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  • 151.
    Andersson, Sanna
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Khalily-Larsson, Sandra
    University West, Department of Health Sciences, Nursing Programme.
    Riskfaktorer för självskadebeteende hos kvinnor som avtjänar ett fängelsestraff: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

  • 152.
    Andersson, Sanne
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Vega, Claudia
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Aggressiva och antisociala beteenden hos ungdomar i Marocko och Sverige2019Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 153.
    Andersson, Sara
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Backman, Emma
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vårdpersonals upplevelser av att vårda personer med ätstörningar: En litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

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

    Aim:

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

    Method:

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

    Result:

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

    Conclusion

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

  • 154.
    Andersson, Sarah
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Faktorer som hindrar patienter med diabetes typ 2 att genomföra livsstilsförändringar.2019Independent thesis Advanced level (professional degree), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 155.
    Andersson, Signe
    University West, Department of Health Sciences.
    Personers upplevelse av återhämtning efter överlevt hjärtstopp: En litteraturstudie2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 156.
    Andersson, Sofia
    et al.
    University West, Department of Nursing, Health and Culture.
    Holmgren, Anders
    University West, Department of Nursing, Health and Culture.
    Patienters upplevelser av bemötande på akutmottagning: En litteraturöversikt2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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  • 157.
    Andersson Solum, Linus
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Wallin, Lisa
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att beskriva personers upplevelser av att lära sig leva med diabetes typ 22015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 158.
    Andersson, Susanne
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Scandurra, Isabella
    Centre of Empirical Research in Information Systems, Örebro University, Örebro (SWE).
    Nyström, Ulrika
    Health Centre Dagson Uddevalla, Primary Care Västra Götalandsregionen and Municipal Care, Trollhättan (SWE).
    Varemo, Marika
    Department of Medicine, Northern Älvsborg County Hospital, Trollhättan (SWE).
    Tang, Ulla Hellstrand
    Department of Prosthetics and Orthotics, Sahlgrenska University Hospital, Gothenburg (SWE); Department of Orthopedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Experiences of a Novel Structured Foot Examination Form for Patients With Diabetes From the Perspective of Health Care Professionals: Qualitative Study2023In: JMIR Nursing, ISSN 2562-7600, Vol. 6, no 1, p. 1-12, article id e45501Article in journal (Refereed)
    Abstract [en]

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

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  • 159.
    Andersson, Theres
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åkesson, Kajsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter och den yrkesprofessionella betydelsen för ett adekvat omhändertagande av patienter utsatta för sexuella övergrepp: - En systematisk litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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  • 160.
    Andersson, Thomas
    et al.
    Högskolan i Skövde.
    Gadolin, Christian
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Understanding institutional work through social interaction in highly institutionalized settings: Lessons from public healthcare organizations2020In: Scandinavian Journal of Management, ISSN 0956-5221, E-ISSN 1873-3387, Vol. 36, no 2, article id 101107Article in journal (Refereed)
    Abstract [en]

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

  • 161.
    Andersson, Viktoria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Karlsson, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Distriktssköterskors upplevelser av att involvera närstående i omvårdnaden av patienter med diabetes typ 22015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background;

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

    Aim;

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

    Methods;

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

    Results;

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

    Conclusions;

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

  • 162.
    Andersson Värnlund, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Victoria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Inte bara glömska: partnerns erfarenheter av att leva tillsammans med en person som har demens2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

  • 163.
    Andersson Öberg, Emelie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ashrafi, Jina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans förhållningssätt i mötet med ungdomar med självskadebeteende: Litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 164.
    Andreasson, Ingegärd
    University West, Department of Nursing, Health and Culture.
    Patienterfarenheter av organisationen på en mammografiavdelning2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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    FULLTEXT01
  • 165.
    Andreasson, Kasper
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ekman, Eric
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    De svåra samtalen: En studie om sjuksköterskors upplevelser av att vårda suicidala patienter2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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  • 166.
    Andreasson, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alexandersson, Jonas
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stress på akutmottagningen: sjuksköterskors erfarenheter2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 167.
    Andreasson, Malin
    et al.
    University West, Department of Health Sciences.
    Hilmér, Malin
    University West, Department of Health Sciences.
    När barnet vårdas på sjukhus för nedre luftvägsinfektion - Föräldrars upplevelse: En systematisk litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 168.
    Andreasson, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Berglund, Nina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    How nurses at a state health clinic in Namibia work to reduce diarrheal diseases among children under five years of age.: - How do they work preventive and what obstacles are they facing? -2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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

