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  • 151.
    Gustafsson, Jesper
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hellgren, Peter
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Främjande och hindrande faktorer för patienters följsamhet vid behandling av diabetes typ II: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is one of the fastest growing diseases around the world today. In the year 2015 over 415 million people worldwide were estimated to suffer the disease. Calculations estimated that this number will climb to over 640 million by 2040. Type II diabetes is by far the most common of the diabetes types. The hereditary nature of diabetes is an important aspect to whether one will develop the disease. However, lifestyle is an equally important aspect.

    Aim: This study aimed to identify factors that patients with type II diabetes viewed as aiding or hindering to their ability to comply with treatment recommendations.

    Method: The method chosen was a literature review based on analysis of qualitative studies.

    Results: The results identified some key-themes which patients felt were crucial to their ability to abide by recommendations and guidelines. These themes were: Outer affecting factors, inner affecting factors and lifestyle changes (their implementation and how they affect the patient).

    Conclusion: According to patient statements, examples of aiding factors were: committed and skilled personnel, individualized health-care plans, understandable information and support from society as well as family and others diagnosed with type II diabetes. However, when these factors were found to be lacking it was viewed as hindering to the patient's compliance capability. In addition, other factors identified as hindering to the patient's compliance were: feelings of social deviation, lack of results from actions taken and religious factors.

  • 152.
    Gustafsson, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nielsen, Caroline
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vårda äldre människor med depression2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Late- life depression is a major issue worldwide that leads to suffering for the patient. Elderly people with depression often show different symptoms than younger people with depression, which is one of the reasons why late-life depression is hard to recognize. In order for the healthcare professionals to identify and give adequate care to elderly people with depression they need to exert a person-centered care and be aware of how to care for patients with late-life depression.

    Aim: The aim of this study was to illuminate healthcare professionals' experience of caring for elderly people with depression.

    Method: A literature review based on the content of eight qualitative studies and two quantitative studies.Results: The findings revealed three main themes; to pay attention to depression, to ease depression and to challenge depression. The results revealed a negative attitude against older people with depression and a lack of knowledge about late-life depression. There was also a lack of time which made it hard for the healthcare professionals to give adequate care for the patient. The results also revealed some positive aspects; some professionals felt confident and comfortable in both identifying and caring for late-life depression.

    Conclusion: In order to treat late-life depression and give adequate care for the patient, healthcare professionals need to have more knowledge about the disease and about the interventions that needs to be done. To gain this knowledge, they need to take part in training programs.

  • 153.
    Gustavsson, Matilda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att vårda patienter i ett palliativt skede i sjukhusmiljö: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In recent years, it has become increasingly common to treat palliative in the hospital environment. Nurse´s will meet the patients who are in the end of the life. The end of the life can be emotionality meet and they can also be a rewarding for the nurse´s. Palliative care is about alleviating the suffering and pain of the patient.

    Aim: The aim of this study was to describe the nurse´s experience of caring for patients in a palliative stage in a hospital environment.

    Method: A literature-based study whit focus on qualitative articles. The analysis is based on Friberg´s method.

    Results: The results show that the nurses believe that there is a lack of knowledge in palliative care and that they feel that they need support from their colleagues and the work organization. The nurses feel that they have done all they can but still feel inadequate because of the workload and the lack of time. The palliative care raises many feelings in the nurse and the result shows that it is easier for an experienced nurse to handle their feelings than it is for an inexperienced nurse.

    Conclusion: Nurses' experiences of palliative care are influenced by many different things. What is mainly emphasized is experience, knowledge, obstacles around creating good meetings with patient, relatives and colleagues as well as different feelings, both hard and good, about caring.

  • 154.
    Gyllin, Ann-Charlotte
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Odefjord, Karin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara en åskådare: -Leva med Myalgisk Encefalomyelit/Chronic Fatigue Syndrome2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Myalgic Encephalomyelitis/Chronic Fatigue Syndrome is a neurologic disease. Between 0,1-2,6% of the world’s population is estimated to have ME/CFS. Even though a lot of people are affected there is a lack of knowledge about the disease. Its symptomatology affects the whole body and is severely debilitating. It’s at utmost importance that this subject is studied so that nurses can get an increased knowledge about ME/CFS. Aim The aim was to highlight people's experiences of living with ME/CFS. Method A literature-based study based on analysis of ten qualitative scientific studies was performed. Results Four main themes and fourteen subthemes were revealed. The main themes were about changing living conditions, lack of knowledge, changes in the body and existential changes. Changes were a major part of the result and people with ME / CFS experienced that the changes could be both positive and negative. The results showed that there is a knowledge gap regarding ME / CFS, which has serious consequences for people with the diagnosis. Conclusion The conclusion of the study was that knowledge, information and support is important for people with ME / CFS. By working person-centered, the nurse can help people with ME / CFS feel better.

  • 155.
    Gylling, Sofia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Engelbrektsson, Josefin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dags att snacka sex: En studie om sjuksköterskors förhållande till att prata om sexualitet med patienter2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality is an important aspect of the individual persons' health, and should be included as a part of the holistic care. Several diseases and treatments can have a negative impact of the sexuality aspect of health, and this is something that nurses' are aware of. Despite the awareness, sexuality is a topic that is often avoided in the meeting between nurse and patient.

    Aim: the aim of this study was to describe nurses' experiences of factors that affect the conversation about sexuality with patients.

    Method: A literature based study with analyses of qualitative studies was used. The analysis was made using Fribergs' five step model, ten scientific articles were analyzed.

    Result: Three main theme and seven sub themes were identified. The main themes were; Nurses´ professional attitude, Nurses´ view on different groups of patients and the impact of the organization.

    Conclusion: The result showed both hindering and facilitating factors that have an impact of conversations about sexuality with patients. These factors was shown to be the views that the nurses' had on both sexuality and the patient. The content of the nurse education could also be identified as having an impact of place of sexuality in the daily work of the nurse. Another influencing factor was described to be the uncertainty on who the responsibility lays to integrate sexuality in the care of the patient. The culture and environment of the workplace was also shown to have an impact of role that sexuality got.

  • 156.
    Göthberg, Therese
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Malin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med Anorexia Nervosa2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia Nervosa (AN) is a psychiatric condition with a high mortality rate which is increasing in the society and is most common in women. The disease affects both body and mind and the effects can be life threatening. As a nurse it is important to see every person as an individual and the care should be individualized. Nurses need to get an understanding about a person's experiences to be able to give good care. We will with this study illuminate people's experiences of living with AN.

    Aim: The aim with the study was to describe how people with AN experience their disease.

    Method: This study is a literature review that was based on qualitative studies and was analyzed with Friberg's (2012) method: qualitative content analysis for literature-based studies.

    Results: Three main themes were created: a battle between two characters, an aim for emotional balance and a complicated social relationship.

    Conclusion: Every person experienced their AN differently. Many people with AN had a hard time trusting other people, including nurses. That showed how important it is for nurses to get an extended knowledge of the persons own experience of their condition. It also showed how important it is to meet every person as a unique individual.

