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  • 151.
    Larsson, Inga
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Att leda patientnära omvårdnadsarbete2010In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, p. 203-219Chapter in book (Other academic)
  • 152.
    Larsson, Inga
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Patient och medaktör: Studier av patientdelaktighet och hur sådan stimuleras och hindras2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Original title: Patient och medaktör. Studier av patientdelaktighet och hur sådan stimuleras och hindras. Title in English: Patient and Co-actor. Studies of patient participation and how this is stimulated and hindered. Language: Swedish with summary in English. Keywords: behaviour, Co-actor, Critical Incident Technique, barriers, focus group, Grounded Theory, nurse-patient relationships, nursing, patient participation. ISBN: 978-91-628-7410-0 The overall aim of this thesis was to contribute to the development of knowledge of what could strengthen patients’ participation in their own care by clarifying the phenomenon patient participation and describe how it is stimulated or hindered, respectively. Data collection were obtained from focus groups (13); with patients (26) and with nurses (31) and interviews; with patients (17) within inpatient somatic care at five hospitals in West Sweden. This thesis includes four papers. Grounded Theory has been described and used to explore the meaning of patient participation in nursing care from a patient point of view. “Insight through consideration” was generated from four interrelated categories: Obliging atmosphere, Emotional response, Concordance and Rights. Grounded Theory has also been used to clarify Registered Nurses’ understanding of patient participation in nursing care. Four properties emerged: Interpersonal procedure, Therapeutic approach, Focus on resources and Opportunities for influence. A thematic content analysis has been described and used to explore barriers for patient participation in nursing care with a special focus on adult patients identified as: Facing own inability, Meeting ignorance, Meeting a paternalistic attitude and Sensing structural barriers. A qualitative approach, using the Critical Incident Technique has been described and used to identify incidents and nurses’ behaviours that influence patients’ participation in nursing care based on patients’ experiences from inpatient somatic care, identified as: Regarded as a person, Engaged through information, Acknowledged as competent, Abandoned without backup, Belittled verbally, Ignored without influence. This thesis has clarified the fact that patient participation is something that needs to be worked on and further developed in health and medical care. This requires nurses as well as leaders at all levels to become aware of the rights and expectations patients have. To achieve optimum patient participation, patients need to be encouraged and supported by knowledgeable and dedicated nurses in order to increase their own control. In order to improve patient participation, traditional structures as well as attitudes of the caregivers need to be questioned and replaced.

  • 153.
    Larsson, Inga
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Sahlsten, Monika
    University of Skövde,School of Life Sciences.
    Segesten, Kerstin
    University College of Borås.
    Plos, Kaety
    Göteborg University, The Sahlgrenska Academy,Institute of Health and Care Sciences.
    Patients perceptions of barriers for participation in nursing care2011In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 3, p. 575-582Article in journal (Refereed)
    Abstract [en]

    Background: In many Western countries as in Sweden, patients have legal right to participate in own care individually adjusted to each patient's wishes and abilities. There are still few empirical studies of patients' perceptions of barriers for participation. Accordingly, there is a need to identify what may prevent patients from playing an active role in own nursing care. Such knowledge is highly valuable for the nursing profession when it comes to implementation of individual patient participation. Aim and objective: To explore barriers for patient participation in nursing care with a special focus on adult patients with experience of inpatient physical care. Methodological design and justification: Data were collected through 6 focus groups with 26 Swedish informants recruited from physical inpatient care as well as discharged patients from such a setting. A content analysis with qualitative approach of the tape-recorded interview material was made. Ethical issues and approval: The ethics of scientific work was adhered to. Each study participant gave informed consent after verbal and written information. The Ethics Committee of Göteborg University approved the study. Results: The barriers for patient participation were identified as four categories: Facing own inability, meeting lack of empathy, meeting a paternalistic attitude and sensing structural barriers, and their 10 underlying subcategories. Conclusions: Our study contributes knowledge and understanding of patients' experiences ofbarriers for participation. The findings point to remaining structures and nurse attitudes that are of disadvantage for patients' participation. The findings may increase the understanding of patient participation and may serve as an incentive in practice and nursing education to meet and eliminate these barriers, in quality assurance of care, work organization and further research. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science

  • 154.
    Larsson, Inga
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Sahlsten, Monika
    University of Skövde, (School of Life Sciences, Högskolevägen 1, 541 28 Skövde, Sweden.
    Segesten, Kerstin
    University College of Borås, Institute of Health and Care Sciences, Allégatan 1, 501 90 Borås, Sweden.
    Plos, Kaety
    Gothenburg University, Institute of Health and Care Sciences, The Sahlgrenska Academy , Box 457, 405 30 Gothenburg, Sweden.
    Patients' Perceptions of Nurses' Behaviour That Influence Patient Participation in Nursing Care: A Critical Incident Study2011In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 534060Article in journal (Refereed)
    Abstract [en]

    Patient participation is an important basis for nursing care and medical treatment and is a legal right in many Western countries. Studies have established that patients consider participation to be both obvious and important, but there are also findings showing the opposite and patients often prefer a passive recipient role. Knowledge of what may influence patients' participation is thus of great importance. The aim was to identify incidents and nurses' behaviours that influence patients' participation in nursing care based on patients' experiences from inpatient somatic care. The Critical Incident Technique (CIT) was employed. Interviews were performed with patients (), recruited from somatic inpatient care at an internal medical clinic in West Sweden. This study provided a picture of incidents, nurses' behaviours that stimulate or inhibit patients' participation, and patient reactions on nurses' behaviours. Incidents took place during medical ward round, nursing ward round, information session, nursing documentation, drug administration, and meal.