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

     

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    Nurses in Namibia
  • 169.
    Andreasson, Petra
    et al.
    University West, Department of Health Sciences.
    Junkvist, Kristin
    University West, Department of Health Sciences.
    Mannens upplevelse av att leva med blåsdysfunktion2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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  • 170.
    Andréasson, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Wirheim, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Psykisk ohälsa hos barn som växer upp hos vårdnadshavare med borderline personlighetsstörning: - en litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

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

    Aim:

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

    Method:

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

    Result:

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

    Conclusion:

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

  • 171.
    Andréasson, Elin
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Mjölnevik, Madeleine
    University West, Department of Health Sciences, Nursing Programme.
    Att leva i skuggan av psykisk sjukdom2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

  • 172.
    Andréasson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När livet är en berg- och dalbana: En litteraturbaserad studie om att leva med ett barn med diabetes2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 173.
    Andrén, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Carl, Yelena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Musikens effekter på personer med demenssjukdomar: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

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

    Aim:

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

    Method:

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

    Results:

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

    Conclusion:

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

  • 174.
    Andrén, Ulla
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Student’s trajectory through the education into the labour market2014In: Conference Proceedings Abstracts, 2014, p. 1-23Conference paper (Other academic)
    Abstract [en]

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

  • 175.
    Andrén, Ulla
    et al.
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kinnander, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Utveckling av ett nytt yrke inom socialpsykiatrisk vård2019Report (Other academic)
    Abstract [en]

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

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  • 176.
    Angenete, Eva
    et al.
    Sahlgrenska Academy at University of Gothenburg, Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, SSORG, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg.
    Angerås, U.
    Sahlgrenska Academy at University of Gothenburg, Department of Surgery, Institute of Clinical Sciences, SSORG, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg, Sweden.
    Börjesson, M.
    Swedish School of Sport and Health Sciences, Stockholm, Sweden.
    Ekelund, J.
    Sahlgrenska Academy at University of Gothenburg, Department of Surgery, Institute of Clinical Sciences, SSORG, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg, Sweden.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Law, Economics, Statistics and Politics.
    Thorsteinsdottir, T.
    University of Iceland, Faculty of Nursing, School of Health Sciences, Reykjavik, Iceland.
    Steineck, Gunnar
    Sahlgrenska Academy at the University of Gothenburg, Division of Clinical Cancer Epidemiology, Department of Oncology, Institute of Clinical Sciences, Gothenburg, Sweden.
    Haglind, Eva
    Sahlgrenska Academy at University of Gothenburg, Department of Surgery, Institute of Clinical Sciences, SSORG, Sahlgrenska University Hospital/Östra, SE-416 85, Gothenburg, Sweden.
    Physical activity before radical prostatectomy reduces sick leave after surgery: results from a prospective, non-randomized controlled clinical trial (LAPPRO)2016In: BMC Urology, E-ISSN 1471-2490, Vol. 16, no 1, p. 50-Article in journal (Refereed)
    Abstract [en]

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

  • 177.
    Angervall, Elwira
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Eliasson, Rebecka
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Åtgärder som vidtas för att förhindra spridning av vårdrelaterade infektioner: en litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 178.
    Ankerson, Elin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pham, Yen
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers upplevelser av livsstilsförändring vid diabetes typ 22019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 179.
    Ankerson, Elin
    et al.
    University West, Department of Health Sciences.
    Zerka, Zakia
    University West, Department of Health Sciences.
    Föräldrars erfarenheter av transition från neonatalvårdavdelning till hemmet: En litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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  • 180.
    Antblad, Alexandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sundelius, Jenny
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Det sociala stödets betydelse vid återhämtning från egentlig depression: En litteraturbaserad studie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 181.
    Antonsson, H
    et al.
    Umeå University, Department of Nursing.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Lundström, M
    Umeå University, Department of Nursing.
    Graneheim, U H
    Umeå University, Department of Nursing.
    Skilled interaction among professional carers in special accommodations for adult people with learning disabilities.2013In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 7, p. 576-583Article in journal (Refereed)
    Abstract [en]

