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  • 151.
    Hrybanova, Yana
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Ekström, Anette
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Thorstensson, Stina
    School of Health and Education, University of Skövde, Sweden.
    First-time fathers' experiences of professional support from child health nurses2019Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, s. 1-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Nowadays, in Sweden, fathers are expected to be active in their father role and to share caring responsibilities for their children equally with mothers. This active role of a father in a family can be challenging, especially for the first-time fathers. Child health nurses’ support is an important factor for fathers to become confident caregivers. The Father Perceived Professional Supportscale (FaPPS scale) can be used in nursing practice for better understanding father’s needs of professional support. The aim of this study was to describe first-timefathers’ experiences of the professional support received from child health nurses and to validate the instrument:‘FaPPS scale’. A qualitative design, with inductive and deductive approaches, was used in this study.Twelve first-time fathers participated in the semi-structuredinterviews, thereafter grading the FaPPS scaleitems and commenting on them. The fathersexperienced nurses’ support positively when nursesprovided practical information and stimulated them to be involved in care of their children. In contrast, thes upport was experienced negatively because of nurses’ lack of commitment, availability and adaptation to the fathers’ individual needs. The fathers also felt inequality between the support received by fathers and by mothers. Although some fathers perceived it as negative, others considered it fair, believing that mothers needed more support. In addition, fathers expect nurses to actively offer support to them and supervise them in childcare. The fathers also needed meeting other parents, for example in parental groups.This study also indicates that FaPPS scale can be used both in research and clinical practice, though still needing further development.

  • 152.
    Huusko, Linda
    et al.
    Narhälsan Skövde Women’s Health Clinic, Skövde, Sweden.
    Sjöberg, S.
    Women’s Health Clinic, Umeå, Sweden.
    Ekström, Anette
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. University of Skövde, School of Health and Education,Skövde, Sweden.
    Hertfelt Wahn, Elisabeth
    University of Skövde, School of Health and Education,Skövde, Sweden.
    Thorstensson, Stina
    University of Skövde, School of Health and Education,Skövde, Sweden.
    First-Time Fathers´ Experience of Support from Midwives in Maternity Clinics: An Interview Study2018Ingår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, artikel-id 9618036Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background.

    Research shows that first-time fathers want to take part in preparation for birth and parenthood but they describe being excluded by health professionals. Aim. The aim of this study was to illustrate first-time fathers' experiences of support from midwives in maternity clinics as a step in the validation of "The Father Perceived-Professional-Support" (The FaPPS) scale.

    Methods.

    A qualitative content analysis with an inductive and deductive approach was used; seven first-time fathers were strategically selected and interviewed. In the inductive part the following open question was asked: "How did you perceive the support from the antenatal midwife/midwives?" In the deductive part, the fathers were asked to respond to the FaPPS scale, in order to receive their thoughts and understanding of the scale, inspired by the "Think-aloud" method. Findings. The inductive results showed two main categories: Experience of not knowing what support they needed and Experience of being excluded. The fathers found support from other fathers in parental education classes, but they lack time to discuss. Overall it seems as if the fathers answered both from their own perspective and from the mothers' perspective. This was not evident in the deductive results. The FaPPs scale should therefore include professionals' ability to strengthen social support from other first-time fathers and professionals' ability to offer support to the mother.

    Conclusion and Clinical Implications.

    The fathers experienced exclusion both by themselves and also by midwives. Midwives should offer both parents the opportunity to pose questions. It is important for expectant fathers that time for discussion is planned in parental education classes. The FaPPS scale is useful but needs further development. Parts of our result are in line with earlier research, for decades; therefore it is necessary to focus more on support for fathers.

  • 153.
    Hällgren Graneheim, Ulla
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lindgren, Britt-Marie
    Umeå University, Department of Nursing, Umeå, Sweden.
    Lundman, Berit
    Umeå University, Department of Nursing, Umeå, Sweden.
    Methodological challenges in qualitative content analysis: A discussion paper.2017Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 56, s. 29-34Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This discussion paper is aimed to map content analysis in the qualitative paradigm and explore common methodological challenges. We discuss phenomenological descriptions of manifest content and hermeneutical interpretations of latent content. We demonstrate inductive, deductive, and abductive approaches to qualitative content analysis, and elaborate on the level of abstraction and degree of interpretation used in constructing categories, descriptive themes, and themes of meaning. With increased abstraction and interpretation comes an increased challenge to demonstrate the credibility and authenticity of the analysis. A key issue is to show the logic in how categories and themes are abstracted, interpreted, and connected to the aim and to each other. Qualitative content analysis is an autonomous method and can be used at varying levels of abstraction and interpretation.

  • 154.
    Hällgren Graneheim, Ulla
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Åström, Sture
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Until Death Do Us Part: Adult Relatives' Experiences of Everyday Life Close to Persons with Mental Ill-Health2016Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, nr 8, s. 602-608Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study illuminates adult relatives' experiences of everyday life close to a person with mental ill-health. The study was based on nine diaries and four narrative interviews with relatives of people with mental ill-health. Data were subjected to qualitative content analysis. The participants experienced everyday life as a constant fight, for better and for worse, with psychiatric care. They were fighting for the mentally ill person's right to care; sometimes they felt resigned, but yet they had a confidence in the care. Their mission in life was to sacrifice themselves, meaning that they felt indispensable and became lonely and socially isolated. They considered their mission to last until death set them apart because they were keeping a family secret, and had great worries about the future. We conclude that relatives experience a two-folded stigma in living close to a person with mental ill-health and in becoming lonely and socially isolated.

  • 155.
    Högfors, Linda
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Johansson, Liselott
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    En begreppsanalys av begreppet lidande2017Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    BackgroundIn advanced homecare specialist nurses often encounters patients who are suffering in their final stage of life. The concept suffering can have different dimensions. The aim of this study is to reveal the concept of suffering on order to get a deeper understanding of patients suffering in end of life care.

    Aim The aim is to unveil the concept of suffering in order to get a deeper understanding of the patient's suffering in end of life care.

    Method The concept analysis method developed by Koort and the content analysis developed by Graneheim & Lundman was used.

    Results The concept of suffering reveal several dimensins of the concept suffering. The concepts that were considered meaningsful in end of life context was tolerate, endure and agony. The result of the analysis from the biography was withheld a end of life context and was interpreted using a content analysis. The resultat of testanalysis show that the dimensions tolerate, endure and agony formed a line of argument through the autobiography and formed the main theme of suffering.

    Conclusion To be in the final stages of life usually means a great deal of suffering for the patient. As seen in this study the concept of suffering portrays so many different dimensions; body, soul and spirit. These different dimensions will be an important tool for the specialist nurse when whom is to alleviate the suffering of patients in end of life.

  • 156.
    Jacobsson, Anna
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Svensson, Eva
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Att identifiera föräldrar som "mår dåligt" och skapa stöd för familjen: En kvalitativ studie med fokus på BVC-sjuksköterskans arbete med postpartumdepressioner2016Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Title: To identify parents who "feel bad" and create support for the family. A study focusing on the child health nurse working with postpartum depression Background: Postpartum depression (PPD) affects about 13% of new mothers. It's common that fathers develop PPD as well if the mothers has suffered from it. The child health care nurse should work with the hole family with the little child´s best interest in focus. If the family´s wellbeing is not good it could have a negative impact on the child and the connection could be disturbed. In Sweden new mothers are screened for PPD.Aim: The aim of the study was to illustrate child health care nurses work to identify and support families where as someone suffered of PPD. Method: The study was based on interviews with child health care nurses. The text was processed and analyzed with qualitative content analysis. Results: The study resulted in two categories: To identify parents who´s wellbeing is not good and To create support for the family. Conclusion: Child health care nurses experiences PPD as unusual, no one had identified any fathers with PPD. To support a family affected of PPD it was important to find their own resources to overcome the problem. Family center and vicinity to other care givers were important for the child healthcare nurse in her work to support the family

  • 157.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University, Health and Social Sciences, Kristianstad, Sweden.
    Granskär, Monica
    Kristianstad University, Health and Social Sciences, Kristianstad, Sweden.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Kristianstad University, Health and Social Sciences, Kristianstad, Sweden.
    Challenges Highlighted During Peer Supervision by Mental Health Nurses and Social Workers Recently Trained as Case Managers in Sweden2015Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, nr 10, s. 809-816Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study looked at 13 mental health nurses and social workers who were recently trained as case managers (CMs) and the work-related challenges they faced in community mental health services. Data were collected during ten peer supervisions sessions. Participants expressed pride and enthusiasm about their new function as CMs, but they also acknowledged that their new position meant they had to confront existing systems and posed several challenges, including organizational hindrances, economic prerequisites, nominated administrators, role function, and model fidelity. We conclude that the existing organizations seemed to be unprepared to hold and facilitate more person-centered approaches, such as designating CMs. The model fidelity is important, but has to be flexible according to clients' daily state.

  • 158.
    Janlöv, Ann-Christin
    et al.
    Kristianstad University.
    Persson, Irené
    Kristianstad University.
    Berg, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    The lived experience of a 24-hour support center for persons with psychiatric disabilities: Making me feel almost like an ordinary person2014Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, nr 1, s. 42-50Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study illuminates nine psychiatric disabled per-sons’ lived experience of a newly established community based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenologicalhermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life.

