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  • 151.
    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

  • 152.
    Aregård, Alicia
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Har man nära till naturen har man nära till lugnet: En studie av landsbygdsbors förhållande till naturen2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med denna studie var att undersöka landsbygdsbors förhållande till naturen, med fokus på dess betydelse för det mentala välbefinnandet. Studien har en kvalitativ ansats och material har samlats in i form av självrapporter, i vilka informanter i olika delar av landet har delat med sig av tankar om sin vardag på landsbygden och naturens roll i vardagen. Resultatet visar att närheten till naturen har stor betydelse för informanternas dagliga välbefinnande och deras förmåga att hantera vardagen. Naturen utgör en källa till rekreation och fungerar även som en slags terapeut för bearbetning av tankar och känslor. Den andel av informanterna som både bor och arbetar på landsbygden lägger något större fokus på upplevelsen av att ha naturen ständigt närvarande, jämfört med den grupp som arbetar i tätorter och fokuserar på att de söker sig till naturen i rekreationssyfte. Det framkommer att närheten till naturen har stor betydelse för livskvaliteten, genom att stämma överens med informanternas uppfattningar om vad ett gott liv innebär. Vikten av att leva ett liv som överensstämmer med de egna värderingarna är potentiellt den främsta slutsatsen som kan dras av resultatet. Det tredje och sista temat som framträder visar en medvetenhet kring miljöfrågor och hållbarhet, både kring den fysiska miljön och de strukturella förutsättningar som råder på landsbygden. En viss oro för framtiden lyfts och man understryker hur viktigt det är med en levande landsbygd. Resultatet har tolkats utifrån teorier om livskvalitet, rekreation och miljöengagemang.

  • 153.
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Meeting The Demands Of PhD Supervision By Changing Supervision Practice: A Supervisor's Reflection On Didactic Change2023In: Journal for New Generation Sciences, ISSN 1684-4998, Vol. 21, no 1, p. 52-61Article in journal (Refereed)
    Abstract [en]

    This article presents a PhD supervisor's reflections on a didactic change in supervision. The change included adding digital collaborative supervision activities to meet expectations, demands, and prerequisites for PhD supervision. Small-scale changes in supervisor didactic practices, such as online monthly group meetings and online retreats, can be useful for the progress of PhD students and for improving the working situation for supervisors. Collaboration is a key feature that ensures shared responsibility, meaningful focus, and better use of both traditional and new supervision meetings and activities. Furthermore, PhD students appear to have positive outcomes regarding social life, academic belonging, academic skills, academic leadership, and academic friendship. The findings from this small, pragmatic quality improvement project provide useful insights for PhD supervision. Reflections on a supervisor's experience from a didactic change with digital, collaborative supervision can provide useful learning relevant to other PhD supervisors, PhD students, and graduate schools.

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  • 154.
    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!

  • 155.
    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.

  • 156.
    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.

  • 157.
    Areskoug Josefsson, Kristina
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences. Oslo Metropolitan University, Oslo (NOR).
    Willems, Aron
    Oslo Metropolitan University, Oslo (NOR).
    Manglende kunnskap hos profesjonelle om seksuell helse er en trussel for folkehelsen2023In: Dagens medisin, ISSN 1501-4290, E-ISSN 1501-4304Article in journal (Other (popular science, discussion, etc.))
  • 158.
    Arifaj, Fitore
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Larsson, Kerstin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lågaffektivt bemötande: ett verktyg för den psykiatriska slutenvården? En studie av sjuksköterskors erfarenheter.2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A low arousal approach is defined as a working method that focus on the interaction between the patient and the caregiver. The approach is one of the most important tools in psychiatric inpatient care, which focus on getting the patient to maintain control over their emotions. The work method has been well-evaluated in other contexts outside psychiatry but sparingly evaluated in psychiatric inpatient care. The aim of the study has been to increase knowledge about low arousal approach and its effect in psychiatric inpatient care.

    Aim: The aim of the study was to describe registered nurses' experiences of low arousal approach in psychiatric inpatient care.

    Method: The study is a descriptive qualitative study in which interviews were conducted with ten registered nurses in child- and adult psychiatric inpatient care. The data was analyzed by a qualitative content analysis. An inductive approach was used where similarities and differences in the collected material were described.

    Result: The analysis resulted in three categories. Low arousal approach: Gives an inner and outer strength, Gives a feeling of uncertainty and Put the patient in the center. The result of the study shows both a strength in the low arousal approach experiences, but at the same time it can give the registered nurse a feeling of uncertainty when there are a knowledge gap both in herself or in the staff group. The registered nurses in the study find that the low arousal approachmeans that the patient is seen as a person regardless of diagnosis.

    Conclusion: When the registered nurse feels safe in his or her knowledge and the working group works on a staff-common way with low arousal approach, can this create a calmer careenvironment and a good working climate. The registered nurses also feel that the working method gives the patient an increased opportunity to control his or her feelings and this increases the patient's sense of empowerment.