  • 157.
    Hafdelin, Maja
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Berggren, Emilia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I gränslandet mellan sjuk och frisk: En litteraturstudie om kvinnors upplevelser av sin livssituation efter bröstcancerbehandling2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Every year, 8000 women in Sweden is diagnosed with breast cancer and it's the most common cancer among women worldwide. The chance to survive has increased since the breast cancer treatment methods have developed. The treatments can affect women both emotionally and physically and cause consequences long time after the treatment has ended.

    Aim The aim of this study was to describe women's experiences of their life situation after completed breast cancer treatment.

    Method The method used was a literature study based on ten qualitative research articles which results were analyzed according to Friberg´s five-step model. This method was used to get a better understanding about the experiences of affected women's life situation.

    Results The themes were; To find strength from the disease, with the subthemes Sense of togetherness and A new life-force; A changed life, with the subthemes Physical and mental changes and To be on your own; To face everyday life, with the subthemes Sense of normalization and Experiences of their own recovery.

    Conclusion The results showed that breast cancer affects women in their daily life and that it takes time to process the trauma of being diagnosed with a life-threatening disease and going through a difficult treatment.

  • 158.
    Hagberg, Emelie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Törnroos, Anneli
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers upplevelser av att leva med kronisk ryggsmärta2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic back pain (constantly in pain for three months or experiencing periods of pain during six months) is a big problem in our society. It causes suffering and is expensive for the individual. It is in the nurses' competence area and responsibility to relieve suffering.

    Aim: Highlight individual's experiences of living with chronic back pain. Method: A literature based study based on ten qualitative studies.

    Results: To experience doubt from your surroundings is a common phenomenon. It is of great importance to legitimise the pain, both for the sake of the individual and for their loved ones. The surroundings of the individual are also affected in other ways, such as changed roles within the family and an increased stress on their loves ones. The pain is constantly present and unpredictable. It affects the individual's self image and major parts of their life. Conclusion: Chronic back pain causes suffering for the individual, and the life quality impairs. Mainly because of the disability the pain brings, as the patient no longer can participate in the activities and chores, which earlier were a big part of the individual's life and self.

  • 159.
    Haglunds Eriksson, Marie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Massey, Rebecka
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens väntan på akutmottagningen: en litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overcrowding and long waiting times are common in emergency departments. Organizational problems, staff- and hospital bed shortages leads to long waiting times. A consequence of the long waiting time is that patients' leave without being seen.

    Aim: The aim of this study was to understand patient's experiences of waiting at the emergency department.

    Method: This is a literature study based on qualitative articles. Ten qualitative articles were included in this study.

    Results: The findings in this study revealed three main themes; Being a patient, Meeting with healthcare and The environment at the emergency department. The patients' experience feelings of lack of control, abandonment, frustration and develop different strategies to deal with the waiting time. Patients' describe how they feel ignored and lacking information about waiting times and treatment. The emergency department environment affects the patient's experience during the waiting period.

    Conclusion: Improvement measures are needed to improve the environment at the Emergency department to make waiting time easier. The waiting time experience is improved when nurses are present and available to provide support.

  • 160.
    Hallberg, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pettersson, Ina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av sin kropp efter bröstkirurgi till följd av bröstcancer2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Breast cancer is the most common tumor disease that affects women. In Sweden, all women between 40-74 years old is offered mammography. Mastectomy is the main treatment for curing breast cancer. Women who suffer from cancer need support and help around the experiences after the mastectomy. As a nurse, it is important to know these experiences in order to alleviate suffering and promote health. Aim The aim was to illustrate women's experiences of their body after undergoing mastectomy due to breast cancer. Method A literature-based method was used to illustrate women's experiences of mastectomy. The databases CINAHL and PubMed was used in the search process. This study contains 9 qualitative articles. The results of the study were analyzed and two themes, A lacerated exterior and Life goes on as well as five sub-themes were identified. Results The most significant results were those that showed that women have different experiences of their body after mastectomy, some feel that their bodies are mutilated while others means that it is more important to be healthy than beautiful and attractive. The women sometimes questioned her femininity after mastectomy. Conclusion Mastectomy involves a conversion of the women whether they have a positive or negative effect on their new body.

  • 161.
    Hallqvist Gustafsson, Lovisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Norelius, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av att bemöta och vårda patienter med Anorexia Nervosa2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Anorexia Nervosa (AN) is a growing disease that has increased every year. It is most common among young girls and women. Statistics shows that 75 000-100 000 persons in Sweden are afflicted every year. Aim of this study was to describe nurse´s experiences of caring for patients diagnosed with Anorexia Nervosa. Method used was a literature study based on qualitative research according to Friberg. The articles is analyzed according to Friberg ́s five-step model and results in four main themes and twelve sub- themes. Results indicates that nurse´s caring for patients with AN needs to reflect over their care and behavior towards this patient group. Lack of special knowledge about AN was showing as an obstacle in care. The teamwork was described as an important factor that also influence the nurse´s approach towards patients. The main themes were Obstacles in caring, Nurse´s responsibility, The colleagues signification, Relations and approach. Conclusion is that nurse´s have a great impact on the treatment process for these patients. Caring for patients by a person-centered care approach has shown to improve the patient relations. If nurse´s spend more time with patients it results in a better treatment process and more adherence.

  • 162.
    Hallung, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Scotting, Carl-Oscar
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av biverkningarna vid prostatacancerbehandling2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Prostate cancer is the most common type of cancer in Sweden. The three primary treatment types for prostate cancer are prostatectomy, radiotherapy and different types of endocrine therapy. With all treatments mentioned above comes adverse effects that may have big effects on the person treated.

    Aim: The aim of this study was to highlight men´s experiences of the adverse effects that comes with the treatment for prostate cancer.

    Method: The research method employed was a literature study based on eleven qualitative articles. The method of analysis was done according to Friberg five-step analysis of qualitative articles and through the analysis, six themes emerged.

    Results: The themes were A feeling of emotional imbalance, Not prepared enough, The experience of loosing control, Feeling of diminished masculinity, The experience of a feminized body and An altered identity.

    Conclusion: The result showed that men experience adverse effects of the prostate cancer treatment as difficult in many ways. The changes to the body and mental well-being tend to be difficult to deal with, and the men need relevant information prior to treatment to give them time to adjust to their new life.

  • 163.
    Hamad, Aiaat
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cytostatika har påverkat mitt liv!: En studie om kvinnors upplevelser av cytostatikabehandling vid bröstcancer2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Women with breast cancer are increasing, thus even chemotherapy with its extensive side effects. Therefore the knowledge of how these patients experience this therapy is necessary for developing the optimal person- centered care.

    Aim: The aim of the study was to describe women's experiences of getting chemotherapy for their breast cancer.

    Method A literature-based study was used to bring out women's experiences of getting chemotherapy for their breast cancer. The results of the studies were analyzed according to Friberg ́s (2012) five-step model. The analysis resulted in four themes and eight sub themes.

    Results: The four themes were to feel fear and anxiety, changed self- image. Needs of support from people around and to live day by day. Side effects were difficult to manage especially hair loss and cognitive changes, it affected their self- image and even their lives. The side effects made them weak and the needs of support increased. The nursing care had lack of knowledge and understanding about how disease and treatment affected women's life.

    Conclusion: The chemotherapy increased women's needs of information and support. It was important for women to get information to reduce their fears and concerns. The health care needs to have more knowledge and understanding about these women's situation and needs for optimizing the good and individualized care.