  • 159.
    Jansson, Helena
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Skolsköterskors hälsofrämjande arbete: en litteraturöversikt2016Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Det hälsofrämjande arbetet syftar till att öka elevens fysiska och psykiska hälsa. Den psykiska ohälsan bland barn och unga har ökat, fram för allt hos flickor. Det finns samband mellan elevens hälsa och deras skolresultat. Skolsköterskans hälsofrämjande funktion anses vara otydlig och behöver synliggöras. Syftet med arbetet är att beskriva skolsköterskans hälsofrämjande arbete. Metoden var en systematisk litteraturöversikt enligt SBU. Tretton vetenskapliga artiklar inkluderades och analyserades utifrån Polit och Beck. Resultatet visar att skolsköterskan genom det hälsofrämjande arbetet kan identifiera och stärka elevens inre och yttre styrkor. Därmed stärks även elevens KASAM och förmåga att hantera stress. Skolsköterskan ses som en tillitsfull person att tala med om sin hälsa. Den professionella tystnadsplikten bidrar till att eleven känner sig trygg att ta upp sina problem då de inte förs vidare utan deras medgivande. Det finns krav på skolsköterskan att vara ständigt närvarande för eleven vilket försvårar kompetensutveckling. Otydlighet och brist på evidensbaserade metoder kan leda till missförstånd och fel förväntningar på skolsköterskans hälsofrämjande funktion. Det är därför av vikt att tydliggöra den hälsofrämjande funktionen och använda gemensamma metoder och teorier som kan utvärderas. Detta för att kunna påvisa resultat av det hälsofrämjande arbetet.

  • 160.
    Jansson, Leila
    et al.
    Umeå University, Department of Nursing , Umeå , Sweden..
    Hällgren Graneheim, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Nurses' Experiences of Assessing Suicide Risk in Specialised Mental Health Outpatient Care in Rural Areas2018Ingår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 39, nr 7, s. 554-560Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study describes nurses' experiences of assessing suicide risk in specialised mental health outpatient care in rural areas in Sweden. We used a qualitative, descriptive design based on twelve interviews that were subjected to qualitative content analysis. The results showed that the nurses felt anguish due to a lack of control. They expressed uncertainty and loneliness, and they struggled with ethical issues and organisational challenges. Having the sole responsibility to assess suicide risk can increase a person's emotional vulnerability and moral stress. Consequently, in order to prevent ill health among these nurses, there is a need for a tolerant work climate and an organisation that provides support to its employees. Assessing suicide risk is a demanding task within mental health outpatient care. Further, nurses operating in rural areas have to initiate and conduct assessments on their own, and they are, together with the physician in charge, also held individually responsible for their assessments. Consequently, it is important to describe nurses' experiences of how they deal with questions concerning suicide risk. Their experiences can foster awareness of the responsibility and the ethical standpoints related to assessing suicide risk, can help outline the need for further education and supervision, and can improve support from co-workers and management.

  • 161.
    Jensen, Charlotte
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Svensson, Jennie
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dialog: en begreppsanalys2016Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background Well analyzed generally accepted concepts can help the nurse identify and solve complex care situations and thus more easily communicate with patients and ascertain their needs, develop nursing diagnoses and choose the appropriate nursing interventions.AimThe aim of this study was to unveil the concept of dialogue and elucidate its meaning. Method The concept analysis method developed by Koort was used. Results The analysis revealed that the word dialogue was first mentioned in the early 1200s and is derived from the old French word "dialoge". The concept of dialogue is described as a conversation between two people. When dictionaries and encyclopedias were reviewed we found twenty eight synonyms for the concept of dialogue, on further examination it emerged that many of the words were not relevant to nursing science. Conclusion Dialogue is an attitude characterized by proximity, a mutual exchange takes place between two or more people. The relationship between a health professional and a patient should be characterized by both seeing themselves as free and by recognizing that both of them have the knowledge needed for the patient to regain health. Both parts have obligations, rights and responsibilities towards each other.

  • 162.
    Jepsen, Linda
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Toresdotter, Elin
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    ”Men visst känner man glädje när föräldrar beslutat sig för en vaccination som de varit tveksamma till”: Föräldrar som väljer att tacka nej till att vaccinera sina barn – Sjuksköterskans upplevelser och strategier i mötet2019Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: I mitten av 1900-talet började vaccin ges på rutin till barn för att förebygga sjukdom, vilket ses som den främsta medicinska insatsen som gjorts för folkhälsan. I Sverige är vaccinationstäckningen hög, men vissa föräldrar väljer att avstå från vaccinationer som det svenska barnvaccinationsprogrammet erbjuder. I tidigare forskning uppmärksammas det att mötet med föräldrar som avstår upplevs som svårt för sjuksköterskan. För att förstå varför föräldrar tackar nej samt hur sjuksköterskor kan bemöta dessa föräldrar behövs mer kunskap. Syfte: Att beskriva sjuksköterskans uppfattning om varför föräldrar tackar nej till att vaccinera sina barn samt hur sjuksköterskan bemöter dessa föräldrar. Metod: Webbaserad enkät med 15 frågor skickades ut till sjuksköterskor inom barnhälsovården samt elevhälsan. Enkäten som innehöll både öppna och slutna frågor har sammanställts med beskrivande statistik samt analyserats med kvalitativ innehållsanalys. Resultat: I resultatet framkom tre huvudkategorier: Påverkan på barnet, Misstro till vaccination och Sjuksköterskans strategier, vilka är uppbyggda av totalt 10 underkategorier. Slutsats: Resultatet visar att sjuksköterskan känner sig osäker vid dessa möten. För att minska osäkerhet belyser sjuksköterskorna vikten av att fråga om orsaken till föräldrarnas beslut och ta sig tid för samtal. Vikten av att hitta en struktur för samtalet belystes där motiverande samtal lyftes fram. Genom individanpassade samtal utifrån varje förälder kan en trygg miljö skapas och vården blir personcentrerad.

  • 163.
    Joelsson, Britta
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Johansson, Linnéa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Samverkan mellan primärvård och specialistpsykiatri: Två sidor av samma mynt2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Mental illness is increasing in society. Collaboration between primary care and specialist psychiatry is ongoing. The experience is that many people with mental illness refer to different activities and being left without treatment. Good interaction is important for persons seeking mental health care to get the right help.

    Aim: to describe the primary care nurse's experience of collaboration with specialist psychiatry.

    Method: a qualitative study based on semistructured interviews of primary care nurses. The material was analyzed by qualitative content analysis.

    Results: appeared in the following categories; Collaboration characterized by differences with the subcategories Good collaboration for emergency transfers and poor accessibility and inadequate feedback between the activities. Unclear division of responsibilities with the subcategories care different assessments of the same person, Inadequate knowledge on the division of responsibilities between the professions and gray zone patient - primary care or specialist psychiatry. Last category are resource shortage and low interest in mental health with the subcategories Inadequacy and Interest and respect for psychiatry.

    Conclusion: Working according to the division of responsibilities can be an obstacle to cooperation in such a way that the nurse expires blindly from the division of responsibilities without knowing what he/she refers to. Resource shortage, in turn, leads to experiences of insufficiency of nurses. Increased knowledge of each other's activities could lead to closer cooperation and understanding of each other. The person-centered care would benefit from the fact that both instances took care of more people than they actually consider to be part of their area of responsibility.

  • 164.
    Johansson, Ann-Caroline
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Axelsson, Malin
    Malmö University, Department of Care Science, Faculty of Health and Society, Malmö, Sweden.
    Grankvist, Gunne
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Brink, Eva
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment2018Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 8, nr 9, s. 591-604Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Lower health-related quality of life (HRQoL) is associated with fatigue, poor mental and poor gastrointestinal health during the first three months after colorectal cancer (CRC) treatment. Research indicates that maintaining usual activities has a positive impact on HRQoL after treatment for CRC. Illness perceptions have been associated with HRQoL in other cancer diseases, and self-efficacy has been associated with HRQoL in gastrointestinal cancer survivors. Our knowledge about illness perceptions and self-efficacy in relation to maintaining everyday activities and HRQoL following CRC treatment is incomplete. Aim: To explore associations between HRQoL, fatigue, mental health, gastrointestinal health, illness perceptions and self-efficacy in relation to maintaining everyday activities, three months after surgical CRC treatment. A further aim was to test the Maintain Function Scale in a CRC population. Method: The study was cross-sectional. Forty-six persons participated. Data were collected using questionnaires. Descriptive and analytical statistics were used. Results: Persons who were more fatigued, depressed, worried, and had more diarrhea were more likely to report lower HRQoL. Increased fatigue and diarrhea were associated with decreased HRQoL. Concerning illness perceptions, persons who reported negative emotions and negative consequences of CRC were more likely to report lower HRQoL. Persons scoring higher on self-efficacy were more likely to report higher HRQoL. Increased self-efficacy was associated with increased HRQoL. The Maintain Function Scale was suitable for assessing self-efficacy in relation to maintaining everyday activities. Conclusions: Nursing support to improve self-efficacy and illness perceptions and to minimize symptoms during recovery should have a favorable impact on HRQoL.

