studies that focus on this topic. How is the nurses experience of provide care of children in their homes?

    Aim

    The aim of this study was to illuminate the nurse's experience of giving care to children in their homes.

    Method

    An interview study was made with eight nurses working in community home care in four different community's in the western of Sweden. The text from the interviews was analyzed through a qualitative content analysis.

    Result

    The analysis resulted in three categories, seven subcategories and one theme.

    The following categories emerged: To feel inadequate, To take notice of the particular family´s needs, To be committed. The theme that emerged was oppressive but .rewarding.

    Conclusion

    The nurses felt inadequate when it came to giving care to children in their homes. The main reason for this was the feeling of lack of knowledge and experience of giving care to children. The nurses experienced that the family had a big and important role when it came to giving care for children in their home and that a good cooperation with the family was important to be enable to give the best possible care to the child. The nurses experienced that it was important to be truly committed when working with children.

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