  • 164.
    Hamdi, Pärla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindqvist, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vårdpersonals erfarenheter av sprututbytesprogram för personer med injektionsmissbruk2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Drug abuse causes social, psychological and somatic damage. Drugs can be administered in different ways. There are a couple of Needle Exchange Programs (NEPs) in Sweden which aim is to encourage injection drug users to quit their addiction and to prevent blood infection by providing clean and sterile needles and syringes in exchange for the patients unclean ones.

    Aim: The aims of the present study are to illustrate health care professionals experience of NEPs and impact of these programs on people with intravenous drug abuse.

    Method: This study has a qualitative design based on qualitative research interviews. Five healthcare professionals (one male and four female) from three NEPs (located in two different cities in Sweden) were interviewed.

    Results: Results showed that the NEP had a strong positive impact on the patients both in physiological and psychological aspects. NEP is health promoting and motivating towards a life without drugs. The results implicate that health care professionals experience stigmatization of patients, which may take place in both community and other healthcare services, but not in the NEP.

    Conclusions: NEPs have important functions in the healthcare of injection drug users.

  • 165.
    Hansson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Ia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelser av att leva med ett barn med diabetes typ 12018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backround Diabetes type 1 is a chronic disease that often affects children early in their life. It’s a disease that requires constant insulin treatment and control of bloodsugar to avoid the fatal complications that otherwise may occur. Previous research showed that parenting a child with diabetes type 1 is a major around the clock responsibility wich results in an unwanted transformation of the parents lives. Aim The aim of this study was to describe parents’ experiences of living with a child with type 1 diabetes. Method The method chosen for this study was to contribute to evidence-based nursing, based on analysis of qualitative research. With this method, experiences from parents living with a child with diabetes type 1 could be described. Ten qualitative articles were analysed from which three themes and nine subthemes could be described. Results The results showed that the parents experienced many strong feelings such as anxiety, fear and guilt. They were forced to carry a major responsibility over the disease and the treatment which led to a need of constant control over the child. This resulted in the parents being forced to change their everyday life. They often felt alone in their role of responsibility and described the support from healthcare professionals as inestimable. Conclusion As parents felt alone in their new role of responsibility, it’s important for the nurse to support, inform and educate the parents to create the best condition for them to handle the disease while being able to live a good life, as normal as possible.

  • 166. Hansson, Anders
    et al.
    Larsson, Lena G
    Närhälsan, FoU Primärvård, Västra Götalandsregionen och NU-akademin.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - graduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vem tar bollen?: går vården för de mest sjuka äldre att förbättra?2016Report (Other academic)
    Abstract [sv]

    Bakgrund Flera svenska rapporter visar att de mest sjuka äldre ofta far illa på grund av bristande samordning och oklar ansvarsfördelning mellan olika behandlingsinstanser. Primärvården, hemtjänsten och den kommunala hemsjukvården anses i otillräcklig omfattning ta över ansvaret efter utskrivningen av de sjuka äldre från sjukhuset. Svenska erfarenheter stämmer väl med vad man funnit i flera internationella studier: sjukvården är illa rustad för att möta de mest sjuka äldres komplexa behov av vård och omsorg.

  • 167.
    Hansson, Anders
    et al.
    University Health Care Research Centre, Region Örebro County; Örebro University, School of Medical Sciences, Sweden; University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Sweden.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Larsson, Lena G.
    University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Sweden.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 7, p. 680-689Article in journal (Refereed)
    Abstract [en]

    Aims: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals’ experience of obstacles and opportunities for collaboration. Methods: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative. These individual people were then asked to discuss the obstacles and opportunities for communication between themselves and with the patients and their relatives when presented with the case report of a fictitious patient. Content analysis was used to identify categories. Results: Several obstacles were identified for effective communication and care planning: insufficient communication with patients and relatives; delayed collaboration between care-givers; the lack of an adequate responsible person for care planning; and resources not being distributed according to the actual needs of patients. The absence of an overarching responsibility for the patient, beyond organisational borders, was a recurring theme. These obstacles could also be seen as opportunities. Conclusions: Obstacles for collaboration were found on three levels: societal, organisational and individual. As health care professionals are well aware of the problems and also see solutions, management for health care should support employees’ own initiatives for changes that are of benefit in the care of frail elderly patients with multiple illnesses.

  • 168.
    Hansson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Peilot, Louise
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens upplevelser av förändringar i livet efter en hjärtinfarkt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: By 2016, 6 425 died of an acute myocardial infarction in Sweden. It is the most common single cause of death today. Rehabilitation along with lifestyle change is an important part in preventing new myocardial infarction. Finding the patient's view of post-myocardial situation can give the nurse important knowledge in order to find the right level of care. Aim: The aim of this study was to illustrate the patient's experiences of changes in life after a myocardial infarction. Method: The method to contribute to evidence-based nursing based on analysis of qualitative research was used to perform a literature-based study. Data from eleven qualitative articles were analysed. Results: The result shows that patients with myocardial infarction are experiencing a variety of feelings in connection with the various changes that caused the myocardial infarction. These feelings are handled by the people in different ways. Some patients experience life being better after a myocardial infarction, while some experience it worse. The result shows that depression, anguish and anxiety are common feelings that occur after a myocardial infarction but also gratefulness for survival. The analysis presented two head themes with two sub themes. The first theme “another life” with the two sub theme “A second chance and a new lifestyle” and “Changing social relations”. The second theme was “Change in everyday life” with the two sub themes “Reduced well-being” and “Emotional responses”. Conclusion: The study highlights the fact that different individuals deal with changes after myocardial infarction differently, which is not unusual; but in the result, the differences are very dramatic

  • 169.
    Hansson, Johan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att vårda patienter med missbruksproblematik inom somatisk vård: en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Abuse of alcohol and drugs has increased in the western world over the past decades. For this reason, somatic health care receives a greater proportion of patients with substance abuse problems. This group of patients is often associated with some stigma and prejudice, which may result in an unfavorable reception when they seek health care.

    Aim: The aim of this study is to investigate nurses' experiences in meeting patients with substance abuse problems in somatic health care.

    Method: A literature review based on seven articles was conducted. The articles was based on both qualitative and quantitative approach of nurses concerning their experiences of addicted patients.

    Results: The result indicated that among the nurses exist preconceptions about alcoholics and drug users, resulting in negative attitudes toward this type of patients. A recurring theme was that the abusers describes as difficult patients; violent, manipulative, and less entitled to health care because of self-imposed destructive lifestyle. Another theme was that the interviewed nurses complained of knowledge- and organizational shortcomings in the care of patients with addiction problems. Knowledge of drug abuse problems among nurses was considered to be inadequate, and health care providers were considered to have inadequate procedures to handle complications which can occur when addiction problem seeking treatment.

    Conclusion: The nurses felt that it would be justified to add more time to learn about drug abuse problems. It was also considered that measures to improve the support of nurses' professional role is justified which include factors such as increased staffing and more support from doctors and managers.

  • 170.
    Hansson, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jacobsson, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jag är inte min psykos: en litteraturstudie om erfarenheter av stigmatisering2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stigmatization of people with psychosis is a widespread and global issue that has been existing for a long time. While other psychological illnesses are getting less stigmatized, schizophrenia and psychosis tend to be unchanged.