  • 165.
    Johansson, Ann-Caroline
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Brink, Eva
    Högskolan Väst, Institutionen för hälsovetenskap. University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Axelsson, Malin
    Malmö University, Department of Care Science, Faculty of Health and Society, Malmö.
    The function of fatigue and illness perceptions as mediators between self-efficacy and health-related quality of life during the first year after surgery in persons treated for colorectal cancer.2018Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 7-8, s. E1537-E1548Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim of the present study was twofold: 1) to measure changes in health-related quality of life (HRQoL), two dimensions of illness perceptions (i.e., consequences and emotional representations), fatigue and self-efficacy in persons treated for CRC during the first year after surgical treatment, and 2) to study how fatigue, illness perceptions and self-efficacy measured at 3 months affect HRQoL at 12 months post-surgery.

    BACKGROUND: There are fluctuations in HRQoL during the first year after treatment for colorectal cancer (CRC), and fatigue may negatively influence HRQoL. Illness perceptions (consequences and emotional representations) and self-efficacy have been shown to be associated with HRQoL in other cancer diagnoses. Concerning CRC, there is a lack of knowledge concerning how illness perceptions and self-efficacy change during recovery, and how these variables and fatigue at 3 months relate to HRQoL at 12 months.

    DESIGN: A prospective longitudinal design.

    METHODS: Thirty-nine persons surgically treated for colorectal cancer, of whom 17 had a colostoma, participated. HRQoL, fatigue, illness perceptions and self-efficacy were assessed using QLQ-C30, the Revised Illness Perception Questionnaire and the Maintain Function Scale. Descriptive and analytical statistics were used.

    RESULTS: No changes were reported in levels of HRQoL, fatigue, or illness perceptions. Self-efficacy was lower at 12 months compared to 3 months. Fatigue and one dimension of illness perceptions mediated the effect of self-efficacy at 3 months on HRQoL at 12 months.

    CONCLUSION: Persons treated for CRC who have lower self-efficacy 3 months post-surgery are inclined to have more negative illness perceptions concerning emotions and to experience more fatigue.

    RELEVANCE TO CLINICAL PRACTICE: Nurses need to support persons with fatigue and negative illness perceptions concerning emotions and to bolster their self-efficacy, i.e., carry out follow-up consultations focusing on illness management, symptoms, emotions and information on ways to increase self-efficacy. This article is protected by copyright. All rights reserved.

  • 166.
    Johansson, Carina
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Äsplöf Bergsten, Jenny
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tonåringar med attention deficit hyperactivity disorder: Kartläggning av register2016Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Attention deficit hyperactivity disorder (ADHD) is a disability and affected executive functions and working memory, which requires changed in the classroom. Integrated healing process included the patient, the family, the structures and the systems. Psychiatric nursing care integrated physical and spiritual health and participation in society. The improwement of nursing was a neverending process.

    The registerstudy mapped registrations in the quality register, which was responsible for follow up treatment of secured ADHD. This study was a quantitative method with a cross sectional study. The population was boys and girls between 13 to 17,5 years old. There where 1956 boys and 796 girls. The mainly inattention is a symptom of ADHD. About the boys , 19,5 % of these had mainly inattention. About the girls, 25 % of these, had mainly inattention.

    The main common form of schooling without additional support is one sort of schooling in the study. About the boys, 44,1 % of the boys, were in the main common schoolform without additional support. About the girls, 47, 5 % of the girls, were in the main common schoolform without additional support. About the parparticipants in the main common schoolform without additional support, there were 18,9 o% of these who had psychosocial problems.

    The custom of studies is another sort of schooling in the study. About this schooling there were 41,8 % of the participants who had psychosocial problems. This could be perceived as ADHD diagnosis effect of executive functions and gave varying severity.

  • 167.
    Johansson, Caroline
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    BVC-sjuksköterskors upplevelser av språkbedömningssituationen för barn som inte har svenska som modersmål2016Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background One of the functions in child health care is to observe language development. Research shows that language delays which are not treated can cause difficulties in learning and socialization. When the child does not have Swedish as their mother tongue it may be difficult for the child health care nurses (CHC nurses) to make language assessment. The aim of this study is to illuminate the CHC nurses experiences of the language assessment situation among children who do not have Swedish as their mother tongue.

    Method Then the aim of this study was to illuminate experiences a qualitative inductive method was chosen. Multistage focus groups were used, where the CHC nurses who worked in a multicultural area were interviewed on two occasions. When analyzing the transcribed text qualitative content analysis were used.

    Result The analysis culminated into three categories; The interpretation situation, Importance of parents, The own competence in the language assessment situation and the theme; Feelings of doubt and uncertainty in the language assessment situation. The results showed that it is varied quality of the interpreters. The language assessment takes longer when an interpreter is present and it is not for the benefit if an interpreter and family are familiar with each other. Many times CHC nurses rely on parental assessment of the language development. It is felt by the CHC nurses to be cultural differences whether parents stimulate language development. CHC nurses feel themselves that they have a lack of cultural competence.

    Conclusion CHC nurses strives to be responsive and have the child in focus during the assessment but they experience feelings of doubt and uncertainty whether their assessment is correct or not. There are factors that are important for proper assessment; interpreter quality and parents' sincerity. The lack of cultural competence can do a risk of not understanding the child's situation.

  • 168. Johansson, Caroline
    et al.
    Berggren, Ingela
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning. Högskolan Väst, Institutionen för omvårdnad (HTU). Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Child health nurses' experiences of language assessment in children: A Swedish study2017Ingår i: Journal of Health Visiting, ISSN 2050-8719, Vol. 5, nr 4, s. 187-195Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to discover Swedish child healthcare (CHC) nurses' experiences of language assessment in children who do not have Swedish as their mother tongue. A CHC nurse has qualifications in child health, and their role is to promote good health and prevent illness. As immigration to Sweden is at the highest level ever recorded (Statistics Sweden, 2014), there is an increasing need for language assessment. In this study, ‘mother tongue’ is defined as the language a child learns first, which is synonymous with the term ‘first language’ (Oxford Learner's Dictionaries, 2016). The CHC nurses in this study were Swedish-speaking, but conducted speech and language assessments among children who did not speak Swedish; for example, who had a mother tongue other than Swedish. It is important to acquire knowledge of CHC nurses' experiences of language assessment.

  • 169.
    Johansson, Marie-Louise
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Simberg, Jenny
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Barnhälsovårdssjuksköterskans erfarenheter av barn med funktionell förstoppning2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Many children suffer from functional constipation. In case of functional constipation there is no underlying disease. In Sweden, functional constipation is very common in children. Risk factors include lack of physical activity, irregular toilet habits and insufficient intake of fibers and fluids. Child health nurse has the knowledge and skills to advise and treat children in functional constipation and to support and reduce the suffering. Aim: The aim of the study was to illuminate child health nurses' experiences in the care of children with functional constipation. Method: Ten child health nurses were interviewed during a semi structured interview used openended questions. The interviews were recorded as digital files and transcribed verbatim and then analyzed according to a qualitative content analysis. Results: The child health nurses described experiences in the care of children with functional constipation. There were two categories from the analyzed data: "to base on the child`s needs" and "the child´s physical and psychosocial environment". Conclusion: This study shows the child health nurses experiences in the care of children with functional constipation. The care is based on the childs neeeds and the environment around the child in terms of physical and psychosocial environment is taken into account. The child health nurses should be aware of the reason why parents seek care, how to find the cause of functional constipation and how to relieve the child's suffering. She creates a health promotion meeting with children and parents seeking care for functional constipation.

  • 170.
    Johnsson, Anette
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå. Jönköping University, School of Health and Welfare, Sweden.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, Sweden.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Voices used by nurses when communicating with patients and relatives in a department of medicine for older people: An ethnographic study2018Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 7-8, s. E1640-E1650Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To describe how nurses communicate with older patients and their relatives in a department of medicine for older people in western Sweden.

    BACKGROUND: Communication is an essential tool for nurses when working with older patients and their relatives but often patients and relatives experience shortcomings in the communication exchanges. They may not receive information or are not treated in a professional way. Good communication can facilitate the development of a positive meeting and improve the patient's health outcome.

    DESIGN: An ethnographic design informed by the sociocultural perspective was applied.

    METHOD: Forty participatory observations were conducted and analyzed during the period October 2015 to September 2016. The observations covered 135 hours of nurse-patient-relative interaction. Field notes were taken and 40 informal field conversations with nurses and 40 with patients and relatives were carried out. Semi-structured follow-up interviews were conducted with five nurses.

    RESULTS: In the result, it was found that nurses communicate with four different voices: a medical voice described as being incomplete, task-oriented and with a disease perspective; a nursing voice described as being confirmatory, process-oriented and with a holistic perspective; a pedagogical voice described as being contextualized, comprehension-oriented and with a learning perspective; and a power voice described as being distancing and excluding. The voices can be seen as context-dependent communication approaches. When nurses switch between the voices this indicates a shift in the orientation or situation.

    CONCLUSION: The results indicate that if nurses successfully combine the voices, while limiting the use of the power voice, the communication exchanges can become a more positive experience for all parties involved and a good nurse-patient-relative communication exchange can be achieved.

    RELEVANCE TO CLINICAL PRACTICE: Working for improved communication between nurses, patients and relatives is crucial for establishing a positive nurse-patient-relative relationship, which is a basis for improving patient care and healthcare outcomes. This article is protected by copyright. All rights reserved.