  • 155.
    Larsson, Inga
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Sahlsten, Monika
    Institute of Health and Care Sciences, Sahlgrenska Academy at Göteborg University, Göteborg.
    Sjöström, Björn
    School of Life Sciences, University of Skövde.
    Lindencrona, Catharina
    Department of Health and Welfare, Stockholm, Sweden.
    Plos, Kaety A. E.
    Institute of Health and Care Sciences, Sahlgrenska Academy at Göteborg University, Göteborg.
    Patient participation in nursing care from a patient perspective: a Grounded Theory study2007In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 3, p. 313-320Article in journal (Refereed)
  • 156.
    Lawrence, Maggie
    et al.
    Glasgow Caledonian University, School of Health, Glasgow, UK.
    Kerr, Susan
    Glasgow Caledonian University, School of Health, Glasgow, UK.
    Watson, Hazel E.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Paton, Gillian
    Royal Alexandra Hospital, Paisley, Department of Speech and Language Therapy, Paisley, UK.
    Ellis, Graham
    Givaudan SA, Vernier, Switzerland.
    An exploration of lifestyle beliefs and lifestyle behaviour following stroke: findings from a focusgroup study of patients and family members2010In: BMC Family Practice, E-ISSN 1471-2296, Vol. 11, p. 97-107Article in journal (Refereed)
    Abstract [en]

    Background. Stroke is a major cause of disability and family disruption and carries a high risk of recurrence. Lifestyle factors that increase the risk of recurrence include smoking, unhealthy diet, excessive alcohol consumption and physical inactivity. Guidelines recommend that secondary prevention interventions, which include the active provision of lifestyle information, should be initiated in hospital, and continued by community-based healthcare professionals (HCPs) following discharge. However, stroke patients report receiving little/no lifestyle information. There is a limited evidence-base to guide the development and delivery of effective secondary prevention lifestyle interventions in the stroke field. This study, which was underpinned by the Theory of Planned Behaviour, sought to explore the beliefs and perceptions of patients and family members regarding the provision of lifestyle information following stroke. We also explored the influence of beliefs and attitudes on behaviour. We believe that an understanding of these issues is required to inform the content and delivery of effective secondary prevention lifestyle interventions. Methods. We used purposive sampling to recruit participants through voluntary sector organizations (29 patients, including 7 with aphasia; 20 family members). Using focus group methods, data were collected in four regions of Scotland (8 group discussions) and were analysed thematically. Results. Although many participants initially reported receiving no lifestyle information, further exploration revealed that most had received written information. However, it was often provided when people were not receptive, there was no verbal reinforcement, and family members were rarely involved, even when the patient had aphasia. Participants believed that information and advice regarding healthy lifestyle behaviour was often confusing and contradictory and that this influenced their behavioural intentions. Family members and peers exerted both positive and negative influences on behavioural patterns. The influence of HCPs was rarely mentioned. Participants' sense of control over lifestyle issues was influenced by the effects of stroke (e.g. depression, reduced mobility) and access to appropriate resources. Conclusions. For secondary prevention interventions to be effective, HCPs must understand psychological processes and influences, and use appropriate behaviour change theories to inform their content and delivery. Primary care professionals have a key role to play in the delivery of lifestyle interventions. © 2010 Lawrence et al; licensee BioMed Central Ltd.

  • 157.
    Lindblom, Anna-Karin
    et al.
    Primary Health Care Research, Development and Education Centre and County Administration of West Sweden, Vänersborg.
    Bäck-Pettersson, Siv
    Department Research and Development, NU-Hospital Organisation, Uddevalla.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    A quality registers impact on community nurses' in end-of-life care: a grounded theory study2012In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, no 2, p. 206-214Article in journal (Refereed)
    Abstract [en]

    Aim The aim of the study was to identify the impact of a quality register in end-of-life-care, from community nurses' perspective. Background There is a lack of knowledge about the impact of such a register in end-of-life care. Method Data were collected by means of focus group interviews with a total of 12 nurses, from two communities in the western part of Sweden. Data analysis was based on grounded theory. Result Feedback is the core category that influences all other processes. Two main categories emerged: 'Becoming aware of' and 'Acting accordingly'. These influenced the nurses and led to improved quality of care. Conclusion A quality register gives the users (nurses) feedback on the care provided, which starts a process of change. Implications for nursing management The value of working with a quality register as a feedback system can be applicable to all professions working with quality assurance. The experiences will increase the motivation and understanding the value of using quality registers as a tool for enhanced quality. Further, nurse managers can use such a register as a feedback system, not only as a motivating tool when implementing a quality register, but in the evaluation of its outcomes. © 2012 Blackwell Publishing Ltd.

  • 158.
    Lindholm, Elisabet
    et al.
    Sahlgrenska University Hospital,Colorectal Unit.
    Persson, Eva
    University of Borås, School of Health Sciences.
    Carlsson, Eva
    Sahlgrenska Academy, University of Gothenburg, Institute for Care and Health Sciences.
    Hallén, Ann-Marie
    Sahlgrenska University Hospital,Colorectal Unit.
    Fingren, Jeanette
    Sahlgrenska University Hospital,Colorectal Unit.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Ostomy-Related Complications After Emergent Abdominal Surgery: A 2-Year Follow-up Study.2013In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 40, no 6, p. 603-610Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to prospectively evaluate ostomy-related complications and describe ostomy configuration in patients undergoing acute abdominal surgery.

    SUBJECTS AND SETTING: The study sample comprised 144 patients with a median age of 67 years (IOR: 53.5-78 years) who underwent an intestinal ostomy as part of an acute abdominal surgical procedure. The research setting was the surgical and gynecological clinics at the Sahlgrenska University Hospital in Gothenburg, Sweden.

    METHODS: Ostomy configuration, diameter, height, and the presence of stomal and peristomal complications were assessed by a WOC nurse 1 to 2 times while in hospital, once at the ostomy outpatient clinic 2 weeks after discharge, and at 3, 6, 12, and 24 months following ostomy creation.

    RESULTS: The types of ostomies evaluated were end colostomy (58%), end ileostomy (18%), loop ileostomy (17%), and loop colostomy (7%). Most stomal or peristomal complications occurred within 1 year after surgery (31 of 57; 54.4%). Necrosis, separation, and stenosis were most common in patients with an end colostomy. Peristomal skin complications occurred in 45% of subjects during the first 6 months after surgery. The ostomy's diameter decreased significantly during the hospital course and over the first 2 weeks following hospital discharge in patients with end colostomy (P < .0001), end ileostomy (P < .0081), loop ileostomy (P = .008), and loop colostomy (ns). Patients with a low ostomy had peristomal skin problems ranging between 21% and 57% over this time period. The frequency of using a pouching system that incorporated convexity was highest in the case of loop ileostomy, used in 67% at 6 months.

