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  • 151.
    Börjesson Rintala, Daniel
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kinnunen, Elias
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hjärtsvikt: Ett liv med en kronisk sjukdom2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is one of the most rapidly growing diseases in the world. Previous research has focused on the medical side of the treatment for the disease but not much has been done in regards of understanding patient´s experiences.

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

    Method: For this study a method to contributing to evidence-based nursing with a ground in analysis of qualitative research was used. This method was chosen as a way to better understand patients' experiences of living with heart failure. An analysis of ten qualitative articles was carried out, this analysis resulted in five main themes and ten subthemes. Results: The result showed that patients living with heart failure suffer from a variation of physical and psychological symptoms that force them to change their lives and often leads to social isolation. The result also showed that in order to properly accept and live with their disease a positive outlook on life and hope for the future was required. Finally, the result showed that how the patients were received and treated by health care professionals played a large part in their outlook on and hope for the future.

    Conclusion: Patients living with heart failure experience many physical and psychological difficulties. Strategies for coping and support from family and healthcare is a necessity for them to be able to live with their condition.

  • 152.
    Cabdi, Naimo
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sejdic-Smajic, Alma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelser av att ha ett barn som har astma: en systematisk litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Asthma is a chronic inflammatory lung disease that most often emerges in childhood and affects millions of children around the world. Asthma can affect parents and their children more or less depending on how severe asthma is. When children are cared for, parents are an important and necessary resource for the child's well-being. That´s why it´s important to support not only the child but also parents in the care process.

    Aim: The purpose of this literature study is to describe experiences of parents who care for a child with asthma.

    Method: This study was based on systematic literature search which was based on ten qualitative articles that responded to the purpose of the study.

    Results: The results showed that parents caring for a child with asthma often experienced concern, frustration, hope and need for knowledge about asthma. Parents experienced great deal of concern before child was diagnosed, during deterioration periods and concern about negative side effects medication could cause in the future for the children. Frustration emerged when dealing with health care professionals and school/preschool staff. Despite everyday concern, frustration, lack of knowledge parents still felt hope for the future.

    Conclusion: Nurses have continuous contact with parents that care for children with asthma. Parents caring for child with asthma need a great deal of support from health care system to be able to manage child's illness best way they can. Increased understanding and knowledge about parents experience makes it possible for nurses to have an open dialog with parents and include them better in their child's care.

  • 153.
    Cadier, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Palm, Dalal
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av att vårda patienter med livshotande tillstånd på akutmottagningen2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The work environment in the emergency department includes a high work pace, large patient flow and an advanced healthcare environment. Nurses need to have broad competence and be able to make quick decisions. In the emergency room, nurses face a large variety of acute situations. Aim: The study aimed to illuminate nurses' experiences of caring for patients with life-threatening conditions in an emergency department. Method: A literature-based study based on analysis of qualitative data. The study included nine qualitative articles that were analysed with the five-step model by Friberg. Results: The result was presented in three main themes Competence is crucial which included trusting your knowledge and the ability to handle your emotions. Be a professional support, which included meeting each patient as a person, meeting the relatives' worries and concerns and being a part of the team. A demanding work environment, which included working in a stressful situation and its organizational shortcomings. Conclusion: Nurses' experiences showed that great competence, the ability to be a professional support and the ability to cope with a demanding work environment are required. The nurses need to be able to trust their skills, make quick decisions and be able to work both independently and in teams. Nurses need to maintain their skills, have more opportunities for training and more guidance of experienced colleagues to handle the work in the emergency department. It takes a long time to build up professional skills and to feel secure in the professional role. 

  • 154.
    Carden, Beatrice
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Kim-Adrian
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av andningshjälp: en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients treated with respiratory aid/assistance can experience a range of unpleasant sensations. Conditions that require respiratory assistance are chronic obstructive pulmonary disease, asthma, trauma and pneumonia. The treatment may vary depending on the severity of the patient's disease.

    Aim: To describe patients' experiences of receiving respiratory aid.

    Method: A literature-based study with the aim to contribute to evidence-based care based on an analysis of eight scientific articles.

    Result: To be dependent on the nurse, for trust and a feeling of safety, while being in a helpless position. Uncomfortable experiences such as pressure from the mask, pain from the breathing tube or being limited by breathing equipment. Patients also described different strategies to endure the treatment in order to recover.

    Conclusion: A patient who receives respiratory aid might experience painful and uncomfortable sensations. Nurses can alleviate many of these feelings. Nurses should try to help the patient feel safe through person-centred care.

  • 155.
    Carlbo, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Claesson, Hanna Persic
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åström, Sture
    Umeå University, Faculty of Nursing, Umeå, Sweden.
    Nurses' Experiences in using Physical Activity as Complementary Treatment in Patients with Schizophrenia.2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, no 7, p. 600-607Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Schizophrenia is a common disease with a high risk of comorbidity in both psychiatric and somatic diseases. Physical activity is proven effective in reducing symptoms of schizophrenia and increasing overall health. Still it is not used systematically in the care of persons with schizophrenia.

    AIM: The aim of this study is to describe nurses' experience, including personal motivation, in using physical activity as complementary treatment in patients with schizophrenia.

    METHOD: Interviews in three focus groups with 12 participating nurses were conducted. Qualitative content analysis was used to analyze data.

    RESULTS: Physical activity was commonly used. Although several nurses signaled positive patient response, i.e. less anxiety and better quality of sleep, the overall consensus was an uncertainty regarding the benefits. It was perceived as non-evidence based form of intervention.

    CONCLUSION: The uncertainty of the benefits of physical activity is evident in nursing staff and poses a resistance to implement systematic physical activity as a complementary treatment in schizophrenia. A new awareness of evidence based nursing is suggested to promote a wider and more receptive attitude to reduce patient vulnerability in persons with schizophrenia.

  • 156.
    Carlson, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Allmänsjuksköterskors upplevelser av att vårda patienter som lider av Anorexia nervosa2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:. Anorexia nervosa (AN) is a complex disease that is increasing in society. Often the person who suffers from anorexia nervosa has no medical insight and is opposed to the treatment and care. It takes many resources from the nurses to try to get the patient to experience better health. Previous research has limitations on how nurses feel that caring for patients suffering from AN and to be able to have a care of good quality more knowledge about the current topic is needed.Aim: The purpose of this study was to elucidate registered nurses' experience of caring for patients suffering from anorexia nervosaMethod: The study was based on to Friberg's (2012) qualitative content analyse for literature based studies. Five qualitative articles were used in this study, to get a deeper knowledge about this topic.Results: The analysis revealed two categories and four subcategories: creating a relationship and an ongoing struggle. The nurses' role is to create the quality of the meeting between her and her patient. The nurse should see the individual behind the disease and patients respond equally. This is not always easy when patients suffering with AN often sabotages and manipulate, because they do not see the seriousness of AN. This becomes a frustration for the nurse, when they feel they cannot help their patient.Conclusion: Nurses find it tough to meet her patients with anorexia nervosa. They felt failed when they could not help their patients. As future nurses need more knowledge and education.

  • 157.
    Carlsson, Ellinor
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wetterberg, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Teamarbete i palliativ vård2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care is a holistic form of care to be offered to people with progressive, incurable and life-threatening diseases and aims to alleviate suffering and promote quality of life. A holistic care includes psychological, physical, social and spiritual needs and requires a multidisciplinary competence to relieve symptoms and promote quality of life. A basic tenet of palliative care is inter-professional teamwork and the organization of care into team structures has been a long-standing tradition.