    Aim: The aim of the study was to illuminate experiences of stigmatizations in people with psychosis.

    Method: This is a literature study based on qualitative research. Thirteen articles were analyzed according to Friberg's five-step model and resulted in four themes and seven sub-themes.

    Results: The main theme that emerged was: feeling powerless, experience of exclusion, being treated unfairly, a need to withdraw. The result showed that people with psychosis or schizophrenia experience stigma from different directions which includes family, society and healthcare.

    Conclusion: Stigma exist everywhere and to prevent stigmatization, more knowledge about the phenomenon is required. Stigmatization gives the person worse conditions in life. The recovery becomes more lengthy and complicated.

  • 171.
    Hansson, Per-Olof
    et al.
    University of Gothenburg, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    Andersson Hagiwara, Magnus
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Centre for Prehospital Research, Borås, Sweden.
    Brink, Peter
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Herlitz, Johan
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Centre for Prehospital Research, Borås, Sweden.
    Wireklint Sundström, Birgitta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Centre for Prehospital Research, Borås, Sweden.
    Prehospital identification of factors associated with death during one-year follow-up after acute stroke2018In: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 8, no 6, article id e00987Article in journal (Refereed)
    Abstract [en]

    ObjectivesIn acute stroke, the risk of death and neurological sequelae are obvious threats. The aim of the study was to evaluate the association between various clinical factors identified by the emergency medical service (EMS) system before arriving at hospital and the risk of death during the subsequent year among patients with a confirmed stroke.Material and MethodsAll patients with a diagnosis of stroke as the primary diagnosis admitted to a hospital in western Sweden (1.6 million inhabitants) during a four‐month period were included. There were no exclusion criteria.ResultsIn all, 1,028 patients with a confirmed diagnosis of stroke who used the EMS were included in the analyses. Among these patients, 360 (35%) died during the following year. Factors that were independently associated with an increased risk of death were as follows: (1) high age, per year OR 1.07; 95% CI 1.05‐1.09; (2) a history of heart failure, OR 2.08; 95% CI 1.26‐3.42; (3) an oxygen saturation of <90%, OR 8.05; 95% CI 3.33‐22.64; and (4) a decreased level of consciousness, OR 2.19; 95% CI 1.61‐3.03.ConclusionsAmong patients with a stroke, four factors identified before arrival at hospital were associated with a risk of death during the following year. They were reflected in the patients' age, previous clinical history, respiratory function, and the function of the central nervous system.

  • 172.
    Hansson, Peter
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Madenvik, Natalie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelse av trygghet i vården: vad skapar trygghet?2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When an individual is cared for in a hospital, which is a new and unknown environment, this can create feelings of uncertainty and insecurity for some. Insecurity can lead to a feeling of pressure and makes the caring more difficult. This can therefore worsen the recovery for the patient.

    Aim: The aim of this study was to illuminate the patient's perceived experience of safety at hospital.

    Method: A literature based study was done based on ten qualitative articles among men- and women at hospital.

    Result: The study showed that the feeling of safety could be experienced when the patient felt confirmed, the patient feels involved in their own care and when nursing staff cares for the patient. To felt safe is also found in how patients perceive their environment through the hospital's physical and social environment. The result of the articles were presented in two main themes; the meaning of the caring relationship and presence of others.

    Conclusion: There was several factors that contribute to the feeling of safety for the patient in hospital care. Patients’ feelings of safety can be experienced by acts such as to be confirmed by the care giving staff, the patient's opportunity to be involved and when the patient feels cared about.

  • 173.
    Hassan, Ayan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Rebecca
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet efter en hjärtinfarkt: En litteraturstudie om kvinnors upplevelse av hälsa efter en hjärtinfarkt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction is the most common single cause of death in Sweden. A person suffering from myocardial infarction goes through a traumatic experience and life after means major changes and adjustments. Through increased knowledge of women's experiences of their health, the nurse can provide a knowledgeable and careful nursing care that meets the patients' requirements and needs.

    Aim: The purpose of the study is to describe how women experience their health after a myocardial infarction.

    Method: To achieve the purpose of this study, a literature review has been conducted, primary on data sources in the form of qualitative scientific articles. Additionally, Friberg's analysis method provided four themes and eight sub-themes.

    Results: The results show that women's everyday lives are limited due to physical and mental limitations that occur after myocardial infarction. For example, they experienced a change in the relationship with their partners and reduced sexual activity. Women received insufficient information on symptoms, treatment and cardiac status after a heart attack and began to doubt their body, as they were afraid to relapse. It demanded great life changes for the women.

    Conclusion: In summary, myocardial infarction leads to impaired health for women. It is important that nurses maintain continuous contact with patients after discharge. They should always have a good understanding of the patient's situation, in order to be able to provide good care. Nurses have an important job of maintaining a support system as well as encourage the patients, so the women can experience good health and a sense of meaning in life.

  • 174.
    Hasselberg-Hellberg, Ann
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Iglicar Berntsson, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stoppa smitta!: En litteraturöversikt om åtgärder för att stoppa smittspridning av vinterkräksjuka på äldreboende.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Norovirus frequently causes outbreaks in health and social care settings across the world. Patients, staff, visitors and their families are at risk of becoming ill as the virus easily spreads among people. Elderly living in nursing homes are fragile and at higher risk of severe outcome. To reduce patients and staff getting ill it is important that the nurse knows how to act to limit the outbreak.

    Aim: The purpose of the study is to illuminate the measures taken by the nurse to stop the spread of norovirus infection in nursing homes.

    Method: A literature review based on analysis of eight quantitative and one qualitative article.

    Results: Identifying the first case is important and action must be taken promptly. Measures like strict hand hygiene, cleaning and disinfection of the environment and the use of personal protective equipment must be taken. At the same time limiting contacts for patients, staff and visitors are necessary to decrease illness.

    Conclusion: Acting in cases of illness, performing hygiene routines and limiting contacts were emphasized as the most important measures in the event of an outbreak. Having clear guidelines easy to follow and strict compliance to hygiene routines will limit the spread of norovirus infection in nursing homes.

  • 175.
    Hedhman, Klara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av att triagera patienter på en akutmottagning2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Triaging patients at an emergency department brings stress and insecurity to the nurses. The big number of patients who are waiting for the nurses to prioritize them makes triage difficult and stressful. The nurse’s tries to triage the patients as correct as they can but the triage scale and the environment at the emergency department do not make it easy. It is also important that the nurses have the experiences and the competence that is needed to do a correct triage. The aim of this study was to explore nurse’s experiences of triaging patients at an emergency department. The method of the study is based on litterature with the purpose to contribute to evidence-based nursing through analysing qualitative research and is designed by Friberg (2012). Nine articles were analyzed in this study and led to six categories: Sense of security, Cooperation with the colleagues, Stress, Patients who are difficult to assess, Impact of the triage scale and The importance of experience. These six categories explains the nurses experiences of triaging patients at an emergency department. Both positive and negative experiences are illustrated.