    CONCLUSION: During the first 2 weeks after discharge, the physical configuration of the ostomy evolves and the pouching system must be frequently adjusted by a WOC nurse. Stomal and peristomal complications are prevalent during the first 2 postoperative years and especially during the first 6 months.

  • 159.
    Lundgren, Stina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Nisell, Ralph
    Reumatologiska kliniken, Karolinska Universitetssjukhuset.
    Smärta vid artrit2007In: Långvarig smärta, Lund: Studenlitteratur , 2007, p. 119-143Chapter in book (Other academic)
  • 160.
    Lyberg, Anne
    et al.
    Buskerud and Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Holm, Anne Lise
    Stord/Haugesund University College, Department of Health Science, Stord, Norway..
    Severinsson, Elisabeth
    Buskerud and Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
    Depressed Older Patients’ Need for and Expectations of Improved Health Services: An Evaluative Approach to the Chronic Care Model2015In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 4, p. 376-386Article in journal (Refereed)
    Abstract [en]

    Depression in later life is an underrepresented yet important research area. The aim of the study was to explore depressed older persons' need for and expectations of improved health services one year after implementation of the Chronic Care Model (CCM). A qualitative evaluative design was used. Data were collected through individual interviews with older persons living in Norway. The qualitative content analysis revealed two themes: The need to be safeguarded and Expectation of being considered valuable and capable. Evaluation of the improvement in care with focus on the CCM components showed that the most important components for improving the depressed older person's daily life were: delivery system re-design, self-management support, productive interaction and a well-informed active patient. The findings highlight the need for a health services designed for persons suffering from chronic ill-health, where the CCM could serve as a framework for policy change and support the redesign of the existing healthcare system. We conclude that older persons with depression need attention, especially those who have been suffering for many years. The identified components may have implications for health professionals in the promotion of mental healthcare.

  • 161.
    Meyer, Jennie
    et al.
    The Community of Tanum, Department for Home Care, Tanumshede.
    Cullough, Joanne Mc
    The Community of Lysekil, Department for Home Care, Lysekil.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    A phenomenological study of living with a partner affected with dementia2016In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 21, no 1, p. 24-30Article in journal (Refereed)
    Abstract [en]

    Introduction: Caring for people affected by dementia is a collective effort that involves public health, primary care, and informal care. The third mainly comprises the efforts of spouses.Aim:This study aimed to describe spouses' experiences of living with a partner affected with dementia.

    Method:The study has a descriptive phenomenological approach based on a reflective life-world perspective. Seven in-depth interviews were conducted with spouses of persons affected with dementia. The interviews were audiotaped and analysed using the procedures described by Giorgi (2009).

    Findings: The essence of living with a partner affected by dementia formed a comprehensive theme: from togetherness to loneliness, which along with three descriptive categories—changes in their partner's behaviour, changes in everyday life, and a changed future—describes the phenomenon.

    Conclusion:The theme 'From togetherness to loneliness' reflects the spouses' descriptions of their life-world. Daily life changed gradually in line with their partners' personality, and their role became that of a care provider rather than a spouse. Information and knowledge about dementia should be provided at an early stage. Health care has a major responsibility to meet their needs, thus ensuring that all parties are satisfied.

  • 162.
    Möller, Ann-Katrin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Håman, Susanne
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Kommunikation av smärtuttryck hos älde personer med demenssjukdom2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

     Abstract

    Background: Among elderly people with dementia pain is a common problem. In older persons, particularly those suffering from dementia and cognitive impairment pain is often underdiagnosed and undertreated causing unnecessary pain, suffering and affect quality of life negatively. Dementia complicates the identification of pain when the natural ability to communicate decreases when a person is suffering from dementia. It is important that health professionals working with older persons with dementia are aware of the person’s pain expression.

    Aim: To clarify how older persons with dementia communicate pain expression.

    Method: To study this area a literature review was used. Both qualitative and quantitative scientific articles were used.

    Results: Earnings how older persons with dementia communicate pain expressions are presented in an overall theme called Changes in the person's normal pattern. The other following themes were: Mood/Social, Basic needs, Language, Body and Face with subsequent sub-themes, face- and eye expression, agitation, depressed mood, appetite, sleep, verbal and semi-verbal language, defense and touching a body part.

    Conclusion: It is of utmost importance to see changes in the older person’s normal pattern.Elderly people with dementia experience pain, and communicates painexpression in many different ways. To understand the communication of painexpression in older persons with dementia the nurse interprets the person's body language, verbal language and behavior altogether as a whole.

     

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  • 163.
    Nilsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Fysisk aktivitet som egenvårdsåtgärd och dess effekter vid hjärtsvikt hos patienter över 65 år: en litteraturöversikt2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Heart failure is an increasing chronic disease in the western world due to an aging population and a changed lifestyle. The basic treatment is pharmacological with substantial lifestyle changes. Much is known about physical exercise in middle aged and younger patients but in the patients over the age of 65, little is known. Aim

    The aim of this study was to investigate the effects of physical exercise on patients aged over 65 with congestive heart failure. Method

    A systematic review was undertaken in the databases Cinahl and PubMed. Seven articles were analysed from the systematic review. An unsystematic review in PubMed gave one article. Three articles from Cinahl and five from PubMed were analysed from their results of physical exercise in heart failure. Results

    The study revealed three major themes and two subthemes. The themes were increased quality of life, a better heart work and increased physical capacity. The subthemes were increased fitness and increased muscle strength. The quality of life improved significantly in the study. The increased physical capacity included the subthemes improved endurance and increased muscle strength. There are major opportunities for the elderly patient to improve the overall daily life according to the results of this study. Conclusion

    The effects of physical exercises in elderly patients are good but more research has to be made to find the optimal training form for the weaker patient. 