    Aim: The aim of the study was to describe the team´s experience of teamwork in palliative care.

    Method: This literature-based study is based on a method to contribute to evidence-based care with foundation in analysis of qualitative research. Two databases were used, Cinahl and Pubmed, to search for scientific articles. Analysis of eight scientific articles were performed by using a five-step model describe by Friberg.

    Results: Through the analysis three themes emerged; the climate within the palliative care team, responsibility, competence and role of the palliative team and the importance of the organization for teamwork in palliative care. The first theme describes the importance of good communication and respect for each other within the team. The second theme clarifies that joint responsibility and clear goal facilitates teamwork together with an awareness of the skills of the other professionals. The third theme revealed information about the importance of leadership on the quality of teamwork and the lack of interprofessional training.

    Conclusion: The result give confirmation of already known knowledge that the ability to communicate, knowledge of the role and function of team-members and training in teamwork are important parts in engaging cooperation. That leads to conducting good quality teamwork but further research and education is needed in how this understanding can be put into practice.

  • 158.
    Carlsson, Ingrid
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Heidenborg, Annika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Möten och vårdande i ett mångkulturellt samhälle: ett sjuksköterskeperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Currently it is a stream of refugees; one of the history´s greatest, and many refugees are coming to Sweden that affects the healthcare. For nurses it is important to have an understanding of different cultures as well as handle different situations in the right way. It is important that every individual receives the care they need and does not get affected by cultural factors. The patients should be treated with respect and the nurses should indicate safety on any level. Aim: To describe factors that affects the meetings between nurse and patient with different cultural backgrounds. Method: A literature study was accomplished based on analysis made by Qualitative and Quantitative articles. Results: The study resulted in two main themes. The first, which is the importance of communication in a meeting and the second is the competences within culture for the nurse in health care. In cross-cultural-meetings the communication is important otherwise there is a risk the caring will not be as good as it can be. Four subthemes showed a finding about how language-barriers can contribute to misunderstandings with more analysis and samplings as a consequence and the need of a professional interpreter. There also was the importance of the need of knowledge about culture diversities and methods to support the nurse in giving good care. The fourth subtheme is about that there are culture diversities in cross-cultural-meeting. Conclusion: The result shows that the significant factor when meetings occur is the lack of communication. For promotion of good healthcare through a respectable meeting, it is necessary to be aware of the importance of a professional interpreter. The result also shows that cultural differences occur and a need for interpreter guidance when necessary is needed to avoid misunderstandings. With good knowledge in the issue the nurses will have better conditions for the meetings with the patients with different cultural backgrounds.

  • 159.
    Cassama, Bintou
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dulabic, Irena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelse av att vårda patienter med psykisk ohälsa inom somatisk vård: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is increasing in our society. Patients that suffer from mental illness run greater risk of developing somatic co-morbidity compared to patients without mental illness. Nurses who performed their work within somatic care were less experienced in caring for patients with mental illness and this could lead to these patients receiving inadequate care.

    Aim: The purpose of this study was to illustrate nurses' experiences of caring for patients with mental illness in somatic care.

    Method: A study of qualitative method. Ten (10) scientific articles were analyzed with Friberg's five-step model and compiled the results with two main categories and seven subcategories.

    Results: Nurses experienced that they lacked skills and knowledge when caring for patients with mental illness. It made the nurses unprepared for meetings with patients with mental illness and felt that they needed support from staff with specialist training in psychiatry. Nurses also experienced an unfavourable work environment with lack of time and insufficient staff in need to be able to provide adequate care to patients with mental illness. These factors lead to a constant fear and frustration of general nurses that contributed to their negative attitudes towards patients with mental illness.

    Conclusion: Education for general nurses in mental illness was considered as crucial to be able to provide good care to patients with mental illness in somatic care. Education in mental illness can leadto general nurses feeling more confident in their work. Organizational adaptations in the environment can create the conditions for safety to the staff and equal care for patients.

  • 160.
    Cham, Jarra A. A.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med kroniskt obstruktiv lungsjukdom: en litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic Obstructive Pulmonary Disease (COPD) is a global problem with about 251 million people affected globally in the year 2016. There are many risk factors that can lead to the development of COPD, with smoking and old age being the most common risk factors. Chronic Obstructive Pulmonary Disease wholly affects the persons live accompanied by symptoms such as difficulty in breathing, anxiety, coughing, increment in the production of phlegm, and tiredness.

    Aim: the aim of the study was to describe the experiences of people living with Chronic Obstructive Pulmonary Disease.

    Methodology: A literature-based study was conducted with ten qualitative articles obtained from the database CINAHL and PUBMED. The studies were subjected to a quality analysis and Friberg’s step analysis. Article searches were conducted between 2020 and 2021.

    Results: The results of the articles were interpreted into a new result describing the daily struggles of people living with COPD. A main theme “when everyday life becomes a struggle for survival” and four subthemes were identified.

    Conclusion: COPD effects the persons live in a lot of ways. People experience many limitations in their lives with the experience of guilt and shame being the strongest. To be able to minimize the suffering of people with COPD in the future, there is a much needed development in the nursing field and in the health sector on what it is like for people to live with COPD.

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  • 161.
    Chkair, Hagar
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av att överleva ett hjärtstopp: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, approximately 10 000 people are annually subjected to a cardiac arrest, of which a proximately 500 survive. When one is subjected to a cardiac arrest it gives a feeling of bewilderment where the feeling of context and connection might disappear. Aim: To highlight the experience of surviving a cardiac arrest. Method: A systematic literature study utilizing eight articles with a qualitative approach concluded to the results. The research was made in two databases; Chinal and Pubmed. Results: Many experience a change physical activity and the majority were affected by unease and anxiety. Furthermore, the results showed that patients experienced an affect on their social relationships and they expressed the need to share their experienced with other people. Conclusion: Cardiac arrest led to patients assessing life differently after the incident. Many experienced that it was very valuable to share their experiences with others. The research suggests that the nursing unit did not give patients the support that they felt they needed.

  • 162.
    Christoffersson, Ellinor
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Monica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barn som bevittnar våld i hemmet: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is important that children grow up in a safe environment, however research shows that one of ten children witness domestic violence. When children grow up domestic violence they can lose important skills which can be hard to gain back. Therefor it is important that the children get the help and support they need.

    Aim: The purpose of the study was to describe children's experiences of domestic violence.

    Method: A literature review based on two quantitative and eight qualitative articles.

    Results: Children described different experiences when they witness domestic violence. Three themes emerged in the result, living with family violence, emotional reactions and help and support.

    Conclusion: Children who have witnessed domestic violence often need outside help to process the traumatic events. Professionals who work with children need a high competence to be able to assess all/different signs of trauma. The results of this study can be a support for the professionals who work with children.