  • 159.
    Arnell, Linda
    et al.
    School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
    Källström, Åsa
    School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
    Gunnarsdottir, Hrafnhildur
    University West, Department of Health Sciences, Section for nursing - graduate level. School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden;Department of Health Sciences, University West, Trollhättan, Sweden.
    Relative Wellbeing of Women Maltreated as Children2022In: Violence against Women, ISSN 1077-8012, E-ISSN 1552-8448, Vol. 28, no 12-13, p. 2947-2965Article in journal (Refereed)
    Abstract [en]

    This study explores and analyzes how adult women in Sweden exposed to childhood maltreatment describe wellbeing, by using a thematic analysis of 22 semi-structured interviews with women maltreated as children. The results show that wellbeing was described as relative to both social norms and the childhood experiences and constituted four dimensions: Material and/or economic; Social and relational;Emotional; and Physical and/or mental. This study concludes that it is important to consider the relative and multiple ways wellbeing can be experienced and understood and to problematize norms of wellbeing, acknowledging the various ways people appraise their lives.

  • 160.
    Arnoldsson, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cederqvist, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    '' När jag visste att jag hade MS trodde jag att jag skulle dö inom 6 månader": en litteraturbaserad studie om patienters upplevelser av att leva med Multipel Scleros2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 161.
    Arnoldsson, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ottosson, Sofia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att belysa närståendes upplevelser av palliativ vård i hemmet, före och efter dödsfallet2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Relatives were a large part of palliative care and how they really felt was sparsely studied. Home care was often involved as part of the care chain, and the district nurse in charge could, with her in-depth knowledge, support and help relatives to cope with the difficult times in life.

    Purpose: To shed light on relatives' experiences of palliative care at home, before and after the death.

    Method: An inductive qualitative study. Interviews with eight participants, both men and women. Qualitative content analysis was used as an analytical method.

    Results: The result showed two categories, before death and after death with six subcategories, feelings of losing hope, having control and being strong, the importance of information and communication, feeling neglected, security, feelings of emptiness and the need for support. Many relatives who cared for their sick family member were at risk of developing ill health due to the mental and physical strain the situation entailed. Relatives felt that home care gave them security, but still demanded more support from home care for communication and information. Home care's treatment and support played a large and important role in how the relatives experienced and handled the already difficult situation.

    Conclusion: Close relatives felt that they received a certain amount of security from home care but requested more support and conversations. The district nurse had in-depth knowledge in communication and in health which promotes the work with palliative care. Therefore it is important that there is a district nurse connected to all activities where palliative care is performed.

  • 162.
    Aro, Mirja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bemötande av patienter med oro på sjukhus i Namibia.: Empirisk studie om sjuksköterskors och sjuksköterskestudenters bemötande.2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 163.
    Aronsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Magnusson, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När hjärtat är skadat: En kvalitativ litteraturbaserad studie som beskriver patienters erfarenheter av att leva med hjärtsvikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 164.
    Aronsson, Jennifer
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sikström, Lina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    De osynliga barnen: En kvalitativ litteraturbaserad studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 165.
    Aronsson, Malin
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Brobeck, Matilda
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sociala mediers påverkan på ungdomars psykiska hälsa: en litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 166.
    Aronsson, Patricia
    et al.
    University West, Department of Health Sciences.
    Mellander, Ulrika
    University West, Department of Health Sciences.
    Distriktssköterskans erfarenheter av informationsöverföring om sköras äldres vårdbehov mellan hemsjukvård och primärvård: En intervjustudie2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The transfer of information is an important part of care for fragile older people to receive coherent secure care. According to IVO (2020), deficiencies in information transfer are a common cause of healthcare injury. The district nurses in primary care and home care exchange information on a regular basis between the units. The transfer of information is challenged by the fact that information can be transmitted in many ways and leads to differences in access to information. Adequately available information regarding the care needs of fragile older people is an important part of ensuring that the district nurse can provide good and safe care and prevent care injury. According to the competence description, the district nurse has a responsibility to work from a person-centered approach, provide safe care and have knowledge to drive information technology forward.

    Aim: The aim of this study was to describe the district nurse´s experiences of information transfer about fragile older people care needs between home and primary care.

    Method: The study was conducted using a qualitative method with an inductive approach. Semi- structured interviews were conducted with 11 informants. The study was compiled based on a qualitative content analysis where the manifest in the content was highlighted.

    Results: The district nurses in the study identified terms and conditions for information transfer and what consequences deficiency in information transfer can lead to. The result was divided into three categories. The first category, Existing terms for information transfer with the subcategories: Information systems importance for information exchange, and Deficient routines and unclear interaction. The second category, Conditions for adequate information transfer with the subcategories: Information retrieval affects the work environment and The importance of professional experience in ensuring information. The third and last category, Consequences in case of deficient information transfer with the subcategories Deficient information implies a risk for care suffering and The organization prevents participation in care.

    Conclusion: The result showed that there are major differences in how information transfer is carried out, which affects the district nurse´s ability to deliver effective and secure information.The organization and the district nurses need to cooperate to provide a secure transfer ofinformation. Cooperation between organizations leads to increased opportunities for creating good care relationships and a person-centered care for fragile older people. A clear structure and adequate routines lead to a positive work environment for district nurses and reduced risk of exposing fragile older people to care injuries.