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  • 164.
    Nilsson, Stefan
    et al.
    Sahlgrenska University Hospital, The Queen Silvia Children's Hospital, Department of Paediatric Anaesthesia and Intensive Care Unit.
    Finnström, Berit
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kokinsky, Eva
    Sahlgrenska University Hospital, The Queen Silvia Children's Hospital, Department of Paediatric Anaesthesia and Intensive Care Unit.
    Enskär, Karin
    Jönköping University, School of Health Sciences, Department of Nursing Science.
    The use of Virtual Reality for needle-related procedural pain and distress in children and adolescents in a paediatric oncology unit2009In: European Journal of Oncology Nursing, Vol. 13, no 2, p. 102-109Article in journal (Refereed)
    Abstract [en]

    Aim: It is essential to minimize pain and distress during painful procedures in children. This studyexamined the effect of using non-immersive Virtual Reality (VR) during a needle-related procedure onreported pain or distress of children and adolescents in a paediatric oncology unit and surveyed their response to the use of VR-equipment during the procedure.Method: Twenty-one children and adolescents were included in an intervention group with nonimmersiveVR and another 21 children and adolescents in a control group where they underwent either venous punctures or subcutaneous venous port devices. Self-reported pain and distress, heart rate andobservational pain scores were collected before, during and after the procedures. Semi-structured qualitative interviews were conducted in conjunction with the completed intervention.Results: Self-reported and observed pain and distress scores were low and few significant differences of quantitative data between the groups were found. Two themes emerged in the analysis of the interviews; the VR game should correspond to the child and the medical procedure and children enjoyed the VR game and found that it did distract them during the procedure.Conclusion: The interviews showed that non-immersive VR is a positive experience for children undergoing a minor procedure such as venous puncture or a subcutaneous venous port access.

  • 165.
    Nolbris, Margareta Jenholt
    et al.
    Queen Silvia Childrens Hosp, Ctr Childrens Rights, Gothenburg.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Siblings of children with cancer: their experiences before and after participating in a support intervention combining education, learning and reflection2012In: Pediatric Blood & CancerSpecial.  Issue: 44th Congress of the International Society of Paediatric Oncology (SIOP) 2012, London, United Kingdom, 5th–8th October, 2012, 2012, Vol. 59, no 6, p. 965-1152Conference paper (Refereed)
    Abstract [en]

    Purpose: The objective was to evaluate an intervention that combines education, learning and reflection about cancer delivered via internet and email, regarding the provision of support and prevention of illness in siblings with a brother or sister newly diagnosed with cancer. Methods: A descriptive qualitative approach was used. The intervention consisted of lectures and e-mail conversations with siblings supplemented by a personal diary, designed to encourage reflections about open questions concerning thoughts and experiences of being the sibling of a child with cancer. Fourteen siblings with a brother or sister newly diagnosed with cancer participated and were interviewed before and after the intervention. A qualitative content analysis was used for the analyses. Results: The analysis revealed the theme ‘to live as normal a life as possible’ comprising five subthemes; ‘sleeping problems’, ‘physical pain’, ‘emotional affections’ and ‘changes in the future for the whole family’. Life was affected by the child with cancer. Before the intervention the siblings mostly described how new situation led, in everyday life, to suffering, fear, feelings of insecurity and doubts about the future. After the intervention the siblings were more informed about and prepared for the cancer treatments and their sideeffects and the threat of death so close to them.Conclusion: The siblings reflected on and dealt with difficult existential questions. The intervention helped the siblings to better understand cancer, their own reactions and their family situation. This should encourage health-care professionals to acknowledge siblings and to support them when their sister or brother has been diagnosed with cancer.

  • 166.
    Nordqvist, L.
    et al.
    University West, Department of Nursing, Health and Culture.
    Thorn, S.
    University West, Department of Nursing, Health and Culture.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Difficulties experienced by men during the first year after their myocardial infarction and fatigue2015In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 14, no S1, p. S46-S46, article id 125Article in journal (Refereed)
  • 167.
    Nymark, Carolin
    et al.
    Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital.
    Mattiasson, Anne-Cathrine
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Henriksson, Peter
    Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital.
    Kiessling, Anna
    Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital.
    The turning point: from self-regulative illness behaviour to care-seeking in patients with an acute myocardial infarction.2009In: Journal of clinical nursing, ISSN 1365-2702, Vol. 18, no 23, p. 3358-3365Article in journal (Refereed)
    Abstract [en]

    Aims and objectives. To describe the care-seeking process from interpretation of an initial symptom to the decision to seek medical care in patients with an acute myocardial infarction. Background. Patients afflicted by symptoms of an acute myocardial infarction delay in seeking care far exceeding the desired time limits. This results in avoidable loss of life. There is thus a need to understand these patients' initial discomfort, appraisal and behaviour to design interventions that could reduce delay in care-seeking. Design. Focus group discussions with patients who had had a recent acute myocardial infarction. Methods. The analysis of the transcribed text was inspired by the self-regulatory model of illness behaviour. Results. Patients with acute myocardial infarction describe problems to identify the exact time of onset of often vague symptoms. Their experiences of symptoms did not match their expectations. These patients exhibit self-regulatory illness behaviour that seems to cause a considerable delay in care-seeking. Conclusions. We found indications of a pertinent shift in appraisal and coping-strategy when a patient changes from self-regulative illness behaviour to seeking care - the turning point. This shift seems to be affected by several partly contradictory influences and it takes a considerable time for a person to reach this stage. All aspects of the patients' self-regulative illness behaviour have to be considered if we want patients to seek medical care more rapidly. Relevance to clinical practice. Our findings are important to consider in future design of public health and rehabilitation strategies to save patient lives. To identify the turning point is a profitable way to deepen the understanding of patient behaviour during the initial phase of an acute myocardial infarction.

  • 168.
    Olofsson, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Bäck-Pettersson, Siv
    NU-Hospital Organisation, Trollhättan,Department of Research and Development.
    During and beyond the triage encounter: Chronically ill elderly patients' experiences throughout their emergency department attendances.2012In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 20, no 4, p. 207-13Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Chronically ill elderly patients are frequent users of care in emergency departments (EDs). Due to their presenting symptoms, these patients are often assessed on a low urgency level of priority by the triage nurse.

    AIM: The aim of the study was to explore and describe the experiences of a group of chronically ill elderly patients' during their triage encounter and subsequent ED stay.

    METHOD: The data consisted of 14 open-ended interviews with chronically ill patients aged between 71 and 90years. A lifeworld approach was used in order to describe the essence of patient experiences. The study was carried out with a descriptive phenomenological research perspective.

    CONCLUSION: The visit to the ED was experienced as contradictory. The triage encounter fostered confidence and set promising expectations, but during the rest of the visit, the patient felt abandoned and considered the staff to be uncommitted and reluctant. These ambiguous experiences of their ED visits indicate a need for exploring possible ways of improving the situation for the chronically ill older person in ED.