  • 163.
    Couchér, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Niklasson, Victoria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vad skapar stress i sjuksköterskans arbetsmiljö?: En litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sick absences is rising due to mental illness and acute stress reactions. Nurses' experience of stress in their work environment is well-known. Previous studies shows that this may lead to sick absence and nurses quitting their jobs. The theoretical basis lies in a holistic perspective of the environment and that all factors in the environment has an impact on humans and their health.Aim: The aim of the study was to describe what causes stress in the nurses' work environment.Method: A literature based study was conducted. The study was based on qualitative and quantitative articles. A total of 12 articles were analyzed by identifying differences and similarities. It emerged into main theme and sub theme. Results: The study emerged into three main themes as causes of stress in the nurses' work environment. These main themes were 'interpersonal conflicts', 'the nurse's role' and 'the nature of work'. Conclusion: There were different factors that effected nurses' experience of stress. This factors were often linked and made an impact on one another. Therefore it is important that focus lies not only on individual factors but to improve the work environment in whole. The nurse also needs tools to handle stress in the work environment. More research is recommended when it comes to qualitative studies, prevention and coping.

  • 164.
    Craciun, Nicoleta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Tunhemsäter, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Efter hjärtstoppet: En kvalitativ litteraturbaserad studie om patientens upplevelse av hjärtstopp2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cardiac arrest is a public health problem worldwide. A cardiac arrest often occurssuddenly and without warning. If no cardiopulmonary rescue starts immediately, the outcome will be death. Surviving a cardiac arrest has an impact on the quality of life. Aim: The aim of this study was to describe the patient´s experiences after a cardiac arrest. Method: Qualitative articles are used as a foundation in this literature review. Results: Two major themes emerged from analysing eight qualitative articles. The results showed complicated effects of cardiac arrest on patients´ lives. After a cardiac arrest patients needed support and safety. Support from nurses must be organized in a more structured way. This should be handled with continuity and vigilance in health care by nurses. Conclusion: Patients who survive a cardiac arrest experience that their lives are affected from several aspects. For example, mentally, physically, emotionally and existentially. This can result in emotional challenges and uncertainty about the future. In this new life situation, the nurse could help by guiding, following up and supporting the patients.

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  • 165.
    Dahl, Hanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Ida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vårdhundens påverkan på livskvaliteten hos den äldre människan: en analys av kvalitativa studier2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In an ever-changing society with inadequate resources, the elderly are easily forgotten. Despite the risk of side-effect, pharmaceutical drugs are added to promote their quality of life. Instead of drugs as a first step, perhaps one can give man's best friend a chance. Aim: The aim of this study was to illuminate the therapy dog’s impact on the quality of life of the elderly person. Method: This study was a qualitative literature-based study with an inductive approach, using a qualitative content analysis of the results from eight qualitative scientific articles. Result: The study resulted in three themes and eight sub-themes. The therapy-dog had a positive impact on the quality of life of the elderly person, both subjective and objective. The experience of well-being was created by the therapy-dog's influence to develop old memories, the feeling of harmony, and a break from everyday life. New opportunities were created when the care dog motivated the elderly to dare to open up, activate, and seek new relationships. Conclusion: The result shows that the meetings with the therapy-dog had positive impacts on several fronts of the elderly. What counts as beneficial impacts is subjective as well as relative. Contrary to everything positive, negative impacts may also occur. Conclusions that can be deduced from this study’s result are that the therapy-dog as an implementation contributes positively to the elderly's quality of life. It should be noted, however, that this intervention is not for everyone as there are allergies, fears, negative impacts and general dislike towards dogs and that this has to be respected. Keywords: Elderly, animal assisted therapy, health, quality of life.

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  • 166.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Health care systems in transition: Equality, access and health literacy in three Scandinavian welfare states.: “The Emperor’s new clothes”: discourse analysis on how the patient is constructed in the new Swedish Patient Act2017Conference paper (Refereed)
    Abstract [en]

    The Swedish welfare debate increasingly focuses on market liberal notions and its healthcare perspective aims for more patient-centered care. This article examines the new Swedish Patient Act describing and analyzing how the patient is constructed in government documents. This study takes a Foucauldian discourse analysis approach following Willig’s analysis guide. The act contains an entitlement discourse for patients and a requirement discourse for healthcare personnel. These two discourses are governed by a values-based healthcare discourse. Neo-liberal ideology, in the form of New Public Management discourse, focusing on the value of efficiency and competition, is given a hegemonic position as laws and regulations are used to strengthen it. The new Swedish Patient Act seems to further strengthen this development. The Act underlines the increased entitlement for patients, but it is not legally binding as it offers patients only indirect entitlement to influence and control their care. To safeguard the patient’s entitlement under the Patient Act, healthcare personnel should be made aware of the contents of the Act, so that they can contribute to the creation of systems and working methods that facilitate respect of the Act’s provisions in daily healthcare work.

  • 167.
    Dahlgren, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kiesen, Clara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med endometrios, en sjukdom som styr livet2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a disease which, though it impacts one of ten women, has a lack of knowledge in the society and among healthcare professionals. The lack of knowledge causes delays in diagnosis and a lack of comprehension for the women.

    Aim: The aim of this study was to describe women's experiences of living with endometriosis.

    Method: The method used in this study was a method to contribute to evidence-based nursing with ground in analysis of qualitative research. Through the similarities and contradictions in the analyzed studies, themes and under-themes were created.

    Result: Findings showed that the women's experiences often were negative. Friends, family and healthcare professionals normalized the pain and the women often endured the pain in belief that it was normal. The lack of knowledge in endometriosis caused misdiagnosis and diagnostic delays. The endometriosis limited the women's daily living, work and social life by decreasing their activity because of symptoms as pain, nausea, fatigue, heavy bleeding and diarrhea. The disease also affected the women's relationships and the feeling of being a woman.

    Conclusion: The lack of knowledge in endometriosis caused an unnecessarily suffering among the women with the disease. If the awareness of endometriosis would increase in the society and among healthcare professionals the time for diagnosis and the encounters with patients suffering from endometriosis could improve.

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  • 168.
    Dahlin, Sanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Jessica
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patienters upplevelser efter sin njurtransplantation: Att bidra till evidensbaserad omvårdnad med grund i analys av kvalitativ forskning2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Kidney failure require for certain, method of treatment by dialysis. Dialysis require a lot of time from the patients life. For some patient are kidney transplantation the last way out to recover. After a kidney transplantation patients need to take medications for a lifetime, so they don’t get a rejection of the new kidney.

    Aim: The aim of this study was to describe patients' experiences of life after a kidney transplant.

    Method: A literature review based on 9 articles with a qualitative approach.

    Results: After analysis two themes emerged; Emotional roller coaster and New me. It showed that patients who has been transplant are having mixed experiences of the life after transplantation. For example, some patient´s felt fear of rejection for the new organ and some felt hope for a new life, and fear of going back to dialysis. Some patient´s felt gratefulness to the people how were willing to donate a kidney for them, and they felt hope for a better life.

    Conclusion: People who have undergone a kidney transplant, are having both mental, physical and emotional strain

  • 169.
    Danielsson, Elina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Göthblad, Johanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Oregelbundna arbetstider och dess effekter: En litteraturöversikt om skiftarbetets påverkan på sjuksköterskans hälsa.2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In order to be able to staff the healthcare, nurses are required to work in shifts. According to measurements from 2018, 35.5 percent of Swedes worked uncomfortable working hours at the time. Work-related stress and shift work are two significant factors for ill health in healthcare staff. Stress in turn leads to an increased number of sick leaves and contributes to shortcomings in patient safety. Aim: The aim of the study was to highlight how shift work affects the nurse's health. Method: A general literature review with analysis of quantitative and qualitative research, forms the basis of the results. A total of nine articles were analysed and resulted in two main themes and four sub-themes. Results: The result is presented in two main themes. Change in health, which describes how the nurse's health is affected physically and mentally. Challenges, which describe how shift work affects private life and the strategies that nurses use to manage shift work. Conclusion: Nurses working shifts are in need of information and instrumental support. These needs can be met when the nurses take responsibility for nursing and the nurse's six core competencies.