  • 171.
    Johnsson, Anette
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå. Jönköping University, School of Health and Welfare, Jönköping, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, Jönköping, Sweden.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Striving to establish a care relationship-Mission possible or impossible?: Triad encounters between patients, relatives and nurses2019Ingår i: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: When patients, relatives and nurses meet, they form a triad that can ensure a good care relationship. However, hospital environments are often stressful and limited time can negatively affect the care relationship, thus decreasing patient satisfaction.

    OBJECTIVE: To explain the care relationship in triad encounters between patients, relatives and nurses at a department of medicine for older people.

    DESIGN: A qualitative explorative study with an ethnographic approach guided by a sociocultural perspective.

    METHOD: Participatory observations and informal field conversations with patients, relatives and nurses were carried out from October 2015-September 2016 and analysed together with field notes using ethnographic analysis.

    RESULT: The result identifies a process where patients, relatives and nurses use different strategies for navigating before, during and after a triad encounter. The process is based on the following categories: orienting in time and space, contributing to a care relationship and forming a new point of view.

    CONCLUSION: The result indicates that nurses, who are aware of the process and understand how to navigate between the different perspectives in triad encounters, can acknowledge both the patient's and relatives' stories, thus facilitating their ability to understand the information provided, ensure a quality care relationship and strengthen the patient's position in the health-care setting, therefore making the mission to establish a care relationship possible.

  • 172.
    Johnsson, Anette
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå. Jönköping University, School of Health and Welfare, Jönköping University, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, Jönköping University, Sweden.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    What are they talking about? Content of the communication exchanges between nurses, patients and relatives in a department of medicine for older people: An ethnographic study2018Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 7-8, s. E1651-E1659Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIMS AND OBJECTIVES: To explore and describe the content of the communication exchanges between nurses, patients and their relatives in a department of medicine for older people in western Sweden.

    BACKGROUND: Information, messages and knowledge are constantly being communicated between nurses, older patients and relatives in the healthcare sector. The quality of communication between them has a major influence on patient outcomes. A prerequisite for good care to be given and received is that there is mutual understanding between the parties involved.

    DESIGN: An ethnographic study was informed by a sociocultural perspective.

    METHOD: Data were collected through 40 participatory observations of meetings between nurses and older patients and/or relatives which covered 135 hours of nurse-patient-relative interaction, field notes, 40 field conversations with 24 nurses and 40 field conversations with patients (n=40) and relatives (n=26). Five semi-structured interviews were conducted with nurses. An ethnographic analysis was performed.

    RESULTS: The analysis identified three categories of content of the communication exchanges: medical content focusing on the patient's medical condition, personal content focusing on the patient's life story, and explanatory content focusing on the patient's health and nursing needs. The content is influenced by the situation and context.

    CONCLUSIONS: Nurses would benefit from more awareness and understanding of the importance of the communication content and of the value of asking the didactic questions (how, when, what and why) in order to improve the patients' and relatives' understanding of the information exchanges and to increase patient safety.

    RELEVANCE TO CLINICAL PRACTICE: Nurses can use the communication content to create conditions enabling them to obtain a holistic view of the patient's life history and to develop an appropriate person-centered care plan. This article is protected by copyright. All rights reserved.

  • 173.
    Jonsson, Bosse
    et al.
    Mälardalen University.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Work Integrated Learning and Learning Integrated Work: An Approach to Unite Theory and Practice to Praxis2016Ingår i: Handbook of Research on Quality Assurance and Value Management in Higher Education / [ed] Nuninger, Walter & Châtelet, Jean-Marie, Hersey, PA: IGI Global , 2016, s. 139-159Kapitel i bok, del av antologi (Refereegranskat)
    Abstract [en]

    The difference between the professional competence conveyed during education and the competence demanded in working life is substantial and needs to be taken seriously. In this chapter where the case is nursing education, Work Integrated Learning (WIL) and Learning Integrated Work (LIW), are suggested as pedagogical approaches in Higher Education aiming to integrate scientific knowledge and with practical knowledge, and to provide an analytical perspective where students have the opportunity to develop metacognitive skills and praxis by learning through experiences during internship. One way to achieve this in vocational education to learn from the knowledge and skills used when performing inpractice. By integrating scientific and practical vocational knowledge, one promotes professionalization that is exhibited as Learning Integrated Work (LIW), i.e. the capability to perform the expected tasks and learn at work by using a critical and development-oriented attitude in daily work and actively participate in renewals of work assignments.

  • 174.
    Jungevik Edvinsson, Carola
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lund Petersen, Hannah
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Sjuksköterskors erfarenheter av att vårda patienter med samsjuklighet inom psykiatrisk vård2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Co-morbidity between mental illness and addiction is a common occurrence in psychiatric care. Such co-morbidity affects the illness and the prognosis of the treatment as well as the caregiving needs of the patient. International studies show that nurses experience certain impediments in caring for patients with co-morbidity. There is, however, a lack of national research in the same regard.

    Aim: The aim of the study was to describe nurses' experience in caring for patients with co-morbidity in psychiatric care

    Method: Ten semi-structured interviews were conducted with nurses working in either psychiatric in-patient, or out-patient care. The interview-data was analyzed using qualitative content analysis.

    Results: The result is presented in three categories; To meet and to treat, To identify caregiving-needs and To devise and execute care. Nurses described the importance of creating a trusting relationship free from bias, in order to explore the patients´ complex of problems and plan caregiving efforts accordingly.

    Conclusion: The result of the study emphasizes the importance of the therapeutic relationship between nurse and patient in order to meet patients´ needs and develop the care of patients with co-morbidity. A therapeutic relationship takes time to develop and constitutes the frame within which the nurse can identify the caregiving needs of the patient and devise and execute care. The nurses in the study felt that they lacked time and resources to adequately meet the caregiving needs of patients with co-morbidity, and there is room for development within the organization.

  • 175.
    Jämtén, Sofia
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Möller Ranch, Matilda
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    First-time mothers' experiences of professional breastfeeding support and evaluation of the Mother-Perceived-Professional-Support scale2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background Breastfeeding has decreased all over the world. World health organisation recommends exclusive breastfeeding for six months. Even though it's the natural way of feeding the baby it has to be learnt. It´s not unusual that problems occur and supporting breastfeeding is important. In Sweden most children under the age of six are on regular check-ups at child health care centres, where they meet a pediatric nurse who is supposed to support and help the family.

    The aim of the study was to explore first time mothers' personal experiences of professional breastfeeding support from the pediatric nurse and to evaluate and develop the scale "The Mother Perceived Support from Professionals" (MoPPS).

    Methods A qualitative design with both inductive and deductive approaches was chosen. Nine first time mothers were interviewed about their experience of professional breastfeeding support from the pediatric nurse. Semi structured interviews were used. There after the mothers were asked to grade their experience of breastfeeding support on the MoPPS-scale and commented their answers. Qualitative content analysis were used when analysing the data, both on the inductive (interviews) and deductive (the scale) part.

    Results The result reveals that the mothers felt a desire to breastfeed and they all experienced some difficulties. They wanted the pediatric nurse to give them professional support from their own experience and wanted her to be perceptive and understanding to their will. When the pediatric nurse gave time and booked extra appointments the mothers felt supported. The theme was: When having a desire to breastfeed, the mothers need to walk on a path of professional breastfeeding-support from the pediatric nurse. Three main categories were identified; Need of support, Lack of support and Received support. The result from the MoPPS-scale showed similar result as the interviews and the questions on the scale were seen as relevant to the aim. Comparing the result from the inductive and deductive analyses it was found that the mothers found it important that the pediatric nurse had enough knowledge about breastfeeding. It was also seen as important that the pediatric nurse involved the partner in the breastfeeding support.

    Conclusion There might be a benefit for pediatric nurses to have good knowledge about breastfeeding to be able to support mothers in a good way. The MoPPS-scale can be used as an easy way for the pediatric nurse to evaluate a mother´s experience of breastfeeding-support.

  • 176.
    Jörgensen, Lorena
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Zanders, Karin
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Abandoning inpatient care: Reasons why psychiatric nurse specialists choose to leave psychiatric inpatient care2016Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    The aim of this study was to describe reasons why psychiatric nurse specialists choose to leave psychiatric inpatient care. In this study psychiatric nurse specialists were interviewed about their reasons for leaving psychiatric inpatient care. A total of nine semi-structured interviews were completed from within a Swedish psychiatric specialist health care setting. Interviews were transcribed verbatim and subjected to qualitative content analysis. Four themes emerged; 'wanting to use newly gained competence and develop advanced nursing care'; 'dissatisfaction with labour management'; 'lack of resources for advanced nursing care' and; 'the lack of personal balance between work and private life'. This study described the psychiatric nurse specialists' strong commitment to their former workplace, and to the patients they cared for in inpatient psychiatric care. This study also showed that the reasons why psychiatric nurse specialists choose to leave psychiatric inpatient care are multidimensional. The psychiatric nurse specialists want to use their newly gained competence and develop advanced nursing care, but, a lack of resources to perform advanced nursing care and dissatisfaction with labour management in combination with the lack of balance between work and their private lives may cause psychiatric nurse specialists to leave psychiatric inpatient care.

  • 177.
    Karlsson, Ida
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Karlsson, Sofia
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Sjuksköterskors erfarenheter av att vårda patienter som gjort suicidförsök2017Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: About 1100 people commit suicide in Sweden in the year of 2015, but there is a larger number of people that makes suicide attempt. Many of this people are treated in psychiatric care. The nurses have a great responsibility in the care of these patients. Caring for these patients can bring out a lot of feelings and emotions among nurses.