  • 169.
    Olofsson, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Gellerstedt, Martin
    University West, Department of Economics and IT, Division of Computer Science and Informatics.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Triage på akutmottagning: en utvärdering av triage i Västra Götalandsregionen2008Report (Other academic)
    Abstract [sv]

    Triage är en systematiserad form av prioritering som utförs på de flesta akutmottagningar i Sverige och internationellt. Syftet med triage är att uppnå en medicinskt säkerställd turordning för patienter som söker vård. I Västra Götalandsregionen har akutmottagningarna de senaste två åren implementerat Manchester Triage (MTS). Modellen består av ett medicinskt beslutsstöd i form av ett flödesschema, samt fem triagekategorier, som var och en anger maximal väntetid. Patienterna som bedöms tillhöra kategori 1 behöver omedelbar läkarkontakt. De övriga fyra kategorierna bedöms kunna vänta mellan 10 minuter och upptill 240 minuter. Den här studien utvärderar överensstämmelsen i form av mellanbedömarreliabilitet, samt träffsäkerhet i triagebedömningar hos sjuksköterskor som arbetar med MTS. De 79 sjuksköterskor som deltog i studien var verksamma på sju olika akutmottagningar i Västra Götalandsregionen. Sjuksköterskorna bedömde 13 fiktiva patientfall vardera. Dessa patientfall hade tilldelats en förväntad triagekategori utifrån en expertgrupps samlade bedömning. Mellanbedömar-reliabiliteten för akutmottagningarna totalt var 0,61 i oviktat k-värde vilket innebär god överensstämmelse. Mellan akutmottagningarna varierade k-värdet från 0,56-0,65. Träffsäkerheten gentemot expertgruppens förväntade triagekategori var 73 % totalt. 14 % av patienterna tilldelades en högre triagekategori än den förväntade (övertriage) och 13 % en lägre (undertriage). Träffsäkerheten för MTS var hög i kategori 1 (92 %) och kategori 2 (91 %), men lägre i kategori 3 (66 %) och 4 (63 %). Slutsatsen är att mellanbedömar-reliabiliteten var god och träffsäkerheten hög. Triagekategori 1 och 2 redovisade högst värden, vilket tyder på att denna grupp av patienter bereds vård utan riskfyllda väntetider. De patienter som ges en lägre prioritet visar sig emellertid vara svåra att bedöma. Trots att dessa patienter är mest frekventa på akutmottagningarna var de svåra att särskilja. Detta pekar på ett behov av att ytterligare utveckla bedömningar av kategori 3 och 4 i triagemodellen MTS.

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  • 170.
    Olofsson, Pia
    et al.
    Nu-sjukvården, Trollhättan, Department of Emergency Medicin.
    Gellerstedt, Martin
    University West, Department of Economics and IT, Division of Computer Science and Informatics.
    Carlström, Eric. D.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Manchester Triage in Sweden: Interrater reliability and accuracy2009In: International Emergency Nursing, Vol. 17, no 3, p. 143-148Article in journal (Refereed)
    Abstract [en]

    This study investigates the interrater reliability and the accuracy of Manchester Triage (MTS) at emergency departments in Western Sweden. Methods: A group of 79 nurses from seven emergency departments assessed simulated patient cases and assigned triage categories using the same principles as in their daily work. K statistics, accuracy, over-triage and under-triage were then analyzed. The nurses performed 1027 triage assessments. Results: The result showed an unweighted κ value of 0.61, a linear weighted κ value of 0.71, and a quadratic weighted κ value of 0.81. The determined accuracy was 92% and 91% for the two most urgent categories, but significantly lower for the less urgent categories. Conclusions: Patients in need of urgent care were identified in more than nine out of 10 cases. The high level of over-triage and under-triage in the less urgent categories resulted in low agreement and accuracy. This may suggest that the resources of emergency departments can be overused for non-urgent patients.

  • 171.
    Olsson, Maivor
    et al.
    NU-Hospital Organisation, Department of Psychiatry, Trollhättan.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University of Gothenburg, Academy of Sahlgrenska, Institute of Health and Care Sciences, Gothenburg.
    Marklund, Bertil
    University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine,.
    Helldin, Lars
    NU-Hospital Organisation, Department of Psychiatry, Trollhättan.
    Hjärthag, Fredrik
    University of Karlstad, Karlstad, Department of Psychology, Sweden.
    Assessment of Distress and Quality of Life: A Comparison of Self-Assessments by Outpatients with a Schizopsychotic Illness and the Clinical Judgment of Nurses2015In: Archives of Psychiatric Nursing, ISSN 0883-9417, E-ISSN 1532-8228, Vol. 29, no 5, p. 284-289Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate how self-assessments of perceived distress and quality of life in patients with schizopsychotic illness are associated with nurse assessments of symptoms, function and life situation. Data were obtained through interviews that used evidence-based rating and visual analogue self-rating scales. Descriptive statistics, correlation and regression analyses were used to process the data. The results demonstrated that the patient self-ratings did not correlate with the nurse assessments, and the perceived distress was not affected by remission status. The findings indicate that patient self-assessments are not a sufficient basis for decisions regarding appropriate treatment interventions.

  • 172.
    Olsson, Susanne
    et al.
    University West, Department of Nursing, Health and Culture.
    Ward, Sara
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Att leva med diagnosen schizofreni: Ur ett livsvärldsperspektiv2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background          Schizophrenia has been negatively observed in today’s society due to several major violent crimes and violent actions committed by persons with the diagnosis. The general populations’ lack of knowledge increases the risk of a faulty attitude when meeting individuals with schizophrenia. Schizophrenia is a psychosis which creates suffering for the effected. Common symptoms of schizophrenia are hallucinations, delusions, apathy and difficulties with emotional relations. Nearly half of all schizophrenics attempts suicide, at some point.

     

    Aim                        The aim of this study was to describe how people with schizophrenia experience their life-world.            

     

    Method                  This study is based on six autobiographies and is analyzed with qualitative content analyses.