  • 170.
    Daouk, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Al Tememe, Zahra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av hemodialysbehandling2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The main function of the kidneys is to purge blood from waste products. When this function partially or completely ceases, the patient's blood is purified by a dialysis machine, either in hospital or in a dialysis reception. The treatment is time consuming because the patients need to perform the treatment at a specific place three to four times a week and, the treatment takes three to five hours. Aim: To describe the experiences of hemodialysis in patients with chronic renal failure. Method: A systematic literature study based on eleven articles with a qualitative approach were analyzed. Result: The result of the study showed that the patients´ experiences of hemodialysis revealed in four different themes. These were divided into limited freedom, changed interaction with the environment, patients' loss and uncertainty in the present and of the future. Conclusion: Being treated with hemodialysis involves major changes in the patients' daily life including, diet restrictions and time-consuming hospital visits. The changes affect several aspects of the patients´ physical, mental and social wellbeing.

  • 171.
    Daouk, Josefin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilebo, Moa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det palliativa slutskedet: Sjuksköterskans upplevelser kring faktorer som försvårar och möjliggör arbetet inom den palliativa vården av barn2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research have shown a lack of knowledge in pediatric palliative care. While working in the pediatric palliative care, nurses face a lot of emotions that are hard to cope with.

    Aim: The aim of this study was to explore nurse's experiences of factors that complicate and facilitate their work within' the pediatric palliative care.

    Method: The method used was a literature based study with focus on qualitative studies. Data were analyzed using Friberg's method of analyses. The analysis resulted in four main themes and nine subthemes.

    Results: The four main themes that emerged were "Organizational influence", "Nurse's own feelings", "The nursing role" and "Copingstrategies to manage experiences".

    Conclusion: Working with a child in palliative care may have an emotional impact on the nurse. With better education and knowledge the nurse can provide the child and the family more qualitative care.

  • 172.
    Darnolf, Margareta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lind, Margot
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur sjuksköterskor kan stärka personer med diabetes att hantera sin egenvård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes is a fastgrowing disease and a global health problem. It´s important that people with diabetes learn to manage their self-care to avoid complications, maintain a good health and get a freer life that they themselves control. The aim was to describe how nurses strengthens people with diabetes to manage their self-care. A literature study was carried through based on eight qualitative scientific articles and one quantitative scientific article. The analysis resulted into three main themes and five subthemes. The main themes were: strengthening self-care activities, relationships and patient at the center and support for self-care. Subthemes were: skills development, opportunities, control, communications and roles. This study indicates a patient/person-centred care from the perspective of individual which is consistent with the approach under development in Swedish health care today. Nurses need correct skills and required time to properly train and educate people. They also desire to gain new knowledge to educate people to a good self-care. Group-based personal education gives a good insight of the people and provides better health as well as lower costs of care due to fewer complications. Various efforts of "tools" for nurses to have in the education of people and the communication between the nurse-person functioning are crucial elements for achieving a good self-care. Nurses should be aware of the power relationship in the I-you- relationship with the person to avoid "taking over" the patient's empowerment and responsibility for their own self-care.

  • 173.
    Delén, Diana
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjögren, Emmili
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det är tyvärr bröstcancer: En litteraturbaserad studie om kvinnors erfarenheter av att drabbas av bröstcancer2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common type of cancer among women. The diagnosis and subsequent treatment can mean great mental and physical distress, which means that nurses play a pivotal role in easing these women's' suffering. In order for the nurses to fulfill this function a better and more comprehensive understanding of what these women go through during the process of their illness is required. Aim: To examine women's experiences of having breast cancer. Method: A literature study was conducted, analyzing ten qualitative scientific articles dealing with women's experiences of breast cancer. Articles were found via searches in the nursing literature database Cinahl and analyzed to clarify women's experiences of being affected by breast cancer using Fribergs' five-step model. Results: Being diagnosed with breast cancer aroused many emotional reactions and thoughts. The result showed that the suffering associated with breast cancer stems from different reasons; the diagnosis' itself invoked images of death which was a source of suffering. Physical changes due to the treatment caused another type of suffering..The result also showed a lack of information which was a source of suffering. Hope was however gained when the women set up tangible goals, something that eased the women's suffering. Conclusion: The most important conclusion to be drawn from the study's result is that nurses can be helpful in easing the suffering by creating a safe relationship with the patient within which they provide sufficient information about breast cancer.

  • 174.
    Dervisevic, Amel
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johannesson, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av egenvård vid diabetes Mellitus typ 2 och de svårigheter som upplevs med livsstilsförändringar: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes Mellitus type 2 is a complex disease and is a challenge for health professionals. Many patients experienced difficulties with Diabetes Mellitus type 2 due to its impact on everyday life.

    Aim: The aim of this study was to explore patience experience of Diabetes Mellitus type 2, self care and difficulties they experienced with lifestyle changes.

    Method: The study is literature based. Systematic searches were performed in the databases Cinahl and Pubmed. We obtained results from 11 qualitative studies, which led to a category: Experiences that affect self-care. Six subcategories arose: Concerns about the future when they are diagnosed, not understanding the importance of changing the life-style, health care professionals are important to be safe in self-care, participations of relatives have importance of lifestyle-change, group training benefits self-care and some do not want to involve relatives.

    Results: The results of the study showed experiences that affected self-care as a main category. Selfcare is affected by feelings and worries that future possible complications may develop. Changes in physical activity and diet were perceived as difficult and were affected by the patient's motivation and culture. Caregivers, relatives and other social relations can promote self-care through support and motivation. Being well informed about their illness was of great importance. By showing understanding of each patient's personal experience of diabetes, we can strengthen the patient in his or her own care.

    Conclusion: By showing understanding of each patient's personal experience of diabetes we can strengthen the patient's own care and implement person-centered care.

  • 175.
    Didriksson, Alice
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Smailagic, Mia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet efter bröstcancer: Kvinnors upplevelser under och efter bröstcancerbehandling2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common cancer disease among women in the entire world. The side effects of the treatment cause the women a lot of suffering and affects their body image and limitations in their social life .Aim: The aim with our essay was to illuminate women's experiences during and after breast cancer treatment. Method: To describe the women's experiences of breast cancer treatment a qualitative method by Friberg (2012) was used. Ten qualitative articles were analyzed using a five-step method. The analysis resulted in three main themes and ten subthemes. Results: The three main themes were to be vulnerable, a new identity and failing health is a threat.Conclusion: The results showed that women experienced a great need for support during and after treatment. The breast cancer affected many aspects of the women's life, such as how the woman sees herself, her social life and a feeling of failure in the motherhood. The result showed that fears and anxiety that were experienced during the treatment still bothered the women after finished treatment. The study showed that there is a connection in both physical, mental and social factors and that they affected each other

  • 176.
    Dockenfelt, Elaine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Häggmark, Pia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Följsamhet vid basala hygienrutiner i låg- och medelinkomstländer: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Good hand hygiene is the single most important measure in basic hygiene practices. Every year, thousands of people suffer from health-related infections, that could have been reduced or prevented with good hand hygiene. There are clear deficiencies in the adherence to hand hygiene due to various factors.