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

  • 182.
    Antonsson, Helena
    et al.
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Hällgren Graneheim, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Umeå , Department of Nursing , Umeå , Sweden.
    Isaksson, Ulf
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Åström, Sture
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Umeå , Department of Nursing , Umeå , Sweden.
    Lundström, Mats O
    University of Umeå , Department of Nursing , Umeå , Swede.
    Evaluation of a Web-Based Training Program for Professional Carers Working With People With Learning Disabilities and Challenging Behavior: A Pilot Study with SSED-Design.2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 10, p. 734-743Article in journal (Refereed)
    Abstract [en]

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

  • 183.
    Antonsson, Lisa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Gustavsson, Carolina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Livet efter organtransplantation: En litteraturbaserad studie om patienters upplevelser2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 184.
    Antonsson, Lisa
    et al.
    University West, Department of Health Sciences.
    Karlsson, Sandra
    University West, Department of Health Sciences.
    Hälsofrämjande arbete med skolbarn som har övervikt: skolsköterskans erfarenhet2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 185.
    Anwar, Kavin Shwan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Starlander, Karin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av egenvård i det postoperativa skedet: En litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 186.
    Aoude, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mengstab, Yolanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas upplevelser av att leva med diabetes typ 22017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 187.
    Appasi, Bisan
    et al.
    University West, Department of Health Sciences.
    Settergren, Stina
    University West, Department of Health Sciences.
    Specialistsjuksköterskans stöd för egenvård till diabetes mellitus typ 2 patienter, inom primär- och kommunal hälso- och sjukvård2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 188.
    Appelgren, Camilla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahl, Inger Helén
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När kroppen inte gör som hjärnan vill: En litteraturstudie om personers erfarenheter av att leva med Parkinsons sjukdom2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 189.
    Arakelian, Erebouni
    et al.
    Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala (SWE).
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway (NOR).
    Managerial challenges faced by Swedish nurse managers in perioperative settings: a qualitative study2021In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 20, no 1, p. 1-10, article id 117Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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  • 190.
    Arakelian, Erebouni
    et al.
    Uppsala University, Department of Surgical Sciences, Uppsala University Hospital, Entrance 70, 1st Floor, 751 85, SE, Uppsala, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Nursing and Health Sciences, 8049, Bodø, Norway (NOR).
    Reaching a tipping point: perioperative nurse managers' narratives about reasons for leaving their employment - a qualitative study.2021In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 29, no 4, p. 664-671Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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

  • 191.
    Arakelian, Erebouni
    et al.
    Uppsala University, Department of Surgical Sciences, Uppsala, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Norway; Bocconi University, Milan, Italy.
    Rask-Andersen, Anna
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Runeson-Broberg, Roma
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Wålinder, Robert
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    I Stay: Swedish Specialist Nurses in the Perioperative Context and Their Reasons to Stay at Their Workplace2019In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 3, p. 633-644Article in journal (Refereed)
    Abstract [en]

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

    Design Qualitative design.

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

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

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

  • 192.
    Arakelian, Erebouni
    et al.
    Uppsala University Hospital,Department of Surgical Sciences, Entrance 70, SE-751 28..
    Swenne, Christine Leo
    Uppsala University, Department of Public Health and Caring Sciences, Box 564, SE-751 22, Uppsala, Sweden.
    Lindberg, Susan
    Skaraborg Hospital, Department of Anaesthesia, SE-541 85, Skövde, Swede.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Faculty of Professional Studies, University of Nordland, 8049, Bodø, Norway..
    von Vogelsang, Ann-Christin
    Karolinska Institutet, Department of Clinical Neuroscience,Stockholm, Sweden..
    The meaning of person-centred care in the perioperative nursing context from the patient's perspective: an integrative review2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 17-18, p. 2527-2544Article in journal (Refereed)
    Abstract [en]

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

  • 193.
    Arakelian, Erebouni
    et al.
    Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, Sweden.
    Wålinder, Robert
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Rask-Andersen, Anna
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Nursing and Health Sciences, Bodø, Norway (NOR).
    Nurse managers in perioperative settings and their reasons for remaining in their jobs: A qualitative study2020In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 28, no 6, p. 1191-1198Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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