     

    Results                   The study resulted in six categories which are perception of their illness, positive symptoms, negative symptoms, suffering, experiences of health care and medication and strategies towards a brighter future. During psychotic periods the individuals often experienced their surrounding as frightening because of hallucinations. Some of them live their lives alone because they are afraid of being perceived as crazy and want to conceal their diagnosis. The result shows strategies that the persons were using for reducing their suffering.

     

                                  

    Conclusion            Prejudices about the disease can generate that persons with schizophrenia is not getting the care they need. If the patient is treated based on a life-world perspective, he or she will feel like being seen as a person rather than a diagnosis. 

  • 173.
    Persson, E.
    et al.
    University of Borås, School of Health sciences.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, E.
    Göteborg University, The Sahlgrenska Academy, Institute of Health and Care Sciences.
    Hallén, A. M.
    Sahlgrenska University Hospital.
    Lindholm, E.
    Sahlgrenska University Hospital.
    Stoma-related complications and stoma size – a 2-year follow up2010In: Colorectal Disease, ISSN 1462-8910, E-ISSN 1463-1318, Vol. 12, no 10, p. 971-976Article in journal (Refereed)
    Abstract [en]

    Abstract Aim The purpose of the study was to prospectively describe stoma configuration and evaluate stoma-related complications and their association with possible risk factors. Method All elective patients (n = 180) operated on with a formation of colostomy, ileostomy or loop-ileostomy between 2003 and 2005 were included in the study. Follow up took place on the ward postoperatively and five times during 2 years after discharge. On these occasions the diameter and height of the stoma were recorded. Complications such as peristomal skin problems, necrosis, leakage caused by a low stoma, stenosis, granuloma formation, prolapse and peristomal hernia formation were evaluated. Results Most complications occurred 2 weeks after discharge; 53% of patients with colostomies, 79% with loop-ileostomies and 70% of patients with end-ileostomy had one or more complications. The most common complication was skin problems and it was most common in patients with end-ileostomies (60%) and loop-ileostomies (73%). Postoperatively at ward review, the most common complication was necrosis, which occurred in 20% of patients with a colostomy. Granuloma formation was most frequent in colostomies. Almost all patients with an end-ileostomy and loop-ileostomy with a height lower than 20 mm had leakage and skin problems as had half of the patients with a colostomy height lower than 5 mm. Conclusion To prevent stoma-related complications, it is important to produce an adequate height of the stoma, with early and regular follow ups and adjustment of the appliance. To work closely in collaboration with the colorectal surgeons is of utmost important to provide feedback and in turn, to improve stoma outcome.

  • 174. Persson, Eva
    et al.
    Berndtsson, InaUniversity West, Department of Nursing, Health and Culture, Division of Nursing.Carlsson, Eva
    Stomi- och tarmopererad: Ett helhetsperspektiv2008Collection (editor) (Other academic)
  • 175.
    Persson, Eva
    et al.
    School of Health Sciences, University of Borås.
    Lindholm, Elisabet
    Colorectal Unit, Sahlgrenska University Hospital / Östra, Sahlgrenska Academy.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Lundstam, Ulf
    Colorectal Unit, Sahlgrenska University Hospital / Östra, Sahlgrenska Academy.
    Hultén, Leif
    Colorectal Unit, Sahlgrenska University Hospital / Östra, Sahlgrenska Academy.
    Carlsson, Eva
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Experiences of living with increased risk of developing colorectal and gynaecological cancer in individuals with no identified gene mutation2012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 1, p. 20-27Article in journal (Refereed)
    Abstract [en]

    Background: In most families with familial cancers, mutations have not been demonstrated; thus, healthy individuals cannot be tested for mutation status. As a consequence, many persons at risk of familial cancer live with an unknown, but presumably high, risk of developing cancer.Aim: The aim of this study was to describe individuals’ perceptions of living with an increased isk of colorectal and gynaecologic cancer where the gene mutation is unknown.Methods: Interviews were conducted with 30 individuals with familial colorectal cancer. These ersons have no known mutation and therefore should be considered presumptive carriers. In onnection with the interviews, all participants were offered to take part in a surveillance programme consisting of a colonoscopy and gynaecological examinations. The interview ranscriptions were analysed by the use of qualitative content analysis.Results: Two themes emerged from the analyses: first, living under a threat with two ubthemes, threat awareness and distancing oneself from the threat. The second theme, living with uncertainty, was divided into four subthemes: influencing one’s family, being on the safe side, facing emotions evoked by examinations and trust and disappointment to the medical services.Conclusion: These persons live with a lifelong uncertainty with a varying intensity depending on what happens throughout the life trajectory. They have no diagnosis or patient group to elate to; therefore, the entire situation is often perceived as abstract. Thus, providing nformation and counselling needs to be more deeply elucidated, and we need to address both ituational and existential ways of uncertainty. This will, however, require professionals of all disciplines to understand the meaning of uncertainty and help ensure that its adverse effects re decreased with adequate nursing interventions.

  • 176.
    Pettersson, Monica
    et al.
    Sahlgrenska University Hospital, Department of Vascular Surgery.
    Gedda, Birgitta
    Primary Health Care Fyrboda, Research and Development Unit.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Experiences of Screening for Abdominal Aortic Aneurysm: In and Out on Five Minutes2014In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 6, p. 1385-1395Article in journal (Refereed)
    Abstract [en]

    Background: The purpose of AAA screening is to prevent rupture and mortality. Screening for life-threatening diseases is a double-edged sword. The aim of this study is to describe 65-year-old men's experiences of health related quality of life and anxiety after screening for Abdominal Aortic Aneurysm, and experiences of information and reasons for not participating. Methods: 368 men answered Short Form 36 (SF-36), and anxiety and depression scale (HAD). 72 telephone interviews were conducted with the participants and 77 with those who declined to take part in the screening programme. Results: The SF-36 domains of Physical Function and Role limitations due to emotional health problems were significantly better for men who had undergone screening compared to a matched population. Compared to non-smokers, smokers had lower values in the SF-36 domains of general health perceptions, social functioning, role limitations due to emotional health problems and mental health. 80% of patients did not experience any form of anxiety/panic in connection with the screening invitation. Of the men who did not participate, 56% stated that they would like to be screened or had already undergone the examination. Conclusion: The men who underwent the investigation were healthier in some of the SF-36 domains than the general population. The participants did not experience any great anxiety before the screening and despite the short duration of the examination.