    The purpose of this literature study was to compile the compliance of hand hygiene routines among healthcare professionals in low- and middle-income countries.

    The method used was a literature review which compile scientific literature with both quantitative and qualitative approach. The literature review compiled the results of totally nine scientific studies.

    The result showed that compliance with hand hygiene is poor in low-and middle-income countries. There were major shortcomings in the knowledge and attitudes of healthcare professionals. Access to the sink, running water, soap and hand disinfection were also barriers that contributed to noncompliance. There are major challenges for low and middle-income countries to achieve compliance with hand hygiene. Healthcare professionals need continuous education and training and there needs to be an upgrade of facilities for staff to be able to perform hand hygiene.

  • 177.
    Doroci, Arbresha
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lööf, Matilda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara förälder och missbrukare2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 27 million people in the world lives with a substance abuse. Many of them are parents. There is a need in the abuse- and addiction care of having a family perspective of how the substance abuseing parent affects the whole family. Aim: The aim of this study was to explore the experiences of being a parent with a substance abuse. Method: A literature study based on eight qualitative articles. Results: Two main themes were found; an emotional storm and the daily struggle. The main result of this study was that parents with substance abuse experience feelings as guilt and shame. Furthermore, they found it difficult to raise their children and satisfy the emotional needs that children require. From the parents view the children were seen as a way of salvations from substance abuse. Conclusion: The study showed that parents with substance abuse found it difficult to provide their children with emotional support and that they have strong feelings of guilt and shame. However, they can perform daily chores and try to hide the drugs from the children. A daily struggle for these parents was how to raise their children. While the parent is seen as an inappropriate role model for the child, the child was seen as motivation for the parent.

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  • 178.
    Dos Santos Gustafsson, Natalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindgren, Karin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Året efter en hjärtinfarkt: en litteraturbaserad studie om upplevelser och tankar hos individer som överlevt en hjärtinfarkt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The largest public health problem in Sweden is cardiovascular disease and myocardial infarction is the leading single cause of death. Each year there are more people who survives a myocardial infarction. The hospital stay after a myocardial infarction is normally between two to four days and a lot of information is given during this time. A myocardial infarction can bring out many emotions and become life-changing.

    Aim: The aim of this study is to illuminate individual's experiences of everyday life after a myocardial infarction.

    Method: This study is literature based on qualitative studies and were analysed according to Friberg's(2012) five steps analyse.

    Results: The themes that emerged were Thoughts on the myocardial infarction, The myocardialinfarctions impact on the wellbeing, Changes in circumstances in the daily life and A new outlook onlife. Eleven subthemes emerged and the result indicates that individuals experience many different emotions and thoughts. This including anxiety and concerns about their physical health among other. Support from different networks, such as health care, family and friends, is very important during the recovery.

    Conclusion: Some individuals expressed the need for more information and support from the healthcare institutions. This would give them the instrument they need to perform and maintain lifestyle changes and manage the daily life after a myocardial infarction. Nurses need to understand and meet every individual. The follow-up needs to develope so that the information and support become more individual.

  • 179.
    Dove, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Söderstedt, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I väntan på livet: Patienters upplevelse av att vänta på organtransplantation2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The waiting for an organ transplantation can be tough both physically and mentally for the patient. Patient’s experiences of this situation needs to be studied to create a necessary knowledge base for the nurse to provide a good nursing care, which gives the patient increased quality of life.

     Aim: The purpose of the study was to highlight patient’s experience while waiting for an organ transplantation. 

     Method: The method used was literature study to contribute to evidence-based nursing based through the analysis of qualitative research. 

     Results: The analysis resulted in five themes; Feelings when life was on hold, Feelings due to uncertainty, Hope and disappointment, Different feelings of support and Changed life situation describing the patient’s experience when life was on hold. The result of the analysis showed that the patients experienced both physical and mental illness, they experienced lack of independence and this was described as very difficult. Patients also described a fear of becoming too ill for a new organ or dying while waiting for a new organ. The results of the study give an understanding of the importance of good nursing care and to confirm the patients fear. Good nursing care can contribute to the patients’ self-confidence.

     Conclusion: The study provides an in-depth understanding of factors contributing to both suffering and hope. The result that can be used by nurses and healthcare professionals to improve the patient’s sense of quality of life. 

  • 180.
    Drejer, Matilda  
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rönni, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av att använda bedömningsinstrument vid misstänkt postpartumdepression: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous studies have shown that approximately one in ten women suffer from postpartum depression, which often occurs within three months after child birth. To detect postpartum depression, health care often uses screening tools such as the Edinburgh postnatal depression scale or the Postpartum depression screening scale. In the meeting with a woman with suspected postpartum depression, it is important to ask open questions and to have a person-centered approach.

    Aim: The aim of this study was to illustrate nurses' experiences of using assessment tools when encountering women with suspected postpartum depression.

    Method: A literature study based on the content of seven qualitative studies and one mixed method, of which only the qualitative part was used.

    Results: Three main themes were detected: the importance of knowledge and intuition, the ability to create safety and difficulties when using the screening tools.

    Conclusions: The assessment tools used when suspecting postpartum depression was experienced as something positive, although it has its limits in answering the questions in a timely manner and when encountering someone who speaks another language or has another culture.

  • 181.
    Dupi, Asmiralda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sadeq, Brifk
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Smärtbedömning hos patienter med demenssjukdom: En utmaning för sjuksköterskan2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is an incurable disease that affects the cognitive functions of the patient. The reduced functions make it difficult for the patients with dementia to express their pain, which leads to untreated pain and suffering. The nurse’s responsibilities, competencies and use of assessment instruments are resources in assessing pain in this patient group.

    Aim: The aim of the thesis was to describe the nurse's experiences of assessing pain in patients with dementia.

    Method: A literature review was chosen as the method to provide answers with regards to the aim of the study. Searches were performed in the CINAHL and PubMed databases. After careful review according to University West review templates, nine qualitative and four quantitative scientific articles were included in the analysis.

    Results: The results showed that there were both aggravating and facilitating factors for the nurse’s success in identifying pain. The identified aggravating factors were communication deficiencies, knowledge deficiencies and deficiencies in the working environment. By adopting a holistic view, involving close relatives, using assessment instruments, nurses improved their ability to identify pain. 

    Conclusion: Communication difficulties, lack of knowledge and deficiencies in the working environment make it more difficult for the nurse to identify pain. The nurse's observation of the patients’ symptoms, knowledge of the patient, contact with relatives, collaboration and the use of assessment instruments facilitate pain assessment in patients with dementia. There is a need for further education on the topic of the pain condition and communication technologies developed for patients with dementia disease, as well as adequate time and a well-developed cooperation environment among the nurses to improve the success of identifying pain in this group. 

  • 182.
    Edling, Adam
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Äldre människors upplevelser av att leva med depression: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is a major problem in society and around 800 000 people in the world commit suicide yearly because of depression. Between 11 and 15 percent of the elderly are estimated to suffer from depression and many will go untreated because of stigmatization, reduced resources in health care and lack of knowledge about the disease. It is therefore important that nurses are aware of what depression is in order to identify elderly in risk zone of depression and to provide adequate nursing care.