  • 194.
    Araujo, Johane
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Calo, Nyssa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en person med afasi2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 195.
    Ardeshir Davani, Farima
    et al.
    University West, Department of Health Sciences.
    Geiret, Zulihumaer
    University West, Department of Health Sciences.
    En kvalitativ litteraturstudie om vuxna bipolära patientersupplevelser av vården2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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

  • 196.
    Ardeshir Davani, Farima
    et al.
    University West, Department of Health Sciences.
    Geiret, Zulihumaer
    University West, Department of Health Sciences.
    En kvalitativ litteraturstudie om vuxna bipolära patientersupplevelser av vården2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 197.
    Ardeshir Davani, Farima
    et al.
    University West, Department of Health Sciences.
    Geiret, Zulihumaer
    University West, Department of Health Sciences.
    En kvalitativ litteraturstudie om vuxna bipolära patientersupplevelser av vården2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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

  • 198.
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. Oslo Metropolitan University, Oslo (NOR); Jönköping University, Jönköping (SWE).
    Work integrated learning for a working life in academia: Experiences from working with PhD-students during the covid-19 pandemic2022In: International Conference on Work Integrated Learning: Abstract Book, Trollhättan: University West , 2022, p. 35-36Conference paper (Other academic)
    Abstract [en]

    Work integrated learning in academia and wellbeing for PhD-students

    Few PhD-students have a clear plan for their coming career after completion of their PhD-studies. There can be dreams of starting new enterprises, combining research with innovations in practice, or to pursue a career in academia. In health and welfare research schools there are many PhD-projects involving single PhD-students, as well as part-time PhD-students whose project is connected to their workplace. Research shows risk of low wellbeing and high levels of stress among PhD-students, together with feelings of isolation and impostor syndrome (Seeber and Horta, 2021, Schmidt and Hansson, 2018). Such negative feelings negatively impact the outcome of the PhD period and may also affect the future career of the PhD-student. To promote and sustain PhD-students health and wellbeing, there is a need to test activities that can decrease experienced negative stress during the PhD-period as well as enhancing academic competencies like academic leadership, academic writing skills and pedagogical skills. In addition, successful academics should have excellent competence in their field, collaborate with stakeholders and engage in impact activities. Thus, the PhD period needs to provide work integrated learning in academia to provide learning opportunities to develop those skills. Research conce rning PhD-students’ wellbeing and progress shows that the supervisor has an extremely important role for completion of the PhD and for the wellbeing of the student (Buirski, 2022). However, there are limited resources set up for PhD supervision and mentoring, which can create stress and mismatch in needs and capacities between the supervisor and the PhD-student. During the covid-19 pandemic the risk of losing pace in PhD-projects increased, in addition to disconnectedness with academy due to digital instead of physical meetings. However, this change also provided opportunities for novel and pragmatic ways of structuring supervision and enhancing the self-efficacy of the PhD-students. The purpose is to present learnings and outcomes of work-integrated learning project in academia for PhD-students.The focus is on two novel learning activities: online writing retreats and online monthly meetings, which were tested during the covid-19 pandemic. The aim of the learning activities was to encourage the PhD-students to be the leaders of their projects, to collaborate with others to find their role in academia, and learn the trade of being an academic, while practicing doing so, and promote wellbeing during the PhD period. The project has been performed with Plan-Do-Study-Act (PDSA) in biannual evaluation cycles. The PDSA is a quality improvement tool focusing on the translation of ideas and intentions into action (Reed and Card, 2016). The iterative structure of PDSA is well suited to promote learning of a tested change and help shape organizational culture for the better (Reed and Card, 2016). Evaluation data includes number of participants, types of spin-offs from the learning activities, and participants’ oral and written feedback on the learning activities. The collected data was analyzed from the perspective of usefulness of the learning activities related to theories of work-integrated learning. Online structured digital writing retreats Open to more than the PhD-students supervised by the facilitating supervisor (any PhD-student who considered themselves in need of learning better academic writing structure, master students who wanted to become PhDstudents, other supervisors who wanted to see how a digital writing retreat worked). This activity showed participants the importance and diversity of academic writing. The participants chose their own writing tasks, report on their progress, and plan for their next step – but being their own controller and thus actively practicing self-leadership. At the same time the participants shared their feelings of participating in the writing retreat when reporting their writing progress – thus creating a social, international, and interdisciplinary forum, increasing their networks and enhancing feelings of belonging. This in turn ignited cross-project collaboration, thematic discussions and sharing of scientific literature of importance. As facilitating supervisor, I participated on the same level as other participants, sharing my writing progress and feelings related to academic writing. The 1-hour monthly meetings for PhD students supervised by the same supervisor.