  • 167.
    Arthursson, Jenny
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Tellander Björlén, Sophie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Djurs inverkan på äldre människor: - en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Animals have long been present in human lives and many older people have grown up with some animal. Getting older and maybe losing family members or the opportunity to greet family and friends just as easily can cause the elderly to lose motivation, be less social, become depressed, feel lonely and thus reduce well-being. Therefore, it is important for the nurse to have up-to-date research and knowledge about complementary care in order to increase well-being. Aim: The purpose of the study was to illuminate how animals in nursing care effects older people. Method: The method were to contribute to evidence-based nursing based on analysis of qualitative research. Eleven scientific articles were analyzed according to Friberg's five step model. Results: The analysis resulted in three categories; "Well-being increases in the presence of animals", "Animals effects social interactions", "Robot animals as an alternative". Animals have proven to have positive effects on the elderlys' physical and psychological wellbeing. It also shows that the presence of animals increases the social interactions between humans. Robotic animals can be an option when real animals are not possible. Conclusion: Animal interventions and the presence of animals were found to have a positive effect in elderly people's lives and the authors wishes to see more animals in nursing homes further on.

  • 168.
    Arthursson, Joakim
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Följder efter behandling av prostatacancer2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

    Method: A literature overview was performed.

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

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

  • 169.
    Arveklev Höglund, Susanna
    University West, Department of Health Sciences, Section for health promotion and care sciences. Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg.
    Drama and Learning in Nursing Education: A study in first and second cycle2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

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

  • 170.
    Arveklev Höglund, Susanna
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Drama and Learning in nursing education-A Study in first and second cycle2016In: ViLär 2016, konferens 8-9 december 2016, Vänersborg / [ed] Kristina Johansson, 2016Conference paper (Other academic)
  • 171.
    Arveklev Höglund, Susanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Gunnarsdottir, Hrafnhildur
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Relations and interrelations between Sense of Coherence, socioeconomic status and health behaviour: A systematic review2019Conference paper (Refereed)
    Abstract [en]

    Background/Objectives

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

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

     Methods

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

     Results

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

    Discussion

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

     

     

     

  • 172.
    Arveklev Höglund, Susanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Jobe, William
    University West, School of Business, Economics and IT, Divison of Informatics.
    The State of Open Educational Resources (Oer) in Swedish Higher Education: A Case Study2023In: INTED 2023 Proceedings: 7th International Technology, Education and Development Conference, Valencia, Spain. 6-8 March, 2023, International Association for Technology, Education and Development, 2023, p. 4908-4917Conference paper (Refereed)
    Abstract [en]

    Open Educational Resources are learning, teaching, and research materials in any format and medium that reside in the public domain or are under copyright that have been released under an open license, that permit no-cost access, re-use, re-purpose, adaptation, and redistribution by others (UNESCO). Increasing the use of OER worldwide can be one of many steps toward reaching the United Nations Agenda 2030 sustainability goals (SDG), especially SDG 4 Quality Education, which aims to ensure inclusive and equitable quality education and promote lifelong learning opportunities for all.

    The UNESCO OER recommendations from 2020 provide clear goals and aims for OER, but how are they being implemented in higher education in Sweden? Specifically, how well are teachers and students aware of and how are they using OER, specifically open textbooks? This paper presents the use and needs of OER as well as current OER guidelines at University West in Sweden and investigates teachers’ and students' perceptions and experiences of open educational resources (OER) at University West, focusing on open textbooks. The method of the intervention was student and teacher surveys, both pre- and post-pandemic. The pre-pandemic surveys were sent out in April 2020 and had 79 student respondents and 82 teacher respondents. The post-pandemic surveys were sent out in June 2022 and had 83 student respondents and 76 teacher respondents.

    The aggregated results show that there were no significant differences in the use of OER and open textbooks due to the pandemic both for students and teachers. The current use of OER and open textbooks was limited and the primary motivations for using OER and open textbooks were economy, social justice, and adaptability with varying priorities among students and teachers. Additionally, OER and open textbooks are currently used marginally at University West but there is interest to increase the use of OER and student co-creation due to the three primary motivators. These preliminary results provide valuable insights regarding the key factors for increasing the use of OER and open textbooks in higher education to help achieve the UNESCO OER 2020 goals and the United Nations Agenda 2030 SDG goals, especially SDG 4 Quality Education.

  • 173.
    Arveklev Höglund, Susanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Rehnström, Karin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    AIL via IPL: Arbetsintegrerat lärande genom införandet av interprofessionellt lärande i sjuksköterskeprogrammet på Högskolan Väst2020In: VILÄR: 3–4 December 2020 University West,Trollhättan. Abstracts / [ed] Kristina Johansson, Trollhättan: Högskolan Väst , 2020, p. 15-16Conference paper (Other academic)
    Abstract [sv]

    Kliniskt Lärande Centrum (KLC) på Högskolan Väst, institutionen för Hälsovetenskap präglas av ett personcentrerat, normmedvetet och hållbart synsätt på vårdande och erbjuder studenterna ett tryggt och säkert lärande. Vid KLC finns ett tydligt AIL-fokus när studenterna övar tekniska färdigheter samt mellanmänskliga förmågor, att omsätta sina teoretiska kunskaper till handling, innan de ställs inför autentiska möten med patienter och olika personalkategorier inom vården.