    Aim: The aim of this study was to describe nurses' experiences of caring for patients who committed suicide attempts in a psychiatric care context.

    Method: Two focus group interviews where used to collect data. The data was transcribed and analyzed using qualitative content analysis.

    Results: The analysis revealed four categories and nine subcategories. The categorize in the result are "to assess the suicide risk" "to create a caring relationship" "to feel frustration" and "to handle emotions". In the suicide-assessment the nurses use their experiences, clinical look and intuition. The nurses could feel frustration in the work with the patient and towards the organization. To work with patients who has made a suicide attempt caused many emotions in nurses. These emotions had to be processed.

    Conclusion: It is a complex work to care for patients whom has made a suicide attempt. The nurses needed guidance and tutoring to process their emotions and to strengthen their role in the nursing. This also lead to increased health and less frustration.

  • 178.
    Karlsson, Ingrid
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tillsyn hos personer som är äldre och multisjuka vid hemkomst från sjukhus2017Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Multisjuka äldre patienter över 65 år med omfattande vårdbehov, riskerar att återinläggas på sjukhus upprepade gånger. Genom att distriktssköterskan gör tillsyn i hemmet som uppföljning efter sjukhusvistelse, kan trygghet skapas för den multisjuke äldre, vilket skulle kunna minska återinläggning på sjukhus och onödigt lidande för patienten. Syfte: Syftet med studien var att beskriva distriktssköterskors erfarenheter av tillsyn av äldre personer med multisjuklighet vid hemkomst från sjukhus.  Metod: Kvalitativ intervjustudie där 10 halvstrukturerade intervjuer genomfördes. Materialet transkriberades och analyserades enligt kvalitativ innehållsanalys. Resultat: Resultaten presenteras i två kategorier: Lindra oro vid hemkomst och Skapa trygghet i hemmet. Lindra oro vid hemkomst erhölls genom subkategorierna Att vara förberedd och Svara an på patientens funderingar. För att vara förberedd behövde distriktssköterskorna planera och förbereda tillsynsbesöket. Rutin saknades att följa, varvid distriktssköterskorna behövde de ta del av information och epikriser om varför patienten varit inlagd på sjukhus. Distriktssköterskans erfarenhet var att patienten var orolig och det fanns oklarheter som behövde redas ut om mediciner och om sjukhusvistelsen. Skapa trygghet i hemmet erhölls genom subkategorierna Att ha det övergripande ansvaret och Uppföljning av hälsotillståndet. Distriktssköterskans erfarenhet av tillsyn var att det skapade tillit och trygghet i relationen för patienten, som kände att hon/han var i trygga händer och omhändertagen. Genom uppföljning av hälsotillståndet skaffade distriktssköterskan en egen uppfattning om patientens hälsa och välbefinnande, och såg om patienten var i behov av mer hjälp och stöd. Slutsats: Resultatet i studien visar att distriktssköterskornas tillsynsbesök hos patienten kunde förebygga ohälsa, skapa trygghet och minska risken till försämring.

  • 179.
    Karlsson, Malin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Rydberg, Magdalena
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Äldre sköra personer söker främst akutvård?: erfarenheter av kontakt med akutmottagningen.2019Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background Two million of Sweden’s population is 65 years of age or older and the number is increasing. Elderly patients are more frequent users of the emergency department. Forty percent of the visitors in the emergency department are represented by this patient category. Nurses need to understand how individual experiences of care might affect the next visit for the patient. Frail elderly has limited resources to spare and the emergency department is not suited for them. Nurses need to see how they can change and/or adapt to fulfil the needs of this group. The need for knowledge is always a requirement for nurses.

    Aim The purpose of this study was to describe frail elderly person´s experiences of the emergency department.

    Method The method was a literature-based study based on the analysis of nine qualitative studies.

    Results Three main themes emerged in the results; accessibility of the emergency department, experiences leading to seek care in the emergency department and moments that has affected the experience of the emergency department. Experience of the emergency department was also affected by the patient’s health-literacy.

    Conclusion The quality of care, the past experience of care and the accessibility to comprehensive care were factors that influenced why frail elderly choose to seek non urgent treatment in the emergency department, even though they knew they would have to wait. The main reason for seeking care in the emergency department was based on the experience of convenience.

  • 180.
    Karlsson, Margareta
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå. Åbo Academi University.
    Berggren, Ingela
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Kasén, Anne
    Åbo Academi University.
    Wärnå-Furu, Carola
    Åbo Academi University.
    Söderlund, Maud
    University of Gävle, Åbo Academi University.
    A Qualitative Metasynthesis From Nurses’ Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care2015Ingår i: International journal for human caring, ISSN 1091-5710, Vol. 19, nr 1, s. 40-48Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This metasynthesis aimed to translate, interpret, and present a synthesis of qualitative studies from nurses' perspectives dealing with ethical dilemmas and ethical problems in end-of-life care and to gain a deeper understanding of the phenomena. Nurses and other care professionals need to gain a deeper understanding and alleviate the suffering of patients through evidence-based practice end-of-life care. The metasynthesis, inspired by Noblit and Hare, generated an overarching metaphor, The Loving Eye. The Loving Eye illustrates how nurses are deeply involved with patients as human beings and connotes an inner responsibility to struggle for patients' best interests and wishes at the end of life. With The Loving Eye, nurses can see and feel patients' need to be confirmed, comforted, and healed approaching the end of life.

  • 181.
    Karlsson, Margareta
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Hedemalm, Azar
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Berggren, Ingela
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Assessment and decision-making of Swedish primary care nurses in relation to the use of interpreters2017Ingår i: Journal of Health Visiting, ISSN 2050-8719, Vol. 5, nr 9, s. 454-460Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Communicating with immigrants in primary care can be a challenge for nurses who must assess language proficiency and decide whether to use an interpreter. The aim of this study was to examine primary care nurses’ experiences of assessment and decision-making in relation to the use of interpreters. A qualitative inductive research design was chosen and nurses with experience of professional interpreters were recruited for focus group interviews. The study results showed that primary care nurses respected immigrants as human beings and recognised their right to decline an interpreter in sensitive situations. The purpose of primary care nurses’ experiences of assessment and decision-making in relation to the use of interpreters was ensuring patient safety, the importance of reciprocal information and respect for patient autonomy.

  • 182.
    Kihlberg, Pernilla
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Österberg, Sophia
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Upplevelser av den egna arbetsmiljön hos sjuksköterskor inom kommunal hälso- och sjukvård i Fyrbodal och Lilla Edet: en enkätundersökning2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    De senaste årtiondena har hälso- och sjukvården i Sverige genomgått stora förändringar. Patienter vårdas i mindre utsträckning på sjukhus, allt fler svårt sjuka personer vårdas i hemmet av sjuksköterskor i den kommunala hälso- och sjukvården även kallat hemsjukvården. Arbetsmiljön för sjuksköterskor kan se olika ut beroende på var de arbetar. Arbetsmiljön för sjuksköterskor i hemsjukvård innefattar skilda miljöer, allt ifrån sjuksköterskeexpeditionen till patientens hem. Sjuksköterskor i hemsjukvården är ofta spindeln i nätet som leder teamarbete med andra professioner till exempel omvårdnadspersonal men även specialistvård och primärvård.

    Forskning inom sjuksköterskors huvudområdet omvårdnad visar på att allt fler sjuksköterskor flyr vården och överväger att byta arbete. Det beror bland annat på låga löner och hög arbetsbelastning.

    Syftet med studien var att undersöka upplevelser av den egna arbetsmiljön hos sjuksköterskor inom kommunal hälso- och sjukvård inom Fyrbodal och Lilla Edet, sammanlagt fjorton kommuner.

    Totalt deltog 224 sjuksköterskor genom att besvara en enkät via internet.

    Resultatet visade att sjuksköterskorna trivdes på sitt arbete, att det var en god stämning och att de fick stöd av sina kollegor när det behövdes. Sjuksköterskorna menade även att arbetet kändes meningsfullt och var varierande. De upplevde också att de gick till arbetet med glädje. Att bli avbrutna i arbetet eller att var tvungen att arbeta övertid skapade missnöje. Sjuksköterskorna var också missnöjda med hur deras närmaste chef fördelade arbetet. De var inte heller tillfreds med genomförandet av det senaste förbättringsarbetet. Överlag var sjuksköterskorna i mindre kommuner mer positiva till påståendena i enkäten jämfört med sjuksköterskorna i större kommuner.

  • 183.
    Kjellberg, Carl
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Peci, Indira
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Psykiatrisjuksköterskors erfarenheter av självmordsriskbedömning i det vardagliga arbetet inom psykiatrisk slutenvård: En kvalitativ intervjustudie2017Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Aim: The aim of this study is to illuminate psychiatric nurses' experiences of suicide assessment in their daily work of a psychiatric inpatient ward.

    Background: The majority of all suicides are committed by people with some kind of psychiatric diagnosis and suicides within psychiatric hospital departments are increasing. In more than half of the cases where patients have committed suicide in the psychiatric hospital, the patient's suicidal risk assessment has failed and the patient has been able to leave the department and commit suicide. Previous research suggests that suicide risk assessments are important and nurses need more skills and time to be able to pay attention to patients' behavior.