    Aim: The aim of this study was to illuminate elderly people's perception of living with depression.

    Method: A literature-based study based on analysis of qualitative data. Twelve articles were analyzed according to Freberg's five-step model.

    Results: The result was presented in two main themes. The first one Hiking on unknown land describes how elderly experienced loneliness and how they lost control in life. The second one the battle being fought describes how negative thoughts and feelings affected elderly and how stigma affected their relations with relatives and friends.

    Conclusion: The result shows that depression affects elderly's entire life situation. Depression have a negative impact on daily life which impairs their wellbeing and the stigmatization around depression causes elderly people not to seek professional health care. Therefore, elderly needs support to break the barrier to seek nursing care. Professional health personnel must use facilitate individually coping strategies to strengthen elderly´s wellbeing.

  • 183.
    Edvardsson, Frida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilhammer, Linn
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kampen mot cancer: föräldrars erfarenheter av att leva med ett barn som har cancer2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cancer is a disease that brings many emotions along just by naming it. The onset is increasing annually. When a child becomes ill in cancer, the parents go through a difficult time while supporting their child throughout the treatment. The healthcare professionals need more knowledge about how to support the parents through this time.

    Aim: The purpose of the study was to describe parents' experiences of living with a child who has cancer.

    Method: A method designed by Friberg (2012), aimed to contribute to evidence-based care based on the analysis of qualitative research, was used. Analysis of 11 scientific articles were performed. The analysis resulted in six main categories and seventeen sub categories.

    Results: The main categories that emerged was: information is everything in the disease process, life changed radically, to manage the disease they need support from others, the fight against the disease, the nurse´s role in the meeting and a sea of emotions.

    Conclusion: From these categories, the parents' struggles became highlighted and explained. The healthcare professionals had a role in providing the best care available for the parents and child.

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  • 184.
    Einarsson, Caroline
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När livet vänds upp och ner: Familjens upplevelser av när ett barn drabbats av Anorexia Nervosa2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia Nervosa (AN) is a common and serious eating disorder which mostly affects young girls. Research shows that AN can have a negative effect on the entire family and that there is a lack of knowledge about AN in society and healthcare settings. Aim: The aim of this study is to illuminate family’s experiences of when a child is affected of Anorexia Nervosa. Method: A literature-based study was conducted and ten scientific articles were analyzed with a qualitative approach. Results: Three main themes emerged; "A changed family situation", "An emotional chaos" and "In the meeting with health care providers”. The result shows that AN has a great impact on family life. AN affects relationship´s and make the family atmosphere conflict-ridden. Parents and siblings experience negative feelings such as powerlessness, frustration, fear and guilt. They had bad experiences of treatment and perceived stigma from healthcare and society. Some family’s experience that AN had positive aspect as well, like bringing the family closer together. The result also describes family’s need for information and wish for participation in their child’s care. Conclusion: This study provides an understanding of family’s experiences when a child is affected of AN. The family is greatly affected when a child suffers from AN, and for the family to be able to support and help their child in this sickness, they need support from understanding and knowing health staff. It is important for nurses to provide support to these families and to meet them with knowledge and understanding.

  • 185.
    Ekberg Bergman, Elin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wikstedt, Clara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Arbetsrelaterad stress och dess påverkan på sjuksköterskans profession på en akutmottagning: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The health care in Sweden have an issue with long waiting time, limited resources and high workload. The emergency care is not an exception too these. Nurses working in emergency departments face unpredictable acute situations and therefore have to be able to make quick decisions and to prioritize the patients' different needs. Due to the nature of this special working environment, it can lead to work-related stress.

    Aim: The aim of this study was to illustrate how work-related stress could affect the nurse's care at an emergency department.

    Method: A literature review from a nursing perspective based on ten qualitative research studies. The five-step model was used as the articles were analyzed which resulted in two main themes.

    Results: The themes were The time for caring was not enough and Lack of quality care. Which illustrate the impact of work-related stress on nurses' care. The two main themes had five significant subthemes. Work-related stress resulted in suffering patients and nurses with reduced motivations.

    Conclusion: There were several factors that contributed to work-related stress: workload, lack of time, structure of the organization, work environment and lack of communication. This study showed that work-related stress was a hindrance in nursing care and it was difficult to promote health and prevent suffering.

  • 186.
    Ekholm, Hanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jonsson Lövhaugen, Mathilda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans hälsofrämjande funktion för patienter som genomgått hjärtinfarkt: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction is a global health problem with serious consequences and high rates of recurrence and mortality. Lifestyle changes are required in order to minimize those risks. Lifestyle changes after a myocardial infarction usually require difficult and drastic changes which are not always easy to follow through for the patient. The nurse has a key role to guide the patient in the health promotional work.

    Aim: The aim of the study was to investigate the health promotional function of the nurse for the patient after suffering a myocardial infarction.

    Method: A literature review study which includes both qualitative and quantitative articles. Four qualitative and five quantitative articles were included and analyzed.

    Results: The analysis resulted in three main categories, to promote a good meeting, to have a supportive role and to enable learning. The result showed that the nurse has an important function in the health promotional work to encourage, educate and support the patient in lifestylechanges.

    Conclusion: The patient has the greater part of the responsibility to pursue life changes after having gone through a myocardial infarction. However, the nurse has a significant part increating the best conditions for the patient's ability to manage the changes. Providing patientcentered care based on the patient’s level of health literacy optimizes self-care outcomes.

  • 187.
    Eklund, Anna-Lena
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jangsten, Elisabeth
    Institue of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg (SWE).
    Gunnarsdottir, Hrafnhildur
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Assessing and promoting responsive interaction between parents and children: A qualitative study of the experiences of child health care nurses in Sweden.2022In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 63, no March-April, p. e95-e101, article id S0882-5963(21)00303-1Article in journal (Refereed)
    Abstract [en]

    PURPOSE: One of the main tasks of a child health care nurse is to assess and promote a responsive interaction and secure connection between children and their parents for the future. This study aims to develop an understanding of Swedish child health care nurses´ experiences of assessing and promoting responsive interaction between parents and children.

    DESIGN AND METHOD: A qualitative interview study using an inductive approach was implemented. Eleven nurses were interviewed (range: 30-58 min) during the period March to August 2016, and the transcripts were analysed using qualitative content analysis according to Graneheim and Lundman.

    RESULTS: Three categories emerged: Interpreting signals in parent and child behaviour, Reinforcing the parents in their role and Feeling inadequate as professional. Interpreting signals in parent and child behaviour was described fundamental when promoting responsive interaction. Further reinforcing the parents in their role was described central. The child health care nurses also described how they often felt inadequate in promoting responsive interaction.

    CONCLUSIONS: Assessing and promoting responsive interaction is an important but challenging task which requires extensive knowledge and good communication skills. The child health care nurses express their insufficiency in that regard.

    PRACTICE IMPLICATIONS: A targeted education and sufficient time for each visit at the child health care center should be allocated to facilitate the important work on parenting and child interaction and to enhance nurses' feelings of managing their work.