    Samtida hälso- och sjukvård står inför nya utmaningar, som exempelvis ökad ojämlikhet, ökad andel äldre i samhället och ökad risk för pandemier, vilket för med sig komplexa vårdbehov. För att kunna möta dessa utmaningar krävs att högre utbildning utvecklas så att framtida personal inom hälso- och sjukvård förbereds för att samarbeta över professionsgränserna. Förmågan att kunna samverka i team är ett av högskoleförordningens generella mål för blivande sjuksköterskor. Dessutom är samverkan i team en av sex kärnkompetenser som alla professioner i vården måste besitta för att kunna bedriva en god och säker vård. För att studenterna ska uppnå kompetens att i sin kommande yrkesroll kunna samverka i interprofessionella team, bör det redan under grundutbildningen ingå pedagogiska moment i form av Interprofessionellt lärande (IPL), där studenter från olika professioner inom Hälso och sjukvården får möjlighet att lära om, med och av varandra.

    Föreliggande projekt handlar om att implementera interprofessionella läraktiviteter vid sjuksköterskeprogrammet. Härigenom möjliggörs ett arbetsintegrerat lärande mellan Högskolan Väst, Sahlgrenska Akademin, Yrkeshögskolan och omgivande Hälso- och sjukvårdsenheter. Ett pilotprojekt har genomförts i form av en teamsimulering vid KLC där studenter från sjuksköterskeprogrammet, undersköterskeelever och specialistundersköterskestuderande medverkade. Preliminära resultat från en skriftlig utvärdering av pilotprojektet visar att en majoritet av deltagarna är positiva och önskar fler interprofessionella moment. Under våren planeras därför för fler interprofessionella läraktiviteter där läkarstudenter från Sahlgrenska akademin ska involveras i simuleringsövningar tillsammans med sjuksköterskestudenter. Därefter planeras att succesivt införa fler interprofessionella aktiviteter inom sjuksköterskeprogrammet.

  • 174.
    Arveklev Höglund, Susanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences. University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Wigert, Helena
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden; Division of Neonatology, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Berg, Linda
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Lepp, Margret
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden;Østfold University College, Halden, Norway (NOR); Griffith University, School of Nursing and Midwifery, Australia (AUS).
    Specialist nursing students' experiences of learning through drama in paediatric care2020In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 43, article id 102737Article in journal (Refereed)
  • 175.
    Arvidsson, Alexandra
    et al.
    University West, Department of Health Sciences.
    Henström, Elin
    University West, Department of Health Sciences.
    Barnhälsovårdssjuksköterskors upplevelser av att samtala med barn och vårdnadshavare om övervikt och fetma: En meta-etnografisk litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Övervikt och fetma är en av de största folkhälsoutmaningarna. Barn med övervikt och fetma kan få både fysiska och psykiska hälsoproblem senare i livet. Barnhälsovården(BHV) är en viktig del i folkhälsoarbetet och dess mål är att säkerställa barns hälsa, trygghet och utveckling. Genom samtal om hälsa och levnadsvanor och att lyssna på barn och vårdnadshavares erfarenheter arbetar barnhälsovården hälsofrämjande och förebyggande. Enligt svensk lag ska barn ha rätt att höras i alla frågor som rör barnet. Studien har ett salutogent perspektiv, vilket innebär att den grad människor har av känsla av meningsfullhet, begriplighet och hanterbarhet påverkar deras mående.

    Syfte: Syftet med studien var att beskriva barnhälsovårdssjuksköterskors upplevelser av att samtala med barn och vårdnadshavare om övervikt och fetma.

    Metod: Den valda metoden var en kvalitativ litteraturstudie med meta-etnografisk design utifrån Noblit och Hares sjustegsmetod. Två databaser, PubMed och Cinahl, användes för att söka efter relevanta artiklar. Elva artiklar inkluderades.

    Resultatet visade att BHV-sjuksköterskor balanserade mellan sin önskan att vilja fullfölja sitt uppdrag och att övervikt och fetma var ett känsligt ämne att samtala om. I temat en önskan om att vilja fullfölja sitt uppdrag framkom fyra subtema: att upprätthålla den betydelsefulla relationen, att möjliggöra barnens delaktighet, att använda redskap för att underlätta samtaletsamt att förhålla sig till resurser, samarbete och kunskap. I temat ett känsligt ämne att samtala om behandlades att initiera och anpassa samtalet, att hantera vårdnadshavares reaktioner samt att acceptera skillnader i värderingar.

    Slutsats: BHV-sjuksköterskor upplever olika reaktioner från vårdnadshavare vid samtal om övervikt och fetma. Det är viktigt att BHV-sjuksköterskor besitter kunskap om balansen mellan sin önskan om att vilja fullfölja sitt uppdrag och den känslighet som ämnet innebär, för att det hälsofrämjande samtalet ska bli så bra som möjligt.