  • 176.
    Hedén, Katrin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Annika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Förebyggande av oönskad graviditet i Sverige och Finland: ett vårdvetenskapligt perspektiv2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The abortion rate was twice as high in Sweden compared to Finland. Many women suffered from illness related to unwanted pregnancies. There was also a big cost for the society. The Swedish midwife seemed to be working with preventive care in a good way. What else could be done to reduce the abortion rate – Could the Swedish midwife learn something from the preventive care in Finland in purpose to increase the self-care for the women to avoid unwanted pregnancies?

    Aim: The aim of this study was to describe how health professionals worked to prevent unwanted pregnancies in Sweden and Finland.

    Method: A literature based study was chosen. Ten articles were reviewed and analyzed by the authors.

    Results: The result was presented in three subject areas: Contraceptive advice, Sexual education in school and Emergency contraceptive. The systems for contraceptive care in the two countries were different. In Sweden the youth clinics were mainly responsible for contraceptive advice and prescription. In Finland the women turned to Health Care Centers. Finland had, compared to Sweden, long and positive experiences from long acting reversible contraceptives (LARC).The school in Finland took a big responsibility for the sexual education and counselling for contraceptives. Emergency contraception was available over the counter in both countries.

    Conclusion: There were differences in how Sweden and Finland worked to prevent unwanted pregnancies and Sweden had some things to learn. The school nurse in Sweden could be more responsible involved in the sexual education. LARC prevented unwanted pregnancies and could be first choice contraception even for young women and non parous women. The discussion between the midwife and the patient was essential for the result. Emergency contraception offered over the counter did not reduce the abortion rate in any of the countries.

  • 177.
    Heed Arvidsson, Rebecca
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olofsson, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bedsiderapportering, Ja eller Nej?: Sjuksköterskor och patienters erfarenheter2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous studies have shown that bedside shift reports provide an opportunity for the patients to receive information pertaining to their health problem and empower them to participate in the plan of care. Aim: The goal is to describe the patients and nurses’ experiences when conducting bedside shift reports. Method: This work is a literature-based study based on qualitative research. Results: The results showed that both nurses and patients felt that bedside shift reports was an opportunity to exchange information with each other and a chance to create a personal relationship. The results also showed that there was difficulty in maintaining privacy and confidentiality. Conclusion: Both nurses and patients welcomed the bedside shift reports. It allows health information to be exchanged effectively between patients and nurses during routine nursing care, provides a chance for the patients to engage in their clinical care, and aids in nursing care plan based on the patient needs.

  • 178.
    Heilmann, Alexandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Savik, Johanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    "Med livet på paus": Kvinnors upplevelser av att leva med endometrios2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronic gynecological disease that affects 10% of women over the world. Endometriosis can lead to symptoms such as severe pain, diarrhea, nausea, dysmenorrhea, dyspareunia and reduced fertility.

    Aim: Women´s experience of living with endometriosis.

    Method: A literature based study which is a method to compile existing research available on the topic. The method enables that the base of literature is used to create new knowledge. The aim of evidence-based nursing with the foundation in the analysis of qualitative research is to highlight the experiences of endometriosis.

    Results: The women were affected psychologically by the knowledge that the disease can not be cured nor the bothersome symptoms. The road to diagnosis was long and filled with misbelieve by the healthcare professionals but also the struggle for their rights. After diagnosis, the women feel that they received inadequate help from health care and a lot of caring was put on women. The women had to both gather the information about their disease and also bear the financial burden that was added through alternative treatments all by herself.

    Conclusion: Endometriosis affects women in several ways. The women experienced several limitations in their daily life. Furthermore, women stated that they feel inadequate when they could not engage in sexual intercourse with their partners.

  • 179.
    Heinze, Stefan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Östergren, Marina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelse av att leva med KOL2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic obstructive pulmonary disease (COPD), is a disease which is affecting people all around the world. Frequent symptoms are coughing, excessive phlegm and breathlessness. Until today there is no cure for this disease. Therefore, the aim of the treatment is for the patient to be able to live a life as normal as possible and to slow down the progression of the disease. As the disease is increasing those patients will be encountered in all sorts of health care. Therefore it is essential that every nurse knows how to take care of these patients and the prerequisite is that the nurse understand the patients' experiences of living with COPD.

    Aim: The aim of this study was to illuminate the lived experiences of patients affected by COPD.

    Method: A literature study was conducted and 11 articles were analysed. The analysis was based on the five-step method by Friberg.

    Result: Three main themes and seven sub themes emerged. The three main themes are experiences of fear, experiences of limitations, experience of wellbeing.

    Conclusion: Living with COPD and the symptoms results in a lot of suffering. Despite the suffering the patient also experience hope and wellbeing.

  • 180.
    Helgesson, Elisabeth
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lundström Ebbesdotter, Gunilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans arbetssätt för att främja hälsa genom egenvård och livsstilsförändringar hos personer med hypertoni.: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypertension is a global health problem that can lead to serious complications such as stroke and congestive heart failure. Nurses' work includes promoting lifestyle changes, motivating, compliance with medication, and providing regular follow-ups to improve blood pressure. More knowledge is needed on which working methods nurses use to promote health and support sustainable lifestyle changes.

    Aim: To illuminate the nurse's ways of working to promote health through lifestyle changes and self-care in persons with hypertension.

    Method: A literature review according to Friberg was chosen as the method. Database searches were carried out in CINAHL, PubMed and PsycInfo. Nine scientific articles were included after having been analysed, classified and compiled in an article matrix.

    Result: The analysis resulted in two main themes and five subthemes. The first theme was Creating change which described how the nurse responded to the patient's specific opportunities, expectations, knowledge needs and motivation for initiating lifestyle change. The second theme was Maintaining change which describes how the nurse guides, promotes and follows up the person to create a sustainable lifestyle change and an improved self-care strategy.

    Conclusion: The nurse's ways of working to promote health through lifestyle change and self-care in persons with hypertension can be designed in different ways. Regardless of which nursing philosophy lies behind it, it appears that a person-centred approach stimulates the person's motivation for a changed lifestyle through increased participation and responsibility.

  • 181.
    Hellberg, Ingvar
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Holm, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans sätt att hantera känslor vid vård i livets slutskede: litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nurse has an important role in palliative care. The nursing care is unique to each patient and includes physical, emotional and spiritual comfort and support. Working in palliative care can be emotionally stressful. Nurses need strategies to manage their emotions to cope with the work. Aim: Describe how the nurse deals with feelings of caring for patients in palliative end of life care. Method: A literature-based study with qualitative approach. Literature searches were made through databases Cinahl and ProQuest. Similarities and differences were identified and new themes were created. Results: A number of strategies to manage emotions were identified. An important strategy is to have control which can implicate not to be too private to the patient. Other important strategies are support from colleagues, guidance and religious beliefs which makes the feelings manageable. It also appears important to increase competence to manage their emotions in palliative end of life care. Conclusion: The nurse in palliative care needs strategies to handle emotions. By having control, get support and to increase the skills, the nurse can become aware of the feelings that arise in palliative end of life care, and thus, the nurse understands and manages the emotions. The result from this study can be helpful and guidance for those working in palliative care, especially for the nurses with little experience of palliative care. It can also be helpful in other care situations that are emotionally stressful.