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  • 188.
    Ekström, Johan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nordin, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenhet av malnutrition hos äldre: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The older population is expected to grow, this age group is generally in great need of care. If malnutrition is discovered early, visits to the hospital and personal suffering can be avoided. The nurse was responsible of the planning, assessment and the execution of the nutritional work either alone or together in a multi professional team.

    Aim: The purpose of the study is to describe nurses' experiences of identifying, assessing and treating malnutrition in elderly.

    Method: The method used for the analysis aimed to contribute to care based on evidence founded on the analysis of qualitative research.

    Results: The result demonstrated the importance of three themes, "The importance of working as a team", "The need for knowledge and education" together with "The importance of the organization" were crucial to avoid malnutrition. The nurses had limited knowledge of nutrition, making them dependent on other experts within the field, such as the medical doctors and dietitians. The physicians had an important role supporting the decision made by the nurse and together with the dietitian's expert knowledge of nutrition, this team effort was concluded to be instrumental for the successful care against malnutrition. To succeed with the nutritional care the results showed the importance of involving both patient and family, sharing information of the patient's general condition, the significance of diet and treatment options.

    Conclusion: The nurse needs training in nutrition. With better knowledge, nurses become better at preventing nutritional work and care becomes more person-centered.

  • 189.
    Eldborn, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjöö, Björn
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Effekterna av SBAR i relation till sjuksköterskans omvårdnadsansvar: en allmän litteraturöversikt.2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In year 2010 SBAR was introduced/presented for the first time as a communication tool which generates a fast informational exchange and unified communication model between employees in the Swedish healthcare. SBAR stands for Situation, Background, Assessment and Recommendation. Several reports from supervising authorities show that there are deficiencies in the transmission of information which results in an increase of reported suffering caused by care. Research also shows that deficiencies in communication leads to medical error including inaccurate or missed medication, lack of identification band and absent patient information. Currently there is no standard communication tool even though reporting patients is a part of nurses everyday work. Aim: To highlight the effects of implementing SBAR in relation to the nurse's nursing responsibility Method: Literature review based on the content of three mixed method articles, five quantitative and two qualitative studies was conducted. The articles were analyzed according to Friberg´s (2017) three step model. Results The results showthat the effects of SBAR contribute to improved communication within the care team and improve patient safety. In addition, the work environment is affected in a positive direction as well as collaboration in teams. Conclusion: When the nurse uses SBAR for over-reporting, it helps to strengthen the nurse´s conditions for taking responsibility and core competencies. 

  • 190.
    Elias, Philip
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Matthias
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Simulerad träning: En viktig del av sjuksköterskans kompetensutveckling2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Simulation has been a method used in pilots training for many years. It has been an effective method of training pilots for situations that may occur. Preparation with a low risk and a high fidelity should therefore be possible to use in other occupations. In healthcare, simulation is a relatively new method and has so far limited research.

    Aim: The aim of this study was to illuminate nurses' experience of simulated training.

    Method: To illustrate the experience of simulated training, a literature review was chosen as a method and both qualitative and quantitative articles were chosen. An analysis of twelve scientific articles were carried out.

    Result: Qualitative data showed that nurses' experience of simulated training was generally positive and that the nurses could use simulation as a tool for development. Quantitative data enhanced results of knowledge and confidence after simulation training but also that feedback and reflection were important for learning.

    Conclusion: By using simulation training, nurses can develop their skills, learn new skills and practice skills that they do not use frequently. Using simulation, high risk situations with deteriorating patient, can be practiced with low risk for the actual patient. Nurses´ experience, knowledge and skills can during simulation, as a safe environment, develop and gain patient safety and good patient outcome in real-life situations.

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  • 191.
    Eliasson, Rebecca
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hansson, Ida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans stödjande funktion i mötet med patienter som lever med hypertoni: en litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypertension is an increasing global health problem which can lead to cardiovascular disease. The role of the nurse's is to support lifestyle changes in order to promote and encourage health activities for patients.

    Aim: To describe the nurse's supportive function in the meeting with patients living with hypertension.

    Method: An overview of the literature was performed and database searches were made in Cinahl and PsycInfo. Nine articles were included after being analysed, classified and compiled in an article matrix.

    Results: The results consist of two main category and four subcategories. The first main categorie was To work health promoting, which describe the nurse's supportive approach regarding introducing lifestyle changes for patients. The second was To have an open approach, which related to the nurse's approach being available and trustful in their relationship with patients. The nurse's supportive approach is important in regards of maintenance of self-care.

    Conclusion: The supportive arrangements was changed lifestyle habits through education and counselling. The nurse can support the patient with hypertension to a healthier life. In order to achieve health for patients, it is important that a trusting relationship between the nurse and the patient is established. Through a trusting relationship and availability, the nurse can support the patient based on their individual needs. When the patient is involved in their own care, a trusting relationship can be established. Thus, collaboration between the nurse and the patient may facilitate patient's self-care and health.

  • 192.
    Ellison Torge, Rebecka
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Carlbert, Stina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors följsamhet till basala hygienrutiner vid venprovtagning: En empirisk studie vid ett sjukhus i Namibia2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Standard precautions are something that the health care fails in globally which can cause big consequences such as health care related infections.

    Aim: To observe nurses's compliance to standard precautions when taking a blood sample, at a hospital in Namibia.

    Method: The method used in this study was six observations. The analyze has been gathered through Fribergs model in five steps.

    Results: Two main themes emerged: self-hygiene and clothing and use of hygiene material.

    Conclusion: The consequences that can come out of this is the risk of exposing health care related infections to the patients. An uneven adherence to compliance with standard precautions can contribute to patients not receiving care on equal terms when nurses are different to the compliance to the hygiene guidelines.

  • 193.
    Elvskär, Angelica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Elheim, Anna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    En del av mig: En litteraturstudie om unga personers erfarenheter av att överleva barncancer2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year, 300 children in Sweden suffer from childhood cancer. The chance to survive has increased, and today, four out of five children will survive. Childhood cancer and its treatment cause medical consequences that can appear immediately or later in life. Suffered from childhood cancer means a change in everyday life, both emotionally, and physically.

    Aim: The aim of this litteratur study was to describe young people´s experiences of surviving childhood cancer.

    Method: A litterature review was carried out. Data from ten qualitative articles were analysed using the method to contributing to evidence-based nursing with a ground in analysis of qualitative research. This method was used to get a better understanding of young people´s experiences of surviving childhood cancer.

    Results: Young survivors of childhood cancer experienced an altered body, which made them feel different and challenged their relationships with others. Furthermore, they also faced difficulties in everyday life as a result from the altered body, as to perform in school, and in daily activities. The experiences of childhood cancer, and treatments changed the young person's life by influencing their views and made them value family and health more.

    Conclusion: The findings in this study shows that childhood cancer and its treatment can result in consequences that effects the experience of health in both negative and positive direction. Survivors also benefit from further support and information from health care system after the concluded treatment period.

  • 194.
    Emilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Informatics.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, Kristina
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pedagogical challenges in nurse education: A Case Study Focusing on the Completion Rate in Theoretical Education at a Swedish University2014Conference paper (Refereed)
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  • 195.
    Emilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Karlsson, Christina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Experiences of using surveillance cameras as a monitoring solution at nursing homes: The eldercare personnel's perspectives.2023In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, article id 144Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: As the number of older people increases, so does the need for care. However, the workforce in eldercare cannot increase at the rate required to match the needs. Welfare technologies, such as surveillance cameras, can replace physical visits and be used at night to monitor older people in order to keep them safe, while not disturbing their sleep. The aim of the paper is to analyze obstacles and opportunities associated with implementation and use of surveillance cameras at nursing homes from the perspectives of the practitioners who use the technology, their working environment and the conditions of the older people with cognitive impairment who live in nursing homes.