  • 176.
    Arvidsson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hernevik, Sabina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sociala mediers påverkan på ungdomars psykiska häls: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 177.
    Arvidsson, Angelica
    et al.
    University West, Department of Health Sciences.
    Karlsson, Emmy
    University West, Department of Health Sciences.
    Sjuksköterskans erfarenheter av att möta existentiella frågor hos patienter i palliativ vård: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: 90,000 patients die every year in Sweden, of which 80 percent are in need of palliative care. Nurses working in palliative care are supposed to care for the physical, psychics and existential needs according to the World Health Organization (WHO). Existential questions and concerns often become relevant at the end of life, existential questions such as what is the meaning of life, death and debt may occur. The existential questions can cause suffering to the patient, and it is significant that nurses can respond to patient's questions and concerns.

    Aim: The aim of this literature-based study was to describe nurses' experiences of facing existential questions of patients in palliative care.

    Method: A method of a five-step model was performed and based on analysis of ten qualitative scientific articles. The articles research was carried out through the databases PubMed, Psycinfo and Cinahl. The analysis resulted in two main themes and four subthemes.

    Results: The main themes were: Create security and trust, Perceived conditions and obstacles at work. Nurses experienced insecurity and inadequacy to communicate about the existential questions with the patient. This was based on discomfort, lack of time and experience.

    Conclusion: Education together with knowledge, caring communication and person-centered approach is important for the nurse to be able to face patient's existential questions. To gain experience the nurse needs to be brave enough to engage in conversations with the patients.

  • 178.
    Arvidsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Sarah
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur är det att leva med stomi?: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year, several people in Sweden undergo an ostomy operation. Inflammatory bowel disease and cancer are some of the reasons for stoma is inserted. Living with a stoma can affect the person´s experience of health and suffering as well as the view of their own body. As a nurse, it is important to have knowledge and be able to support affected people with a stoma i na professional way.

    Aim: The aim of this study was to describe adult people's experiences of living with a stoma.

    Method: A literature-based study based on qualitative research was conducted. Eleven scientific articles were reviewed, analyzed and compiled into a result.

    Results: The result was based on two themes and six subthemes. The first theme was: Body function and appearance, with the three subthemes: Loss of body control, body control using strategies, varied feelings and behavior related to the appearance of the body. The second theme was: Impact on social life, with the three subthemes: Significant support and guidance from healthcare, mixed feelings in front of returning to work and difficulty with intimate relationships.

    Conclusion: Living with a stoma is associated with both positive and negative experiences and varies from person to person. Increased support and information from nurses give people with stoma a greater opportunity to adapt to their new life.

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  • 179.
    Askland, Daniel
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ahmad Sadik, Nawsaid
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patientutbildning för personer med bipolär sjukdom: Upplägg och innehåll av utbildningar inom psykiatrisk öppenvård2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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  • 180.
    Asovic, Olena
    University West, Department of Health Sciences.
    Äldres erfarenhet av social distansering under COVID-19 pandemin: En beskrivande litteraturöversikt2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Elderly people are vulnerable and belong to the high-risk groups of becoming seriously ill from COVID-19. Because of this, they also become more vulnerable in society due to COVID-19 restrictions. The government has used social distancing as a restriction to prevent the spread of COVID-19. People in general, and more specifically elderly people, were asked to stay at home to minimize the risk of becoming seriously ill for their own sake, and as not to overload the healthcare system. Social distancing had a negative impact on their health and well-being. Aim: To explore elderly's experience of social distancing during the COVID-19 pandemic. Method: The method used was a literature review, using qualitative and quantitative research.Results: Two overarching themes emerged: Psychological strain and facing a new reality, with four sub-themes: Increased loneliness, Negative emotions, New challenges and Coping strategies. Conclusions: The social distancing, related to the COVID-19 pandemic, has had a negative impact on the health of older people. Elderly people have suffered from loneliness, lack of well-being and have become isolated from society during the pandemic. They were encouraged not to burden the healthcare system and all their health promotion activities had been suspended due to the pandemic. Many elderly people have multiple illnesses and have previously experienced loneliness, which also worsened during the pandemic. The results showed an increased experience of loneliness and psychological burden. To cope with their new reality and challenges within, some older people found digital ways of socializing with each other and their relatives. It is important that society targets these high-risk groups to minimize their loneliness, depression, and subsequent increased morbidity. Keywords: COVID-19, elderly, loneliness, mental health, social distancing.

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  • 181.
    Aspegren, Moa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wik, Joanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans uppfattning av nutritionsansvaret för patienten: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 182.
    Asplund Carlsson, Maj
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Herrman, Margaretha
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Högberg, Karin
    University West, School of Business, Economics and IT, Division of Media Production.
    Kullgren, Carina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Mårdén, Björn
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Social and Behavioural Studies.
    Att göras till filmarbetare i den nya kulturekonomin2011In: Att göras till filmarbetare / [ed] Margaretha Herrman, Nora: Nya Doxa , 2011, 1, p. 280-298Chapter in book (Other academic)
  • 183.
    Asplund Carlsson, Maj
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Herrman, Margaretha
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Kullgren, Carina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences. University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Handen i handsken" - om yrkesmässig lämplighet2011In: Att göras till filmarbetare / [ed] Herrman, Margaretha, Nora: Nya Doxa , 2011, 1, p. 173-192Chapter in book (Other academic)
  • 184.
    Asplund, Charlotta
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hallgren, Magdalena
    University West, Department of Health Sciences, Section for nursing - graduate level.
    "En tickande bomb": Sjuksköterskors upplevelser av att vårda hotfulla och våldsamma patienter i psykiatrisk slutenvård2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 185.
    Aspång, Agnes
    et al.
    University West, Department of Health Sciences.
    Bylund, Sofia
    University West, Department of Health Sciences.
    Livet efter sepsis: En litteraturöversikt om patienters upplevelse av sin livssituation efter att ha överlevt sepsis2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Sepsis, a life-threatening response to infection, represents a substantial global health concern. Each year, about 48,9 million people are affected by sepsis. While survival rates have improved, sepsis survivors often experience numerous challenges after discharge from the hospital. Therefore, the aim of this study was to describe patients’ experience of their life situation after surviving sepsis. A literature review was carried out using Friberg’s four step model for analyzing quantitative and qualitative research. The data were collected from seven quantitative and four qualitative studies.