  • 182.
    Hellberg, Marcus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Saarinen, Anna-Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Traumaomhändertagande på akutmottagning: patientens erfarenheter2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every two seconds a person dies by the result of a trauma. The trauma teams' initial assessment is a structured and systematic concept, where the treaters in the acute care setting are involved in excluding life-threatening conditions and to do an accurate medical examination of the patient. The trauma resuscitation is a fast encounter between the patient and the trauma team. Patients is often affected by the acute event when they lose control over their own situation.

    Aim: The aim of this study was to describe the patient experience of the trauma resuscitation at the emergency department.

    Method: A literature review has been made of 5 qualitative and 5 quantitative articles. Articles were analyzed by searching for similarities and differences. The analyzed articles were published between 2004-2015.

    Results: The result showed that patients had unique needs such as; be treated like individuals and be cared for by competent personnel. The results also showed the importance of sufficient information on examination and treatment. The patient could feel either insecure or cared for in the trauma resuscitation depending on nurses’ communication.

    Conclusion: The trauma resuscitation is a complex concept and involves many aspects that a nurse should keep track of. The nurse and the traumateam need to face the high requirements of the resuscitation to provide good and safe care for the patient under the whole intervention.

  • 183.
    Hellborg, Caisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Weckfors, Carina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenhet av möten med föräldrar till sjuka barn: En litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patientlagen from 2014 clarified the guardians rights to information concerning patients that are children. Inadequate communication during meetings created insecure parents and stressed children. Nurses have an important role within healthcare to support and inform parents from the perspective of the children's and family's needs.

    Aim: To describe nurses experiences of meetings with parents to sick children within a hospital setting. Method: A literature-based study based on ten qualitative articles.

    Results: Five themes were presented based on the aims of this study: to shield and protect, to find balance, to be in disagreement, to feel vulnerable, and strengthed by meetings. Conclusion: The experiences of nurses displayed a desire to shield and protect parents to sick children. The nurse's work to find balance relating to an appropriate level of participation for the parents was complex. The study provided an awareness of how nurses balanced both professional and private aspects when relating to parents. The nurses felt a sense of vulnerability and risked being burdened by negative experiences of certain meetings which could have consequences in the future.

  • 184.
    Hellstrand, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hilmersson, Johanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelse av att ha ett barn med cancer: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cancer is the most common cause of death among children in Sweden. When a child gets diagnosed with cancer, it affects the entire family, the relatives and in particular the parents. The diagnose causes negative feelings and experiences among the parents, so it is vital that the parents can find hope and strength to cope with their children’s diagnose and be able to continue their lives. Aim: The aim of this study was to illustrate the experiences of parents who has a child diagnosed with cancer. Method: This study has been conducted as a qualitative literature review. An analysis of ten qualitative articles was carried out, based on Fribergs five steps. Results: Parents to children with diagnosed cancer experienced mixed feelings related to their ability to maintain hope. The parents experienced hope in relation to their belief in God, support from family, friends and nursing staff and the ability to have a positive outlook on the future. Two main themes were presented in the result; "the experience of losing footing" and "the experience of maintaining hope". Conclusion: Maintaining hope helps the parents to cope with their situation and the importance of hope is demonstrated in this study. Nurses play an important role in how the parents manage to handle the situation with their children having cancer. It is important that the nurse treats and care for the parents, as well as the children, to support the parent’s ability to maintain hope.

  • 185.
    Hellström, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Malmbom Lång, Ellinor
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Tills döden skiljer oss åt: Anhörigas erfarenheter av specialiserade palliativa verksamheter2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To be the close relative of a terminally ill person, who is receiving special palliative care, is a life changing experience. According to the guide lines for palliative care both the patients and their family members have the right to support, and to be part of the caring process. For nurses to be able to meet the needs of relatives, understanding their experience of special palliative care is crucial.

    Aim: To highlight the family´s experience of palliative care from specialist palliative operations.

    Method: A method based on the analysis of qualitative research was used, in order to contribute to evidence-based care. Ten scientific articles were analysed.

    Results: Emotions of guilt and relief were common amongst family members. The family members experienced that the nurses where a safe harbor when the family members received the support they needed. Sometimes the family members felt as if their homes and their private sphere became a workplace.

    Conclusion: Honest, straight, and clear communication was of great importance. For family members to be able to ask nurses for help and to feel supported in different situations was also important. The physical symptoms of death approaching became symbols of grief and sorrow.

  • 186.
    Hermansson, Helena
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Antonsson, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers erfarenheter av att leva med ryggmärgsskada: en litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The spinal cord injury is often a traumatic event in the person's life that affects many of the body's physical abilities. The group affected is relatively small in relation to other diseases/health related problems, but often affects younger people. In order for the nurse to be able to provide good person-centered care, it is important to understand what it can mean for a person to live with a spinal cord injury.

    Aim: The aim of this study was to illuminate adults' experiences of living with spinal cord injury.

    Method: This literature study is based on qualitative research. Eleven articles have been used for the result.

    Results: From the result, two main themes and five sub-themes appeared. The first main theme was; To relate in a new way to the world with the subthemes A changed life situation and A changed body. The second main theme was; To reconstruct their identity with the sub-themes To be the same person as before the injury, To have a changed attitude, Take control and Being creative.

    Conclusion: A spinal cord injury affects several parts of life. It challenges the person in many ways, both physical and psychological. With the right support and tools to meet the world again, life returns to the ordinary even if it takes time.

  • 187.
    Hernvall, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Strand, Elin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva nära en anhörig drabbad av psykisk sjukdom: Upplevelser ur ett närståendeperspektiv2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness can affect people during all stages of life and it's a major challenge to public health. Mental illness not only affects the individual but it also affects the relatives around the stricken person in a large extent. It's important to get an understanding of the relatives and their changed life situation in order to be able to respond and support the related in a good way.

    Aim: The aim was to highlight the relative's experiences of living close to a relative affected by mental illness.

    Method: A method to contribute to evidence-based nursing based on analysis of qualitative research was used to get a better understanding of relative's experiences. An analysis of ninequalitative articles was conducted. The analysisresulted in two main themes and seven subthemes.

    Results: This study resulted in two main themes; "To be able to keep on fighting" and "To live with difficult changes".

    Conclusion: This study showed that related persons to mentally ill relatives experienced many different feelings when their lives changed. Their relative's personality changed significantly and the future was seen as hopeful and uncertain. The related took a caregiver role, which meant a lot of responsibility and their lives changed drastically. A struggle was experienced for their relatives getting proper healthcare and the environment showed lack of understanding.

  • 188.
    Hjalmarsson, Matilda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Isabella
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    ”Att ständigt cykla utan broms”: Unga människors upplevelser av att leva med diabetes typ 12016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is a chronic metabolic disease and an increasing public health problem. Treatment of type 1 diabetes requires daily insulin injections. Young people living with diabetes may feel that they do not fit in among others of the same age.

    Aim: Illustrate young people's experiences of living with diabetes type 1.

    Method: This study was a qualitative literature-based study with an inductive approach. The result was based on 10 qualitative scientific articles.

    Result: The analysis resulted in three main themes and seven subthemes. The main themes were: To live in a process of adaptation, A buffet of challenges and How the social surroundings impact the life.

    Conclusion: The results showed that young people who lived with type 1 diabetes felt that they had to adapt their lives to the disease. For young people it was also important to become independent in their illness. It was obvious that living with type 1 diabetes was an experience of both physical and mental challenge, and the people in the studies expressed a desire to be normal and to be able to compare themselves with others. The social surroundings had a clear impact in many ways, though the support from the environment was perceived as valuable.