    Design: This is a qualitative descriptive study based on eight individual semi-structured interviews that have been analyzed using qualitative content analysis by Lundman and Hällgren Graneheim (2012).

    Method: Data analysis was based on Lundman and Hällgren Graneheim (2012) description of qualitative content analysis. Semi-structured interviews with the addition of narrative questions was conducted. The participants were eight registered psychiatric nurses from four different psychiatric departments at a hospital in Västra Götaland. A male psychiatric nurse and seven female psychiatric nurses participated with at least one years of experience participated.

    Results: The results showed that the psychiatric nurses had difficulties defining a general suicide behavior. On the other hand, different behavior patterns were identified as more suicidal. Such patterns could be rapid twists in emotional state, strong anxiety, impulsivity and backwardness. Three categories emerged during the analysis process: Clinical Glance, Alliance Work and Experiences Collaboration and Knowledge, and all three had three related subcategories.

    Conclusion: The suicidal process is complex and the difficulty lies in identifying where in the process the patient is. Psychiatric nurses have responsibility identifying early signs considered by psychiatric nurses to be an important part of suicide assessment. Experience about the patient and knowledge of suicide is something that psychiatric nurses experience as significant to be able to make good suicide risk assessments.

  • 184.
    Kjellberg, Mimmi
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Johansson, Therese
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Föräldrars erfarenhet av BVC-sjuksköterskans första hembesök2016Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrunden beskriver hur barnhälsovården ser ut i Sverige i dag, vilka lagar och konventioner som styr BVC-sjuksköterskans arbete. Den skildrar även olika sätt som BVC-sjuksköterskan kan stödja hela familjen och föräldrar i sitt föräldraskap. Det kan handlar om att knyta an till sitt lilla barn och våga lita på sina resurser. Syftet med föreliggande studie är att belysa förstagångsföräldrars erfarenhet av det första hembesöket som utförs av BVC-sjuksköterskan. Metoden är gjord med kvalitativ ansats. Det var tio förstagångsföräldrar som intervjuades, sju med hjälp av fokusgruppsintervjuer och tre genom telefonintervju. Intervjuerna spelades in, transkriberades och materialet analyserades med hjälp av kvalitativ innehållsanalys. I Resultatet framkommer tre huvudkategorier: Föräldrarnas förväntningar och känslor, Föräldrarnas behov av stöd och Samspelet viktigt för upplevelsen av hembesöket. Slutsatsen med denna studie är att förstagångsföräldrar är i ett stort behov av stöd i sitt föräldraskap, de påtalar vikten av information och att det är viktigt att BVC-sjuksköterskan involverar hela familjen. Föräldrarna är positivt inställda till hembesöket men det finns en underliggande oro över att BVC-sjuksköterskan ska kontrollera hemmet.

  • 185.
    Kleiven, Joffen
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    HBTQ+ personers upplevelser av bemötandet från sjuksköterskan inom psykiatrisk vård2019Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund HBTQ+ personer får inte ett respektfullt och bra bemötande av vårdpersonal beroende på bristfällig kunskap. Studier visar att HBTQ+ personer är utsatta för hälsorelaterad diskriminering i större utsträckning än heterosexuella. Om bemötandet är felaktigt kan personerna senare välja att inte söka psykiatrisk vård. Om sjuksköterskan saknar relevant kompetens eller har felaktiga normer i bemötandet av denna grupp kan detta leda till lidande för personen och även leda till personens död.

    Syfte Syftet med studien är att beskriva HBTQ+ personers upplevelser av bemötandet från sjuksköterskan inom psykiatrisk vård.

    Metod En kvalitativ induktiv studie med semistrukturerade intervjuer. Det var tio personer som identifierar sig som HBTQ+ personer som var med i studien. Kvalitativ innehållsanalys användes i analysen av data.

    Resultat Det fanns både bra och mindre bra bemötande. Faktorer för upplevelse av ett bra bemötande var bredare kunskap hos sjuksköterskan om HBTQ+ personer. Deltagarna i studien ansåg att de blev bättre bemötta av yngre sjuksköterskor jämfört med äldre. Pride-symboler hade en bra effekt på bemötandet genom att skapa en mer inkluderande känsla, då vårdinrättningen hade en tolerans för ökad öppenhet, något som gjorde att deltagarna vågade öppna sig för sjuksköterskan. Det var skillnader mellan mötet med sjuksköterskan i mindre och större städer. I mindre städer upplevde deltagarna en mindre förståelse som HBTQ+ person och möttes med mer fördomar och diskriminering. I större städer kände personerna sig mer nöjda i bemötandet av sjuksköterskan, som upplevdes ha större erfarenhet, mer öppenhet och en icke-heteronormativ inställning.

    Slutsats Personerna i studien blev överraskande bra bemötta av sjuksköterskan i den psykiatriska vården.

  • 186.
    Klomp, Sara
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Warlin, Linda
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    "Målet är ju att barnet ska må bra i sin familj": en intervjustudie om hur BHV-sjuksköterskor arbetar med att ge stöd2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: One of the main public health goals is safe and good childhood conditions for all children. It is therefore important to pay attention to the circumstances children live under since it may affect health even in adult life. Some parents have difficulties meeting the needs of their child, and child healthcare therefore has an important task in identifying risk factors in order to provide the support that each family needs.

    Aim: The aim of this study was to describe the child healthcare nurses´ experiences of providing support to families when the parents' life situation poses a health risk to the child.

    Method: Ten semi-structured interviews were conducted, and the data was analyzed using a qualitative content analysis.

    Results: The results showed that the child healthcare nurses identified support needs in different ways. The child healthcare nurses worked with strategies building a trustworthy relationship, being available and guiding parents through encouragement and confirmation. In order to provide support, the child health care nurses also needed support themselves.

    Conclusion: The child healthcare nurses are important to identify support needs in families and for providing individually customized support to different families. By cooperation with other professions with focus on building good relationships with the families and providing safety and trust, the families are enabled to receive the support. This is a necessary work in order being able to promote good health for all children.

  • 187.
    Ko, Jong Mi
    et al.
    The University of Texas Southwestern Medical Center, Department of Internal Medicine, Division of Cardiology, Dallas, TX, USA.
    White, Kamila S
    University of Missouri, Adult Congenital Heart Disease Center, Washington University and Barnes Jewish Heart & Vascular Center,Saint Louis, MO, USA.
    Kovacs, Adrienne H
    University Health Network, University of Toronto, Peter Munk Cardiac Centre, Toronto, Canada; Oregon Health & Science University, Knight Cardiovascular Institute, Portland, OR, USA.
    Tecson, Kristen M
    Baylor Heart and Vascular Institute, Dallas, TX, USA.
    Apers, Silke
    KU Leuven - University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium.
    Luyckx, Koen
    KU Leuven - University of Leuven, School Psychology and Child and Adolescent Development,Leuven, Belgium.
    Thomet, Corina
    University of Bern, Center for Congenital Heart Disease, Department of Cardiology, Inselspital, Bern University Hospital, Bern, Switzerland.
    Budts, Werner
    Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium; KU Leuven - University of Leuven, KU Leuven Department of Cardiovascular Sciences, Leuven, Belgium..
    Enomoto, Junko
    Department of Adult Congenital Heart Disease,Cardiovascular Center, Chiba, Chiba, Japan.
    Sluman, Maayke A
    Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands.
    Wang, Jou-Kou
    Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
    Jackson, Jamie L
    Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, USA.
    Khairy, Paul
    Université de Montréal, Adult Congenital Heart Center, Montreal Heart Institute, Montreal, Canada.
    Cook, Stephen C
    Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.
    Chidambarathanu, Shanthi
    Pediatric Cardiology, Frontier Lifeline Hospital (Dr. K. M. Cherian Heart Foundation), Chennai, India.
    Alday, Luis
    Division of Cardiology, Hospital de Niños, Córdoba, Argentina.
    Eriksen, Katrine
    Department of Cardiology, Oslo University Hospital - Rikshospitalet, Oslo, Norway.
    Dellborg, Mikael
    Adult Congenital Heart Unit, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden; Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Sweden; University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Berghammer, Malin
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Mackie, Andrew S
    University of Alberta, Division of Cardiology, Stollery Children's Hospital, Edmonton, Canada.
    Menahem, Samuel
    Monash University, Monash Heart, Monash Medical Centre, Melbourne, Australia.
    Caruana, Maryanne
    Department of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Malta.
    Veldtman, Gruschen
    Adult Congenital Heart Disease Center, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
    Soufi, Alexandra
    Department of Congenital Heart Disease, Louis Pradel Hospital, Hospices civils de Lyon, Lyon, France.
    Fernandes, Susan M
    Stanford University School of Medicine, Department of Pediatrics and Medicine, Divisions of Pediatric Cardiology and Cardiovascular Medicine, Palo Alto, CA, USA.
    Callus, Edward
    Università degli Studi di Milano, Clinical Psychology Service, IRCCS Policlinico San Donato, Milan, Italy; Department of Biomedical Sciences for Health, Milan, Italy.
    Kutty, Shelby
    Adult Congenital Heart Disease Center, University of Nebraska Medical Center, Children's Hospital and Medical Center, Omaha, NE, USA.
    Moons, Philip
    KU Leuven - University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium; Centre for Person-Centred Care (GPCC), Gothenburg, Sweden; University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Cedars, Ari M
    Department of Internal Medicine, Division of Cardiology, The University of Texas Southwestern Medical Center, Dallas, TX, USA.
    Differential impact of physical activity type on depression in adults with congenital heart disease: A multi-center international study2019Ingår i: Journal of Psychosomatic Research, ISSN 0022-3999, E-ISSN 1879-1360, Vol. 124, artikel-id 109762Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: This study aimed to examine the association between physical activity (PA) and depression in a large international cohort of adults with congenital heart disease (ACHD) as data about the differential impact of PA type on depression in this population are lacking.