    The analysis revealed two themes and eight subthemes: (1) Difficulties adjusting to new living conditions, (2) A challenging recovery process. The first theme had four subthemes: Changed quality of life after sepsis, Physical limitations in everyday life, The challenge of becoming dependent on others and The importance of social relationships. The second theme had four subthemes: A mental struggle to return to a normal life, Traumatization and fears of relapse, The importance of recovery, and Educational and informational gaps.

    Among sepsis survivors, various problems and challenges have been identified that impact their daily life. Numerous survivors suffered from persistent residual symptoms primarily related to physical, psychological, and cognitive domains. Survivors were widely dissatisfied with the information and education about sepsis and its aftermath provided by the healthcare system. Further research is needed to clarify the long-term consequences of sepsis survivorship, and to improve the healthcare guidelines and interventions aimed at improving the well-being of this patient group

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  • 186.
    Assmundson Haag, Emma
    et al.
    University West, Department of Health Sciences.
    Lienos, Signe
    University West, Department of Health Sciences.
    Vårdnadshavares upplevelse av stöd vid sina barns cancersjukdom: En litteraturstudie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Annually, approximately 400,000 children worldwide are diagnosed with cancer. The disease often requires extensive resources and long-term treatment. Cancer diseasesinvolve significant adjustments for the family as well as substantial burden on the society. For the most of families, a cancer diagnosis engenders an intense sense of uncertainty regarding thefuture and a range of previously inexperienced emotions. In many cases, the emotional strain necessitates comprehensive support from health care professionals to cope with the impact of the disease.

    Aim: The aim of this study was to describe how guardians of children with cancer experience the support from the health care.

    Method: A literature study based on qualitative research. Nine articles were analysed with Friberg's five-step model.

    Results: The study's results illustrate how guardians experience the support from health care professionals, both positive and negative experiences were presented. The results were divided into two main themes with several sub-themes.

    Conclusion: The way information is conveyed to guardians is crucial in determining their satisfaction with the health care professionals. The relationship that exists between guardians and health care professionals is also meaningful. The authors conclude that nurses should adapttheir approach to disseminating information and communication based on the recipient and their condition. Nurses should also strive to enable participation and exhibit a family-centred approach towards their patients and the guardians. 

  • 187.
    Ataya, Ranim
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sheikh, Naima
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att belysa sjuksköterskans upplevelser av att kommunicera med patienter via tolk: en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There have been great waves of immigration in Sweden during the recent years. In many researchers works there have been shown that the language is the most important way to communicate with others specially when they need to contact healthcare. In these cases, nurses need to communicate with the immigrants through an interpreter to be able to provide a good care.

    Aim: The aim of this study was to highlight the nurse´s experiences of communicating with patients through an interpreter.

    Method: The method was a literature-based review on the content of eight articles with qualitative design.

    Results: The results of this study showed two main themes: expectations of the interpreter and the interpreter's place in the care meeting. The result show that nurses experience the interpreter as an asset and that the interpreters' attitude can have an enormous impact on the meeting with patient.

    Conclusion: The usage of interpreters can be difficult however with enough education on how to use an interpreter properly, can nurse structure up the meeting. A nurse must know how to successfully collaborate with the interpreter and that is not something that you simply learn in one day. That is why health-care organisations must give enough education to nurses on how to lead and operate a meeting with the interpreter and patient.

  • 188.
    Attar, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av tvångsvård: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 189.
    Attermalm Brinkåker, Cecilia
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Andersson, Emma
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    De rehabiliterande insatserna för att främja psykisk hälsa hos klienter på kriminalvårdsanstalt: En litteraturöversikt2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Promoting and maintaining mental health among prisoners is an important goal within the prison service. Current research shows data concerning the overrepresentation of poor mental health and mental disorders in the prison population.

    Aim: This paper primarily aims to enlighten different existing approaches to rehabilitation in a prison setting carried out to rehabilitate and promote a better mental health among incarcerated people.

    Method: A literature review were conducted and 11 scientific articles were analyzed.

    Results: Results shows that there are existing different treatment, both psychological and somatic existing in prison settings that might be beneficial as the purpose of rehabilitating clients and promote a better mental health. Communication, treatment to others, and relationships which is meaningful to clients show a positive impact on clients situation in the prison and can bring a greater motivation to be able to manage the time as incapacitated.