  • 189.
    Hjellnes, Anne
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Markusson, Fanny
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Processen kring HLR-beslut: En litteraturbaserad studie om sjuksköterskors upplevelser2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: CPR in Swedish hospitals saved 1444 people during 2017. For severely ill patients, where the outcome of CPR is not promising, a decision about DNACPR could be made. The doctor is responsible for deciding DNACPR, a decision that should be based on a well-grounded analysis where the nurses, the patient and the relatives' point of view is taken into consideration.

    Aim: The purpose of this study was to describe how nurses experience their involvement in the process of CPR-decision.

    Method: The utilized method was a literature study based on qualitative articles where Friberg (2017a) Five-step model was applied in the analysis. The study resulted in four main themes and eight subthemes.

    Results: The four main themes were: Ethical dilemmas, Lack of communication and information, Involvement and Nurse-to-patient relationship. Ethical dilemmas described the importance of ethical knowledge in nursing. Lack of communication and information highlighted the need of information and discussion about the outcome of CPR to patients and relatives and the importance of documentation to ensure patient safety. Involvement described the importance of a unified decision of all parties involved. Nurse-to-patient relationship showed how a genuine interest could have a positive impact on patient-nurse trust and it gave nurses a complete picture of the patient's situation.

    Conclusion: The nursing perspective was important in the decision-making process. To be able to reduce the suffering of a patient the nurse needed ethical competence, a good relationship to the patient and an understanding of the patient's overall health.

  • 190.
    Hjort, Jennifer
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olsson, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I väntan på frihet: En litteraturbaserad studie som belyser dialysbehandlade patienters upplevelser av att vänta på en njurtransplantation2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: With an increased understanding of dialysis-treated patients' experiences of waiting for a kidney transplant, the nurses can adjust their care based on patient's individual needs. A changed life situation that requires regular treatment and limiting the patient in their daily life makes it important that the nurse understands the patient's mood and is there to support.

    Aim: The aim of this study was to highlight the experiences of dialysis-treated patients waiting for a kidney transplant.

    Method: A literature study based on qualitative research. Friberg ́s five-step model was used for analyze of the articles and results in three main themes and six sub- themes.

    Results: This result showed that dialysis-treated patients awaiting a kidney transplant experienced both physical and mental barriers and stress. They experienced limitations in daily life as loss of freedom and financial difficulties. The patients' feelings oscillate between hope and uncertainty like an emotional roller coaster and they find support in their relatives, healthcare professionals or in their religion.

    Conclusion: The experiences of waiting for a kidney transplant are relatively similar, but strategies to get trough this process varies. Common for all patients were that it was a demanding and stressful time. Therefore it is important that nurses pay attention and adapt the care for each individual.

  • 191.
    Hjortskog, Josefine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att möta kvinnor som utsatts för våld i nära relationer: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Intimate partner violence is a major global public health issue. One third of all women are exposed to violence by an intimate partner during their lifetime. These women will probably sometime come in contact with the healthcare, nurses then have an important role in identifying and caring for these women. Nurses report that they often encounter problems when meeting with battered women. It is therefore important to highlight the nurse’s experience of caring for women exposed to intimate partner violence. Aim The aim of this study was to illustrate nurses experiences of meeting women who have been exposed to intimate partner violence. Method A literature review made by analysis of nine qualitative and quantitative articles was carried out. Results Nurses reacted emotionally when they met women exposed to intimate partner violence and experienced a lack of knowledge in how to deal with the situation. This study resulted in six themes: to have prejudices, to identify violence as a cause, to ask the question, to proceed with the answer, to become emotionally engaged and to handle the emotions. Conclusion Nurses are in need of education, formal guidelines and support from colleagues and organization in order to feel confident meeting women exposed to intimate partner violence.

  • 192.
    Hjärtmyr, Eleonor
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ett liv med begränsningar: Ungdomars upplevelser av att leva med en ADHD-diagnos2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: ADHD is a neuropsychiatric disorder which characteristics has been proven to cause many difficulties in the everyday life, both from an individual perspective and in society as a whole. The diagnosis is associated with high mortality, drug use, deviance behaviour, criminality and the individuals who's been diagnosed and treated often experiences stigmatization. The health care and especially the nurse plays a big role in the management and caring for these patients. The core essence of nursing is to promote health through a holistic approach and relieve the suffering which these patients experience. Aim: The aim of this study was to investigate how adolescents and young adults with ADHD experiences their everyday life, and how the diagnose influence their psychosocial function. Method: This study is formed as a literature review based on ten scientifical articles, which was conducted through a systematic literature search. The articles were examined and sorted based on similarities in their result sections. Results: The experiences of ADHD in everyday life and psychosocial functioning were charactered by behaviour issues which led to limitations in social interactions, academic performances, home environment and experiences of stigmatization. Regarding the meeting with health care professionals, youths reported lack of individualistic approach, personcentered care and information. Conclusion: Adolescents and young adults with ADHD experiences a lot of malfunctioning in their everyday life, both due to their diagnosis and the consequences which it leds to. Health care professionals needs more knowledge about the disorder to present good care and to promote health.

  • 193.
    Holm, Josefine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När en person i ens närhet är sjuk i Anorexia nervosa2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Eating disorders include five different states. In common is that the person has an unhealthy approach to food and body image. One of the most common eating disorders are Anorexia nervosa. Anorexia nervosa is, besides a complex and dangerous disease, also a disease that affects the people around the patient. Previous research shows that if there are relatives who are involved in patient care it is created a better conditions for recovery. But how is it to be, for example, a mother, a brother, a best friend to someone who is struggling with Anorexia Nervosa? Aim: The aim is to highlight experiences to be related to a person with anorexia nervosa. Method: A literature overview is used, based on eight qualitative and quantitative articles. Results: The results presented through two main themes: negative and positive experiences. The negative experiences include following four under themes: to stand next to, guilt and lost of identity, depression, anxiety, concerns and stress and lack of support. The other main theme, positive experiences has two under themes: better relationship, communication and understanding and hope and support. Conclusion: Relatives are emotionally affected in their daily lives, both positively and negative, when someone closely related has Anorexia nervosa.

  • 194.
    Hultgren, Lotte
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rytterstig, Johanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att möta kvinnor som utsätts för våld: sjuksköterskans perspektiv2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It may be difficult for nurses to identify women who are victims of domestic violence, because the violence is hidden. When violence isn't addressed, it can lead to physical and mental illness and societal costs. It is the health care responsibility to pay attention to health needs and create a safe environment for patients. It requires knowledge and training to facilitate the identification of women who are subjected to violence.

    Aim: The purpose is to describe nurses' experiences when meeting women victims of domestic violence.

    Method: A literature based study with qualitative approach. Articles were read, reviewed and analyzed according to Fribergs analysis method.

    Results: This study presents two main themes and seven sub themes. The first theme is presented as Inability to help – related to lack of time, ignorance and how the woman handles the situation. The second theme is presented as Emotional impact – related to anger and frustration, sadness, fear and concern and joy, sympathy and meaningfulness.