  • 177.
    Rystedt, Hans
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Simulering: att återskapa vårdpraktik som lärandemiljöer2009In: Individ, teknik och lärande / [ed] Linderoth, Jonas, Stockholm: Carlsson , 2009, p. 44-66Chapter in book (Other academic)
  • 178.
    Sahlsten, Monika J M
    et al.
    The Sahlgrenska Academy at Göteborg University, Institute of Health Care Pedagogics.
    Larsson, Inga
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Lindencrona, Catharina S C
    Department of Health and Welfare, Stockholm.
    Plos, Kaety A E
    Sahlgrenska Academy at Go¨ teborg University, Faculty of Health and Caring Sciences, Institute of Health.
    Patient participation in nursing care: an interpretation by Swedish registered nurses.2005In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 14, no 1, p. 35-42Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim of this study was to clarify Registered Nurses' understanding of patient participation in nursing care. Objectives were to investigate ward nurses' interpretation of the elements of patient participation and its implementation. BACKGROUND: One goal of health care is patient participation. Registered Nurses must encourage the participation of their patients in nursing care situations. A right for patients to make their own informed choices is laid down in Swedish laws and national and local directives. The concept of patient participation can be interpreted differently and is thus difficult to implement and evaluate. Current nursing literature provides little clarity of the elements and processes of patient participation and conceptual definitions differ. DESIGN AND METHODS: A qualitative approach was applied and the Grounded Theory method used. Thirty-one Registered Swedish Nurses described the meaning of patient participation and its implementation in nursing care. Seven focus group interviews with nurses providing inpatient somatic care were carried out in five hospitals in west Sweden. RESULTS: Four properties, describing nurses' approaches and procedures, constitute patient participation. The properties are: interpersonal procedure, therapeutic approach, focus on resources, opportunities for influence. These properties were considered crucial for patient participation in a nursing care context. CONCLUSIONS AND RELEVANCE TO CLINICAL PRACTICE: The results clarify the concept of patient participation from a nursing perspective. A comprehensive description of important factors for patient participation could be made on the basis of nursing experience. This comprehensive description can be used in nursing care practice and its evaluation. The developed categories can be used in nursing care documentation of how patient participation is realized.

  • 179. Sahlsten,, Monika J. M.
    et al.
    Larsson, Inga
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjöström, Björn
    Plos, Kaety A. E
    An analysis of the concept of patient participation.2008In: Nursing Forum, ISSN 0029-6473, Vol. 43, no 1, p. 2-11Article in journal (Refereed)
    Abstract [en]

    The concept of patient participation has an array of interpretations and lacks clarity. The purpose of this article is to explore the concept of patient participation within the context of nursing practice. The method described by Walker and Avant (1995) is used. The critical attributes of the concept are identified. Formation of model, borderline, and contrary cases exemplifies key characteristics. Antecedents, consequences, and empirical referents presented allow for further refinement of the key attributes defining the concept. Patient participation in nursing practice can be defined as an established relationship between nurse and patient, a surrendering of some power or control by the nurse, shared information and knowledge, and active engagement together in intellectual and/or physical activities.

  • 180.
    Sahlsten, Monika J. M.
    et al.
    University of Skövde, School of Life Sciences.
    Larsson, Inga
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjöström, Björn
    University of Skövde, School of Life Sciences.
    Plos, Kaety A. E.
    Göteborg University, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Nurse strategies for optimising patient participation in nursing care2009In: Scandinavian Journal of Caring Sciences, Vol. 23, no 3, p. 490-497Article in journal (Refereed)
  • 181.
    Sahlsten, Monika J.M.
    et al.
    Institute of Nursing, Health and Care Sciences, Sahlgrenska Academy, Göteborg University.
    Larsson, Inga
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjöström, Björn
    School of Life Sciences, University of Skövde, Skövde.
    Lindencrona, Catharina S.C.
    Department of Health and Welfare, Stockholm.
    Plos, Kaety A. E.
    Institute of Nursing, Health and Care Sciences, Sahlgrenska Academy, Göteborg University, Göteborg.
    Patient participation in nursing care: Towards a concept clarification from a nurse perspective2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, no 4, p. 630-637Article in journal (Refereed)
  • 182.
    Sandén, Inger
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Experiences of living in a disrupted situation as partner to a man with testicular cancer2009In: American Journal of Men's Health, Vol. 3, no 2, p. 126-133Article in journal (Refereed)
  • 183.
    Sech, Gudrun
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Wanström, Liselotte
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Livsstilsförändringar och livskvalitet hos patienter med hjärt-kärlsjukdom: Litteraturstudie2011Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    In Sweden and Northern Europe, cardiovascular disease mortality rates are high. The clinical picture in the Western world is dominated by lifestyle diseases in which individual behavior and attitudes have a significant impact on the health effect. In the society cardiovascular disease is seen as an illness factor and contribution to disability. Conditions for a good life are not only good health also factors such as intimate relationships and meaningful work which affect the person's quality of life.

    Aim:

    Lifestyle changes and quality of life for patients, regarding cardiovascular disease.

    Method:

    A literature review was made. Eight articles, quantitative and qualitative were analyzed. The analysis revealed three themes and four subthemes.

    Results:

    Through interventions bodily- and behavioral change occurred, for example weightloss, better cholesterol- and bloodpressure levels and increased physical activity. Respondents also had better quality of life. Great importance was laid on education and information about different lifestyle changes. On the contrary, the nursing staff was careless with the documentation.

    Conclusion:

    Lifestyle changes such as smoking cessation, increased physical activity, reducing obesity and improving dietary habits and psychosocial factors such as reduced stress and depression, have a positive impact on the health of cardiovascular disease. Because these changes should not affect patients' quality of life, the nurse's communication and information are important. It's also important to combine good lifestyle changes with good quality of life, as adherence then is better. The nurse has to consider the patients whole life situation.

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    C-uppsats
  • 184.
    Svantesson, Kristina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Telefonrådgivning: kritisk granskning av aktuell forskning2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The telenursing service deals with offering the public guidance as what to do with their health and illness concern. More specifically this service includes triage, support, advice, education, referral, information and coordination. To conduct telephone advice is a complicated task to perform and put specific demands of the nurse’s communication skills.