    Conclusion: Different types of rehabilitation programs could be used for each individual problem. For evaluating clients health status it could be seen as a win-win situation, the right rehabilitation program would be used and for the client it would be seen as the prison took its time to get to know the client to the fullest. The importance of relationship between correction officer and client can be productive in a mental health promoting aspect as well.

  • 190.
    Atthayasai, Jarutsri
    et al.
    School of Nursing, Rangsit University, Pathumthani 12000 (THA).
    Chatchumni, Manaporn
    School of Nursing, Rangsit University, Pathumthani 12000 (THA).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Mazaheri, Monir
    Department of Nursing Sciences, Sophiahemmet University, 11486 Stockholm (SWE); Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14152 Stockholm (SWE).
    Surgical Nurses’ Perceptions of Strategies to Enhance Pain Management Proficiency: A Qualitative Study2023In: Nursing Reports, ISSN 2039-439X, E-ISSN 2039-4403, Vol. 13, no 2, p. 923-933Article in journal (Refereed)
    Abstract [en]

    To describe surgical nurses’ strategies for enhancing their pain management proficiency.A qualitative design was used to conduct the study. The participants were forty surgical nurseswho had at least six years of nursing experience in caring for patients with pain. They responded toopen-ended questions based on a review of the policy documents concerning the main elements ofthe pain management programme to be implemented by surgical nurses. Three key themes emergedfrom the surgical nurses’ suggested strategies: partnering, disrupting, and becoming familiar withpain management competency concerns. Surgical nurses’ strategies in acute and chronic painmanagement nursing units included solving patients’ problems and promoting and enhancing painstrategies to address health challenges in organisations. The themes presented in the results includeenhancing pain management in nursing competencies. State-of-the-art healthcare technologies arebeing applied to pain management. Surgical nurses’ strategies should improve the quality of nursingcare, especially post-surgery recovery time. It is recommended to engage patients, their families, andmultidisciplinary care teams in other healthcare fields.

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  • 191.
    Augustsson, Linnéa
    et al.
    University West, Department of Health Sciences.
    Classon, Sofie
    University West, Department of Health Sciences.
    Kvinnors upplevelser av att leva med endometrios: den dolda sjukdomen2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a disease in which endometrial tissue grows outside theuterus. This often causes women with endometriosis a lot of pain and suffering. It takes about 10 years before women are diagnosed and there is currently no curative treatment. Aim: The aim was to describe women's experiences of living with endometriosis.

    Method: This was a literature-based study based on eight qualitative scientific research articles.

    Results: The results are presented in four main themes and the findings show that the women experience limitations in their everyday lives. The women had various encounters with the healthcare system but often felt that their symptoms were normalized by the health care staff and that their knowledge about the disease was low. The women had several strategies for dealingwith the disease and needed information and support to manage their situation.

    Conclusion: The lack of knowledge leads to suffering among women with endometriosis. In order to provide good care and support, nurses need increased knowledge about endometriosis and how it affects women's lives.

  • 192.
    Awome, Josefin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Fekete, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av familjecentrerad omvårdnad när ett barn vårdas på sjukhus2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 193.
    Ax Hansson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Derdziak, Anna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Närståendes behov av stöd då de vårdar eller stödjer en person med långvarig psykisk sjukdom2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 194.
    Ax Olofsson, Fanny
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lamme, Beatrice
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes erfarenheter av stigma kring en familjemedlem med schizofreni: en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The relatives of patients with schizophrenia have a big part of the caring for the patient. Schizophrenia is an illness which is highly connected to stigma from other people, usually because of lack of knowledge. Earlier studies have shown that stigma also affects the relatives to the patient and can make the illness from both perspectives worse. Earlier studies are usually based on the patient's experiences but since the relatives have a big part in the care, their experience of stigma is in need to be studied.

    Aim: The aim of the study was to illustrate relatives' experience of stigma around a family member with schizophrenia.

    Method: A literature-based study based on analysis of nine qualitative articles.

    Results: Three themes with six subthemes emerged from the analysis: To feel guilt and shame, To be met differently and To be met by lack of understanding and support. Family members experienced many negative feelings around stigma from the people around them. The stigma was explained as a consequence of lack of knowledge around the illness which expressed itself by being left out, being met in a humiliating way and by a feeling that they had to keep the illness a secret.

    Conclusion: The relatives expressed a lot of negative feelings around stigma from other family members, friends and the community. The stigma led to isolation and the feeling of being left out, humiliated, inferiority, grief and fear. By understanding how stigma impact on the relatives the study could lead to a better understanding and knowledge around their situation.

  • 195.
    Axelsson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Baatz, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med Akut Myeloisk Leukemi: En litteraturbaserad studie om den vuxne patientens upplevelse2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year around 350 people in Sweden gets the disease acute myeloid leukemia(AML). AML is a severe form of cancer. The rapid course of the disease means that intensive treatment needs to be started as quickly as possible and patients usually feel they have an uncertain future. The treatment with chemotherapy also gives a lot of side effects that affect people´s everyday life. This study contributes with an understanding of how the patient with AML experiences their situation.

    Aim: The aim of this study was to illuminate the patients experience of living with acute myoeloid leukemia.