    METHODS: Individual semi-structured interviews were conducted with the eldercare personnel at nursing homes to understand their experiences of implementation and use of surveillance cameras. The transcribed interviews were analyzed using qualitative content analysis. The consolidated criteria for reporting qualitative research (COREQ) was used as a guidance tool.

    RESULTS: The results show that the eldercare personnel experienced lack of adequate information, education and support related to using surveillance cameras. Several benefits are highlighted, such as better working environment and that the residents were not unnecessarily disturbed at night. However, the results also show that it is important to clarify that surveillance cameras cannot replace the human presence.

    CONCLUSIONS: The conclusions from this study are the importance of prerequisites for implementation, and that using surveillance cameras contributed to improvements in the working environment at night and created possibilities to maintain security and integrity for older people living in nursing homes.

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  • 196.
    Engblom, Gabriella
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Lina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans icke-farmakologiska tillvägagångssätt för att lindra procedursmärta hos barn 2–12 år: En litteraturöversikt2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Procedural pain is the pain associated with medical procedures. Children often experience procedural pain when for example taking vaccinations or blood sampling. During medical procedures children often feel fear and anxiety, which leads to an increase of procedural pain. Non-pharmacological approaches can be used to ease procedural pain. It is the nurse’s responsibility to ease the child’s suffering and prioritize what's best for the child. If the procedural pain is not decreased, then it might have both short-term and long-term consequences.

    Aim: To illuminate non-pharmacological approaches and their effectiveness on easing procedural pain in children between 2-12 years of age.

    Method: A literature review were preformed and based on eleven articles. Nine quantitative and two qualitative scientific articles were included.

    Results: Through the analysis, three categories emerged: supporting relations, physical distractions and diversion and playful distractions. Supporting relations describes how such a relation can be created and how it can ease the procedural pain. Physical distractions describe how coldness and vibrations can be used to ease the procedural pain. Diversion and playful distractions describe how to ease procedural pain with various methods of distraction.

    Conclusion: Conclusions that can be made from this literature review are that nursing care is an important part of the nurse´s work to relieve procedural pain. There exist several non pharmacological approaches that nurses can use to help to ease the procedural pain perceived by children between 2 - 12 years of age. The different approaches will have varying effectiveness on different individuals. Therefore, nurses should consider and choose which approach to use based on each individual patient.

  • 197.
    Engdahl, Alice
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Elin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När liv står på spel, står jag utanför: Närståendes upplevelser från akutsjukvård och intensivvård2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The amount of patients are constantly on the rise. To be able to care for both the patient and the relative, the nurse must have both the competence and the resources in order to provide the required nursing. As a nurse, one should be able to connect to the relative and be a support person, give the information politely and invest in their emotions. That can be a both difficult and emotionally stressful task especially in the emergency and intensive care. Aim The aim of the study was to illuminate the relatives' experiences of dealing with a family member in a critical state in emergency or intensive care. Method The method was a qualitative study based on eight literary studies. Friberg's five step method was used and eight different scientific articles were analyzed. Results The result was one main theme and four subthemes. The main theme was commuting between powerlessness and control and the subthemes were information, to participate in the care, being near but far away and hope and despair. Conclusion The study showed that a good relationship and providing continuous information is essential for the relatives to understand the tragic situation. The information will lead to security and reducing the amount of suffering for the relatives. Being able to be close with the patient was a necessity and the relatives expressed a need of getting support from the nurse during these meetings.

  • 198.
    Engman, Julia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hassel Hedihn, Theresia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livskvalitet bland patienter med hjärtsvikt: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Heart failure is a lifelong condition, causing symptoms that affect the patient's quality of life. An estimated 15 out of 1000 registered patients are diagnosed with heart failure every year in Sweden. The condition is not curable; therefore it is essential for nurses to promote the patient's quality of life. Quality of life is a subjective experience and unique for every individual. The purpose of this study is to describe factors influencing the experiences of quality of life for patients with heart failure in their daily life. The qualitative approach used is the Friberg (2012) five-step-model analysis. Four themes were identified regarding patients' experiences of the quality of life, the experience of affinity, the experience of the support, the experience of existential thoughts and experiences of changes in daily life. The results showed that factors which affect patients' quality of life are unique and individual.Examples of factors that patients with heart failure in this literature study's result mentioned were that knowledge about their condition, having a positive attitude and a supporting social environment strengthened the patients' experiences of quality of life. A lack of support and knowledge weakened patient's experience of quality of life. The conclusion of this literature study is that it is essential for nurses to be attentive to the patient's unique values in order to provide a good individualized care for heart failure patients.

  • 199.
    Engström, Louise
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Roos, Sara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kaos, stress och överväldigande känslor: En litteraturstudie om nyutbildade allmänsjuksköterskors upplevelser2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Studies has shown that newly graduated nurses experiences of their expectations their first year is not consistent with the image and the expectations they have created themselves before graduation. The responsibility of being a nurse is big with many different areas of responsibilities. Nurses go through five stages of development from being a novice to become an expert. Being a newly graduated nurse was perceived as very stressful and caused stress. They felt unprepared for the obligations and the big responsibility that was required.

    Aim: The aim of this study was to illuminate newly graduated nurses experiences of the early days in their profession.

    Method: The research method that was used in this study was a literature review based on nine qualitative studies. Nine qualitative studies were analyzed by using Friberg´s (2012A) method that includes five steps.

    Result: Three main themes were identified; the socialization is a challenge; the feeling of a great responsibility; it is significant to have a relationship with the new colleagues. The result showed that newly graduated nurses were unprepared and overwhelmed by the responsibility that was required. The result also showed how important it was to get support and to fit in with their colleagues and how they felt that they were standing between two different worlds.

    Conclusion: A structured support and deeper cooperation between health care businesses and nursing needs to be developed. Which give newly graduated nurses the right conditions to be prepared for their profession and give them the opportunity to develop.

  • 200.
    Engström, Niklas
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av vårdande kommunikation i livets slutskede: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care is an approach that improves quality of life for patients with a life threatening disease and their family. Communication is a tool for the nurse to be able to get to know the patients and their need, this requires knowledge about communication approach. It is included in the responsibility as a nurse to strive for the best quality of life until death. Relationship, ethics and narrative are aspects of a caring communication. Aim: was to illuminate nurse’s experiences of communication in a caring context with patients or next of kin in end of life care. Method: was a qualitative literature study in order to contribute to evidence based nursing. A content analysis based on the result of ten articles was performed. Result: the findings were two major themes, when caring communication was promoted and when caring communication was limited. This gave subthemes, among others, such as the nurse presence in the meeting between the physician the patient or relatives, the hierarchy of care limits the nurse, a supportive relationship, limited standards and emotional impact of the nurse. Conclusion: a good relationship, knowledge about communication and teamwork where seen to be important and it allowed and promoted a caring communication. In situations when the nurse, nor the patient, were informed about patient’s prognosis, the caring communication was missing which led to limited emotional support.

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