    METHODS: In 2018, we conducted a cross-sectional assessment of 3908 ACHD recruited from 24 ACHD-specialized centers in 15 countries between April 2013 to March 2015. The Hospital Anxiety and Depression Scale was used to assess self-reported depressive symptoms and the Health-Behavior Scale-Congenital Heart Disease was used to collect PA information. Cochran-Armitage tests were performed to assess trends between depressive symptom levels and PA participation. Chi-Square and Wilcoxon Rank Sum tests were utilized to examine relations between depressive symptom levels and patient characteristics. Stepwise multivariable models were then constructed to understand the independent impact of PA on depressive symptoms.

    RESULTS: The overall prevalence of elevated depressive symptoms in this sample was 12% with significant differences in rates between countries (p < .001). Physically active individuals were less likely to be depressed than those who were sedentary. Of the 2 PA domains examined, sport participation rather than active commute was significantly associated with reduced symptoms of depression. After adjustment in multivariable analysis, sport participation was still significantly associated with 38% decreased probability of depressive symptoms (p < .001).

    CONCLUSIONS: Sport participation is independently associated with reduced depressive symptoms. The development and promotion of sport-related exercise prescriptions uniquely designed for ACHD may improve depression status in this unique population.

  • 188.
    Ko, Jong Mi
    et al.
    The University of Texas, Department of Internal Medicine, Division of Cardiology, Southwestern Medical Center, Dallas, Texas.
    White, Kamila S
    University of Missouri, Adult Congenital Heart Disease Center, Washington University and Barnes Jewish Heart & Vascular Center, Saint Louis, Missouri.
    Kovacs, Adrienne H
    University of Toronto, Peter Munk Cardiac Centre, University Health Network, Toronto, Canada; Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon.
    Tecson, Kristen M
    Baylor Heart & Vascular Institute, Baylor Scott & White Research Institute, Dallas, Texas.
    Apers, Silke
    KU Leuven-University of Leuven, KU Leuven Department of Public Health and Primary Care, Leuven, Belgium.
    Luyckx, Koen
    KU Leuven-University of Leuven, School Psychology and Child and Adolescent Development, Leuven, Belgium.
    Thomet, Corina
    University of Bern, Center for Congenital Heart Disease, Inselspital-Bern University Hospital, Bern, Switzerland.
    Budts, Werner
    KU Leuven-University of Leuven, Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium; KU Leuven Department of Cardiovascular Sciences, Leuven, Belgium.
    Enomoto, Junko
    Department of Adult Congenital Heart Disease, Chiba Cardiovascular Center, Chiba, Japan.
    Sluman, Maayke A
    Department of Cardiology, Academic Medical Center, Amsterdam, The Netherlands.
    Wang, Jou-Kou
    National Taiwan University, School of Nursing, College of Medicine,Taipei, Taiwan.
    Jackson, Jamie L
    Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, Ohio.
    Khairy, Paul
    Université de Montréal, Adult Congenital Heart Center, Montreal Heart Institute, Montreal, Canada.
    Cook, Stephen C
    Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, Michigan.
    Subramanyan, Raghavan
    Frontier Lifeline Hospital, Dr. K. M. Cherian Heart Foundation, Chennai, India..
    Alday, Luis
    Division of Cardiology, Hospital de Niños, Córdoba, Argentina.
    Eriksen, Katrine
    Department of Cardiology, Oslo University Hospital-Rikshospitalet, Oslo, Norway.
    Dellborg, Mikael
    The Sahlgrenska Academy at University of Gothenburg, Adult Congenital Heart Unit, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden; Institute of Medicine, Sweden; University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Berghammer, Malin
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Mackie, Andrew S
    University of Alberta, Division of Cardiology, Stollery Children's Hospital, Edmonton, Canada.
    Menahem, Samuel
    Monash University, Monash Heart, Monash Medical Centre, Melbourne, Australia.
    Caruana, Maryanne
    Department of Cardiology, Mater Dei Hospital, Birkirkara Bypass, Malta.
    Veldtman, Gruschen
    Adult Congenital Heart Disease Center, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
    Soufi, Alexandra
    Department of Congenital Heart Disease, Louis Pradel Hospital, Hospices civils de Lyon, Lyon, France.
    Fernandes, Susan M
    Stanford University School of Medicine, Department of Pediatrics and Medicine, Divisions of Pediatric Cardiology and Cardiovascular Medicine, Palo Alto, California.
    Callus, Edward
    Clinical Psychology Service, IRCCS Policlinico San Donato, Milan, Italy.
    Kutty, Shelby
    University of Nebraska Medical Center/ Children's Hospital and Medical Center, Adult Congenital Heart Disease Center, Omaha, Nebraska, USA.
    Gandhi, Amarendra
    KU Leuven-University of Leuven, School Psychology and Child and Adolescent Development, Leuven, Belgium.
    Moons, Philip
    University of Gothenburg, KU Leuven Department of Public Health and Primary Care, KU Leuven-University of Leuven, Leuven, Belgium; Centre for Person-Centred Care (GPCC), Gothenburg, Sweden; University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden..
    Cedars, Ari M
    The University of Texas Southwestern Medical Center, Department of Internal Medicine, Division of Cardiology, Dallas, Texas.
    Physical Activity-Related Drivers of Perceived Health Status in Adults With Congenital Heart Disease2018Ingår i: American Journal of Cardiology, ISSN 0002-9149, E-ISSN 1879-1913, Vol. 122, nr 8, s. 1437-1442, artikel-id S0002-9149(18)31423-1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Data on the differential impact of physical activity on perceived health status (PHS) in a large adult congenital heart disease (ACHD) patient population are lacking. We conducted a cross-sectional assessment of 4,028 ACHD patients recruited from 24 ACHD-specialized centers in 15 countries across 5 continents to examine the association between physical activity and PHS in a large international cohort of ACHD patients. A linear analog scale of the EuroQol-5D 3 level version and the 12-item Short Form Health Survey-version 2 were used to assess self-reported health status and the Health-Behavior Scale-Congenital Heart Disease was used as a subjective measurement of physical activity type, participation, and level. Correlation analyses and Wilcoxon Rank Sum tests examined bivariate relations between sample characteristics and PHS scores. Then, multivariable models were constructed to understand the impact of physical activity on PHS. Only 30% of our sample achieved recommended physical activity levels. Physically active patients reported better PHS than sedentary patients; however, the amount of physical activity was not associated with PHS. Further statistical analyses demonstrated that specifically sport participation regardless of physical activity level was a predictor of PHS. In conclusion, the majority of ACHD patients across the world are physically inactive. Sport participation appears to be the primary physical activity-related driver of PHS. By promoting sport-related exercise ACHD specialists thus may improve PHS in ACHD patients.

  • 189.
    Korabi, Lindita
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Sjuksköterskors erfarenheter av att vårda patienter med flyktingbakgrund inom psykiatrisk vårdverksamhe2017Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: As a nurse in healthcare, it is important to have an insight into the circumstances of refugees and how it can affect their mental health. Laws and guidelines currently limit refugees the access to mental care and as the world's refugee flow is increasing so are the mental illness of refugee. Purpose: The purpose of the study was to describe nurses' experiences of caring for patients with a refugee background in mental health care.Methods: A qualitative methodology and design were chosen where seven nurses who worked in mental health care were individually interviewed. The interviews were recorded, transcribed and analyzed based on qualitative content analysis. Results: Based on qualitative content analysis, four categories were formed with a total of eleven subcategories. The four categories highlighted the meeting with the patient, challenges in the nurse´s professional role, what was required to work with the patient and the interaction within and outside the workplace. Conclusion: The study showed shortcomings that nurses noted in contact with patients with refugee background in the mental health care. Current care was not found to be adequate for patients and needs were expressed for more structured care and more support for nurses in their work.

  • 190.
    Kristiansson, Susanne Olsson
    et al.
    Central Infant Welfare Unit, Fyrbodal, Sweden.
    Wijk, Sofia
    Central Infant Welfare Unit, Göteborg och Södra Bohuslän, Sweden.
    Alsén, Pia
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Participation in parental group support offered by the Child Health Service in Sweden: A qualitative study2018Ingår i: Journal of Health Visiting, E-ISSN 2052-2908, Vol. 6, nr 3, s. 142-150Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    All new parents in Sweden are invited to participate in parent groups by the Child Health Service (CHS), but not all choose to attend. The aim of this study was to identify factors that promote and impede the participation of parents in parent groups managed by the CHS during their child's first year. Twelve parents with children aged 10–12 months were interviewed during 2013. The interview text was analysed using qualitative manifest content analysis. The analysis resulted in eight categories. Those describing promoting factors were: feeling personally invited; having social hopes; being influenced by those around you; experiencing social fellowship; and being satisfied with the group leader. Categories describing impeding factors were: the parent group is not perceived to be addressed to both parents; the parents do not prioritise the group sessions offered; and expectations are not met. The study found that it is important for parents to feel personally invited and that the group leader's actions may be significant both for promoting and impeding participation in parent groups. The CHS nurse needs to be aware of parents' and children's individual needs and work actively to make all group participants feel included.