    Method: A literature-based study was conducted by analyzing qualitative articles. The search was performed in the database Cinahl and Pubmed and 9 articles have been analyzed with Friberg´s five step model.

    Results: Two main categories where identified: to face the disease and to meet a new everyday life. Seven sub-themes where identified: shock of getting the diagnosis, concerns about the future, the importance of information, treatment and feelings of limitations, fear of infection,changed identity and social role, finding strategies and the importance of support.

    Conclusion: AML affect people´s life a lot and feelings of anxiety and worry is common, and people with AML feels that their identity changes with the disease. Support from the people around is important and also support from the nurse is valuable. It´s also important that the nurse has knowledge about hope, because it´s important that the patients feel hope despite asevere disease

  • 196.
    Axelsson, Andrea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Friman, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas erfarenheter av att leva med ADHD: En litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 197.
    Axelsson, Ida
    et al.
    University West, Department of Health Sciences.
    Nilsson, Maja
    University West, Department of Health Sciences.
    Personer med substansbrukssyndrom: upplevelser av integrerad intensiv beroendeöppenvård2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Comorbidity of substance use syndrome and other mental disorders is not uncommon, yet there are few treatments that meet the needs of the entire comorbidity. Currently, Swedish addiction care offers relapse prevention and the twelve-step program for people with substance use syndrome. Meanwhile, ACT (Acceptance and Commitment Therapy) and CBT (Cognitive Behavioral Therapy) have been shown to be effective psychotherapeutic methods for people with this type of comorbidity. At an outpatient clinic in western Sweden, individuals with the complex combination of substance use syndrome and psychiatric comorbidity are offered an integrated intensive treatment program. However, the problem is that integrated treatment interventions provided by addiction care for individuals with substance use disorder are scarce. 

    Aim: The aim is to describe how individuals with substance use syndrome experience the treatment offered at an integrated intensive outpatient addiction care unit in western Sweden.

    Method: Empirical study based on a mixed-method approach, where quantitative and qualitative data were analyzed to evaluate the experiences of the 59 clients who completed an integrated intensive outpatient program between 2015 and 2021. The clients answered the survey questions on the last day of the four-month treatment period. This work presents the results of the individual experiences using descriptive statistics and qualitative content analysis. 

    Results: In the results, it is evident that clients experienced the intensive integrated outpatient treatment positively. The treatment program included a strictly structured combination of group psychoeducational lectures, individual therapies, yoga, mindfulness, and acupuncture. The results of the quantitative section showed most of the clients were highly satisfied with their experience of the treatment program. The qualitative section revealed experiences of comfort among the clients, who felt seen and heard thanks to the commitment and secure and professional approach of the staff. The clients also felt that the knowledge they acquired during the program gave them a new chance in life. None of the clients were dissatisfied with their time in the treatment program. Three categories were derived from the qualitative material: Good relationships & a broad treatment program; Dedicated, knowledgeable staff who lead with warmth; Self-development through new experiences. 

    Conclusion: The clients in the study were satisfied or highly satisfied with the integrated intensive outpatient program, and they appreciated the variety of activities included in the program. Furthermore, the range of interventions for individuals with substance use disorder in psychiatric care needs to be examined and adapted to meet the holistic care needs of the individual. However, integrated treatment interventions for people with substance use syndromes is an area of development, in need of further research, knowledge and competence.

  • 198.
    Axelsson, Madeleine
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Olsson, Susanne
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ensamhet. En begreppsanalys: Den ensamhet som råder i den djupaste skog2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 199.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Recent educational interventions for improvement of asthma medication adherence.2012In: Asia Pacific allergy, ISSN 2233-8276, Vol. 2, no 1, p. 67-75Article in journal (Refereed)
    Abstract [en]

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

  • 200.
    Ayari, Amanda
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter av personcentrerad vård till äldre på sjukhus: en sammanställning av kvalitativ forskning2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Providing person-centred care to the elderly in hospitals is a global challenge that has consequences for both nurses' work environment in the form of a higher workload, and for the quality of patient safety. With an aging population, the need for person-centred carebecomes clearer. Nurses' voices are increasingly being raised that a change should take place. Previous analyses on the subject show that there is potential for improvement in the quality of person-centred care in Swedish healthcare. Thus, the need to make feasible changes increases, in order for person-centred care to work. Aim: To highlight nurses' experiences of providing person-centred care to older people in hospitals. Method: Literature review based on qualitative studies. Three systematic searches were carried out in two scientific databases. A total of nine studies were included and analyzed. Results: Two main themes and six subthemes emerged. The main themes were "barriers in person-centred care" and "opportunities in person-centred care". It was found that health care activities have an important role in supporting nurses' practice of person-centered care. The organisation served as a link between decision-makers, nurses and elderly patients. Nurses needed the conditions to be able to provide person-centred care that corresponds to the needs of an elderly patient, and the nurses themselves needed to be able to prioritize assigned tasks. Based on their experiences, the nurses emphasized how important it was to get support from other professions. By working together, it made it easier for the nurses and was highlighted as necessary, in order for the elderly's path through the care to work as well as possible. Conclusion: By taking into account nurses' experiences, the needs can be clarified and conditions for the implementation of person-centered care can be created and the opportunities can be safeguarded.

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