    Conclusion: Nurses need increased training about domestic violence when screening, as well as the causes and consequences of violence. Education on violence can give more understanding of how the nurse should act in the meeting and what questions should be asked. Knowledge can also help the nurses to deal with the lack of time, as it enables the nurse to prioritize. Emotional support is needed so the nurse should not be negatively affected personally or professionally.

  • 195.
    Hulthén, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Norstedt, Anna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Den osynliga misshandeln: psykisk misshandel av barn och möjliga konsekvenser för vuxenlivet.2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Childhood emotional abuse can lead to mental illness. Research about emotional abuse is limited and therefore complicates the work of the nurse, since understanding of what emotional abuse means is of importance.

    Aim: The aim of this study was to describe what consequences people may suffer later on in life if they were exposed to emotional abuse or emotional neglect as a child.

    Method: A literature overview was performed by collecting and analysing eight quantitative studies, two qualitative studies and one study with mixed-method. The analysis was performed according to Friberg's three-step-model.

    Results: Childhood emotional abuse showed to affect the victims mental health later on in life. There were many different mental illnesses associated with persons that had experienced emotional abuse in their childhood. Personality disorders, depression and eating disorder was found to have a significant connection of mental health outcomes based of childhood emotional abuse. There were also a significant connection with social inhibiting states such as anxiety, post traumatic stress syndrom (PTSD), low self-esteem and low self-image.

    Conclusion: More information about how to detect and prevent emotional abuse of children is needed. Nurses also need more knowledge about how to handle the care of adult patients struggling with mental illness due to childhood trauma.

  • 196.
    Hultstrand, Annika
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Boström, Marita
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av att ha vårdats på en intensivvårdsavdelning: En litteratur baserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The fact that more people are currently surviving intensive care than ever before makes it highly important to increase our knowledge about these patient’s personal experiences. Previous published research demonstrates that patients treated at the intensive care unit rarely have clear memories from their stay. Aim: The aim of the study was to describe patients’ experiences of intensive care. Method: A literature-based study of 16 qualitative studies was conducted. Results: Our analysis of the result emerged in four categories and eleven sub categories. The categories were; A wish to understand, To be dependent, To be exposed and To believe in the future.

    Conclusion: To avoid the illusive experience described by patients treated at the intensive care unit, we need further knowledge about their experiences. Further research is needed to gain more knowledge about the reason for the illusive experiences this would hopefully provide us with a better understanding on how to minimize the traumatic experience described by the patients.

  • 197.
    Hultén, Julia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olsson, Eva-Lena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bedsiderapportering: ur patienters och sjuksköterskors perspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Several times during the day at hospital wards, report is done at shift changes between nurses. The report usually occurs at the nurse's office in the absence of the patient. Reporting may include the nurse's personal views regarding the patient and their relatives. With Bedside shift report (BSR) the report is moved into the patient's room so that the patient can be involved. Aim: The purpose of this study was to describe nurses and patients experiences of the BSR method. Method: A literature study with qualitative approach. Nine articles where chosen to be read, reviewed and analyzed according to Fribergs analysis model. Results: Four themes appeared. The themes were: safe healthcare environment, the meeting: meet and be met, participation & sensitive topics, privacy and confidentiality. Conclusion: The study shows that both nurses and patients experience the BSR to have many advantages as a reporting method.

  • 198.
    Hurtig, Therese
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jönsson, Karin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    "Diabetes är inget att vara rädd för, det går att kontrollera": Faktorer som kan påverka individens egenvård vid diabetes typ 22017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is a growing health issue and its complications takes lifes all over the world. In order for an individual with type 2 diabetes to be able to live as satisfactorily as possible, knowledge and responsibility for self management is required. Previous studies show that self management is affected by barriers and facilitating factors.The self manegment is constanty present and means making decisions in daily life.

    Aim: The aim of this study were to highlight factors that may affect the individual's self management in type 2 diabetes.

    Method: A literature based study with a qualitative approach. 13 scientific articles were analyzed according to Friberg.

    Results: The study presents four main themes: knowledge, relationships, adaptability and degree of acceptance. From these main themes nine sub-themes emerged: the guessing game is over, lack of knowledge, partner in crime, family members, healthcare professionals, strategies, lost self-control, if you don't see it it does not exist and the best policy.

    Conclusion: The relationship between the individual and the nurse has a significant role in self-management. The nurse should offer group education as this may facilitate self-management and lifestyle changes. Nurses should involve relatives in self-management as relatives' support was seen as a facilitating factor. By involving close relatives, stigma of society can be reduced as knowledge of the disease and self-care is spreading. Through personalized care, the nurse can provide the individual with options to self-management.

  • 199.
    Husein, Vania
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Al, Dunia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Musikens kraft på personer med demenssjukdom: En litteraturbaserad studie om vårdpersonal och närståendes erfarenhet av musiken och musikterapins effekt på personer med demenssjukdom.2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is one of the most common diseases in the world and is rapidly increasing in Sweden. Alzheimer's disease, vascular dementia, Parkinson's disease with dementia, frontotemporal dementia, alcohol dementia and lewy body dementia are among the most common dementia types. Each nine out of ten suffering from dementia has Behavioral and Psychological Symptoms of Dementia (BPSD) where the symptoms include aggression, anxiety, apathy, hallucinations or sleep disturbances. Memory disorders are one of the symptoms that affect people with dementia and their relatives, music stimulates the individual's memory and creates a pleasant environment for the affected and their career. Aim: The purpose is to describe the healthcare staff and the family members experience of music's effect on people with dementia. Method: Researchers used a literature study in which searches were made on the databases CINAHL and psycINFO. Ten qualitative articles were selected and analyzed according to Friberg's five-step model. Results: The results showed that both healthcare professionals and family members who care for their relatives with dementia experienced that music, singing, music therapy and live music had a good effect on the individual suffering from dementia. They reported that the music had a calming, pleasing and relaxing effect on them. Music brought old memories back to the individuals with dementia and they felt that the music also functioned as exercise. The careers experienced that the music created a nice atmosphere and also a better communication and relationship between the caregiver and the individual with dementia disease. Conclusion: In this literature-based study the authors stated that music worked very well as a nursing measure in caring for people with dementia. When caring for people who suffer from dementia music is an effective and urgent measure where healthcare professionals or caring relatives can use by singing, playing background music and other types of music. Cost-wise, music is a cheap and easy to deal with nursing measure that everyone can use.

  • 200.
    Högberg, Louise
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Klasson, Christian
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Musik för en förbättrad livskvalitet hos personer med demenssjukdom2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a rapidly growing disease globally, as the world's population is ageing. There is a need for alternative treatment of diseases such as dementia. Understanding the impact of music on people with dementia is important to further develop the nursing care.

    Aim: The aim was to illuminate the impact of music on people with dementia from a nursing perspective.

    Method: This study was a literature study based on Friberg's five step analysis. Eight qualitative studies were analysed.

    Result: The result showed that music had positive impact on both mental and physical aspects. People with dementia tended to be more sociable and active as well as happier when music was played. This made them more able to express emotions, interests and opinions regarding the nursing care and in general their way of life.

    Conclusion: Music was easy and cost efficient to implement in everyday nursing care. The benefits of music outweighed the difficulties implementing it. It saved time during everyday tasks and seemed to make life more enjoyable in general for people with dementia.

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