    The purpose of this study was to critically review the impact of telephone counseling focused on context of implementation, perspective, design and clinical relevance by a sample of studies within the field.

    The critical review focused on inconsistencies in the material. Strengths and weaknesses of the studies were explored, with emphasis on detecting areas of skill gaps.

    Twelve of thirteen studies were made in the context of telenursing. The thirteenth was conducted in the context of the emergency call. The most prominent approach was the study of callers´. Two of the articles were made with an inductive design, five with a deductive and the remaining six articles with a mixed design. The clinical relevance is attached to the callers´ perspective. The most salient dimension of the analyzed studies were studies of callers´ satisfaction with telephone advice, compliance to advice given and experiences of approaching a telenurse. The results reveal that when given advice are understood, satisfaction with the advice is obtained as well as good compliance and the caller feel looked after. However, the callers´ experience to ventilate their concerns, being listened to, while having "control" over the call is less explored. Moreover, the callers´ experience of being subject to advice by telephone seems to be further explored.

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    fulltext
  • 185.
    Svensson, Christine
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Nilsson, Emma
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Kvinnors kroppsuppfattning i samband med bröstcancerbehandling: En litteraturstudie2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background                     

    There are different types of treatments for breast cancer, and these may be of surgical and non-surgical art. These treatments produce different side effects that can cause both physical and mental harm to the woman. The breast cancer can change the women's body image and relationships to their families. The women manage their lives in different ways depending on which culture they belong to.

    Aim                                   

    The aim of the study was to elucidate women’s experience of her body and the altered body in relation to breast cancer treatment.

    Method                             

    The method used was a literature review based on scientifically articles to overview the field of breast cancer. For the systematic and unsystematic search nine articles were found and used to present the results.

    Results                              

    The result was based on analyzes of the nine articles and three main themes revealed: To take control, To change and To meet the cultural ideal.

    Conclusion                        

    Women with breast cancer often experience hair loss as the most difficult part of the treatment. It’s therefore important that the women is prepared to what is going to happen for being able to handle the new situation. By preparing in different ways women handle their situation easier. It’s important for the women to feel normal and maintain their identity and role in the family. 

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  • 186.
    Söderhamn, Olle
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Holmgren, Linda
    Health Promotion Officer, Feelgood, Linköping.
    Testing Antonovsky's sense of coherence (SOC) scale among Swedish physically active older people2004In: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 45, no 3, p. 215-21Article in journal (Refereed)
    Abstract [en]

    In Antonovsky's salutogenic theory, the major concept sense of coherence (SOC) is constituted of three core components called comprehensibility, manageability, and meaningfulness. Several scales that are intended to measure SOC are available and used by researchers in health and caring sciences all over the world. When using a scale, evidence of its quality in different study groups is needed in order to get reliable and valid data. The aim of this study was to test reliability and construct validity of the Swedish version of Antonovsky's original 29-item sense of coherence (SOC) scale in a group of physically active older people. The scale was tested with a convenience sample of 140 physically active older individuals, who took part in different fitness-training groups in eastern Sweden. Reliability was assessed as item to total correlations and with the Cronbach's alpha coefficient. Construct validity was assessed with the known groups technique, confirmatory factor analysis, and with logistic regression analysis. The results showed that in the studied group of older individuals, the instrument was a very reliable tool with a Cronbach's alpha coefficient of 0.92. Construct validity of the scale was supported by the fact that the global concept sense of coherence was found to be hierarchically organized in a model that consisted of the three core components of comprehensibility, manageability, and meaningfulness. Furthermore, perceived health could be explained to some degree by sense of coherence, but even more by comprehensibility, in both cases independently of chronological age. The results clearly corroborated Antonovsky's theory.

  • 187.
    Söderhamn, Ulrika
    et al.
    University of Agder, Faculty of Health and Sport.
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    A successful way for performing nutritional nursing assessment in older patients2009In: Journal of Clinical Nursing, Vol. 18, no 3, p. 431-439Article in journal (Refereed)
  • 188.
    Thorsell, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Toresdotter, Elin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Yngre kvinnors upplevelser av att få en bröstcancerdiagnos och livet därefter2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is one of the most common types of cancer in the world and it usually affects elderly women. However, there are between 600-700 cases per year in Sweden where women under the age of 45 are diagnosed. Removal of the breast or part of the breast, hair loss, fatigue and nausea as a result of the breast cancer treatment has an emotional and physical impact on the women’s lifeworld. The nurse should build a relationship with the women to identify and meet their needs. 

    Aim: To describe younger women’s experiences of getting a breast cancer diagnosis and life afterwards.

    Method: Four biographical books were analyzed to match the aim of the study.

    Result: The findings were that the women experience similar thoughts and feelings when it comes to living with a cancer diagnosis. Feelings such as fear, anger and distress were expressed in the biographies. To be able to fight against the disease the women highlighted the importance of support from family members and the medical staff.

    Conclusion: The women’s describes both physical and mental changes due to treatment, a strong influence on the woman’s lifeworld. It is therefore important that the nurse support, comfort and assist the patient during the entire course of the disease. It might help the woman to find bright spots in life and maintain hope for the future.

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    Yngrekvinnorsupplevelser
  • 189.
    Wentz, Elisabet
    et al.
    Institutionen för neurovetenskap och fysiologi, Göteborgs universitet.
    Nydén, Agneta
    Institutionen för neurovetenskap och fysiologi, Göteborgs universitet.
    Osmar Swerkersdotter, Helena
    BNK.
    Niklasson, Lena
    BNK.
    Lindström, Marie
    Hakenäs-Plate, Louise
    BNK.
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Internet-based support and coaching – habilitation of young adults with autism spectrum conditions and other neuropsychiatric disorders. A pilot study2010In: IX International Congress Autism-Europe, A Future for Autism, Catania, Italien 8-10 oktober 2010, 2010Conference paper (Refereed)
  • 190.
    Winman, Thomas
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology. University West, School of Business, Economics and IT, Divison of Informatics.
    Rystedt, Hans
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Från journaler till digitala informationssystem2009In: Omvårdnadens grunder: ansvar och utveckling / [ed] Ehrenberg, Anna, Wallin, Lars, Edberg, Anna-Karin, Lund: Studentlitteratur , 2009, 1. uppl, p. 403-433Chapter in book (Other academic)
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