    The meetings were co-designed by the PhD-students, where the first meeting developed from a shared practical problem concerning digital data safety. Coming meetings were then co-designed depending on experienced needs by the PhD-students. The PhD-students were in different phases of their PhD-process; thus, they could bring in varied perspectives and share learning with each other on the academic processes. They could also discuss issues that they considered important, such as being asked to review for a journal or being asked to teach at bachelor or master programs. Such collaborative working discussions across projects and disciplines are important in academia and the meetings were used to solve problems in academic practice and to test scientific ideas. As the meetings also were led in turn by the participating PhD-students, academic leadership skills were practiced in this setting. As participating supervisor, I had a more passive role than in traditional supervision meetings, and the meetings were inspirational and provided opportunities for shared learning.

    Outcomes from the novel learning activities

    The PhD students themselves describe how they have both acquired increased academic skills, and that the online writing retreats have been important in decreasing negative stress, creating a safe social environment which has been important for their wellbeing. The shared learning activities also presented a view of how to work together in academia, which may support the students when thinking of their future career and if this is to relate to academia. As a supervisor, I can clearly see that the activities have enhanced self-efficacy, leadership skills, cross-disciplinary collaboration, national and international networks and decreased dependency on supervisors. The additional bonus of those work-integrated learning activities has been the good progress of the participants’ projects and joy at work!

  • 199.
    Areskoug Josefsson, Kristina
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Lona, Irene
    Divisjon for utdanning og bibliotek, OsloMet – storbyuniversitetet (NOR).
    Lunde, Gerd Hilde
    Institutt for Atferdsvitenskap, OsloMet – storbyuniversitetet (NOR).
    Bedre lesing og forståelse av pensum med støtte av digital sosial annotering / Engl: Improved reading and understanding of the syllabus with the support of digital social annotation2023In: Norsk pedagogisk tidsskrift, ISSN 0029-2052, E-ISSN 1504-2987, Vol. 107, no 3, p. 283-287Article in journal (Refereed)
    Abstract [en]

    Academic reading is a challenge for many students and there is therefore a need to explore opportunities to support students in reading scientific articles in English, and to understand the new knowledge in a Norwegian context and enable them to use the knowledge in their future professional practice. This article shows how a digital tool provides new opportunities for asynchronous interaction between students about subject content and syllabus, and how this can be used to promote academic reading, professional learning and at the same time increase student interaction.

  • 200.
    Areskoug Josefsson, Kristina
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences. Department of Behavioural Science, Oslo Metropolitan University, Oslo (NOR).
    Lunde, Gerd Hilde
    Department of Behavioural Science, Oslo Metropolitan University, Oslo (NOR).
    Learning from coproducing digital courses in sexual health in higher education in Norway2024In: Learning Organization, ISSN 0969-6474, E-ISSN 1758-7905Article in journal (Refereed)
    Abstract [en]

    Purpose – Sexual health is insufficiently addressed in health care and higher education, which can lead tolower quality of life and negative health outcomes. To improve the situation, it is necessary to address both theneeds of patients and professionals and collaboratively engage in finding sustainable solutions. The purpose ofthis paper is to explore the feasibility and value of large-scale digital coproduction in higher education.

    Design/methodology/approach – A study of a project that developed seven interprofessional, digital master-level courses covering different topics related to sexual health. The project was performed through digital coproduction in higher education, with over 100 persons with various backgrounds working together online in designing content and novel digital learning activities.

    Findings – Large-scale digital coproduction in higher education is feasible and valuable, but the process demands sensitive leadership, understanding of coproduction processes and willingness to learn from each other. To meet the demands from practice it is important to understand the complexity, ever-changing and unpredictable working life changes which, in turn, demands engagement in continuous learning, training activities and the need for formal education.

    Originality/value – The study provides learning of the feasibility of the value of large-scale digital coproduction in higher education, which is a novel way of working in higher education.

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