  • 191.
    Lagerqvist, Katarina
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Persson, Rebecca
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Yogans effekt på aggression, stressnivå samt uppmärksamhet och impulskontrollstörning hos kvinnor i anstaltsmiljö2016Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: While the number of female criminals increases in Sweden, their care and eventual treatment still is mainly based on evidence from research with male interns. Studies shows that this group has an increased vulnerability, with high frequency of mental health problems.Aim: To investigate the effects of yoga on aggression, perceived levels of stress, attention and impulse control disorder of female prisoners.Method: Freely committing female inmates were randomized into two groups: (1) yoga group, where subjects participated in 90 minutes hatha yoga every week during a 10 weeks period, and (2) control group, where subjects participated in 90 minutes of physical activity every week during the same study period. A survey including self-rated instruments and the computerized performance test were completed by each participant before randomization and at the end of the 10 weeks study period.Results: The yoga group reported a decreased aggression and an attenuated level of stress, while the control group reported an increased level of perceived stress. In the computerized performance test an improvement in impulse control could be measured in the yoga group, while in the control group an increased prevalence of attention difficulties were detected.Conclusion: : There are strong indications that regular yoga exercise can contribute to decreased aggression, lower level of perceived stress and to increase control of impulsivity and attention. It may be a tool for individual-adjusted care to manage their mental health.

  • 192.
    Lantz, H
    et al.
    Sahlgrenska University Hospital, Department of Medicine.
    Brattby, L.-E
    Uppsala University Hospital, Department of Medical Sciences, Clinical Physiology.
    Fors, H.
    Northern Älvsborg Hospital, Trollhättan,Department of Paediatrics.
    Sandhagen, B.
    Uppsala University Hospital, Department of Medical Sciences, Clinical Physiology.
    Sjöström, L.
    Sahlgrenska University Hospital, Department of Medicine.
    Samuelson, Gösta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Body composition in a cohort of Swedish adolescents aged 15, 17 and 20.5 years2008Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, nr 12, s. 1691-1697Artikel i tidskrift (Refereegranskat)
  • 193.
    Larsson, Emelie
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Ahlstrand, Ilona
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    "Sista utvägen": Sjuksköterskors erfarenheter av hot och våld inom sluten psykiatrisk vård2018Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: A serious problem in the work environment are threats and violence. This is a growing problem in health care. Workplaces providing mental health care is one of the workplaces that is at risk of exposure. Nurses may suffer from severe psychological and physical consequences afterwards.

    Aim: The aim of the study was to describe nurses' experiences of threats and violence in the field of mental health care.

    Method: The study was conducted at a hospital in southern Sweden. Ten nurses were interviewed for 30-60 minutes. The interviews were recorded in order to be written down later. The material was subjected to qualitative content analysis.

    Results: The processed material was subdivided into four categories: The view on threats and violence, approach to threats and violence over time, reactions on threats and violence and safety-creating factors. Everyone in the study had been exposed to threats and violence at work. Nurses described that with growing work experience, their approach to meet threats and violence changed. They were not as much affected as they were in the beginning of their work, and rather stood back instead of entering into confrontation with the patients. Experienced staff, education and secure premises are some of the factors to increase safety to staff.

    Conclusion: Working within psychiatric in-patient care department inevitably entails coming into contact with threats and / or violence at some point. Patients with a variety of psychiatric disorders may have difficulties expressing their needs in an appropriate manner. One last resort, when a patient is lacking a feeling of being understood, can be to communicate his needs through threats and violence. Linking a patient's behavior to his illness often helps nurses to gain a better understanding of why the patient is acting out.

  • 194.
    Larsson, Inga
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Att leda patientnära omvårdnadsarbete2014Ingår i: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg Lyckhage (red.), Lund: Studentlitteratur AB, 2014, 2:a, s. 197-215Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 195.
    Larsson, Inga
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Leda patientnära omvårdnadsarbete2019Ingår i: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3, s. 247-279Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 196.
    Larsson, Inga
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Sahlsten, Monika J.M.
    Department of Health and Education, University of Skövde, Sweden.
    The Staff Nurse Clinical Leader at the Bedside: Swedish Registered Nurses’ Perceptions2016Ingår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, s. 1-8, artikel-id 1797014Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Registered nurses at the bedside are accountable for and oversee completion of patient care as well as directly leading and managing the provision of safe patient care. These nurses have an informal leadership role that is not associated with any given position. Leadership is a complex and multifaceted concept and its meaning is unclear, especially in the staff nurse context. The aim was to describe registered nurses’ perceptions of what it entails to be the leader at the bedside in inpatient physical care. A phenomenographic approach was employed. Interviews were performed with Swedish registered nurses (). Five descriptive categories were identified: demonstrating clinical knowledge, establishing a good atmosphere of collaboration, consciously structuring the work in order to ensure patients’ best possible nursing care, customized presence in the practical work with patients according to predetermined prerequisites, and monitoring coworkers’ professional practice. Registered nurses informal role as leader necessitates a social process of deliberate effort to attain and maintain leader status and authority. Participants used deliberate communicative approaches and interactive procedures. Leader principles grounded in the core values of the nursing profession that ensure nursing values and person-centered attributes were a key aspect.

  • 197.
    Larsson, Inga
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Sahlsten, Monika
    University of Skövde, (School of Life Sciences, Högskolevägen 1, 541 28 Skövde, Sweden.
    Segesten, Kerstin
    University College of Borås, Institute of Health and Care Sciences, Allégatan 1, 501 90 Borås, Sweden.
    Plos, Kaety
    Gothenburg University, Institute of Health and Care Sciences, The Sahlgrenska Academy , Box 457, 405 30 Gothenburg, Sweden.
    Patients' Perceptions of Nurses' Behaviour That Influence Patient Participation in Nursing Care: A Critical Incident Study2011Ingår i: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, artikel-id 534060Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 198.
    Larsson, Lena
    et al.
    Umeå University, Heart Center and Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Johansson, Bengt
    Umeå University, Heart Center and Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Sandberg, Camilla
    Umeå University, Heart Center and Department of Public Health and Clinical Medicine, Umeå, Sweden; Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå, Sweden.
    Apers, Silke
    University of Leuven, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
    Kovacs, Adrienne H.
    Peter Munk Cardiac Centre, University Health Network, Toronto, Ontario, Canada; Oregon Health & Science University, Knight Cardiovascular Institute, Portland, OR, United States.
    Luyckx, Koen
    University of Leuven, School Psychology and Development in Context, KU Leuven, Leuven, Belgium.
    Thomet, Corina
    University of Bern, Center for Congenital Heart Disease, Inselspital — Bern University Hospital, Bern, Switzerland.
    Budts, Werner
    Division of Congenital and Structural Cardiology, University Hospitals Leuven, Leuven, Belgium; University of Leuven, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
    Enomoto, Junko
    Department of Adult Congenital Heart Disease, Chiba Cardiovascular Center, Chiba, Japan.
    Sluman, Maayke A.
    Department of Cardiology, Academic Medical Center, Amsterdam, Netherlands.
    Wang, Jou-Kou
    Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan.
    Jackson, Jamie L.
    Center for Biobehavioral Health, Nationwide Children's Hospital, Columbus, OH, United States.
    Khairy, Paul
    Université de Montréal, Adult Congenital Heart Center, Montreal Heart Institute, Montreal, Canada.
    Cook, Stephen C.
    Adult Congenital Heart Disease Center, Helen DeVos Children's Hospital, Grand Rapids, MI, United States.
    Alday, Luis
    Division of Cardiology, Hospital de Niños, Córdoba, Argentina.
    Eriksen, Katrine
    Department of Cardiology, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
    Dellborg, Mikael
    University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden;Adult Congenital Heart Unit, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden; nstitute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Sweden.
    Berghammer, Malin
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Rempel, Gwen
    University of Alberta, Northern Alberta Adult Congenital Heart Clinic, Edmonton, Canada.
    Menahem, Samuel
    Monash University, Monash Heart, Monash Medical Centre, Melbourne, Australia.
    Caruana, Maryanne
    Department of Cardiology, Mater Dei Hospital, Msida, MSD 2090, Malta.
    Tomlin, Martha
    The Heart Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
    Soufi, Alexandra
    Department of Congenital Heart Disease, Louis Pradel Hospital, Hospices civils de Lyon, Lyon, France.
    Fernandes, Susan M.
    Adult Congenital Heart Disease Program at Stanford, Lucile Packard Children's Hospital, Stanford Health Care, Stanford School of Medicine, Palo Alto, CA, United States.
    White, Kamila
    University of Missouri, Adult Congenital Heart Disease Center, Washington University and Barnes Jewish Heart & Vascular Center, Saint Louis, MO, United States.
    Callus, Edward
    Clinical Psychology Service, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy; Università degli Studi di Milano, Department of Biomedical Sciences for Health, Milan, Italy.
    Kutty, Shelby
    University of Nebraska Medical Center, Division of Pediatric Cardiology, Children's Hospital & Medical Center, Omaha, NE, United States.
    Moons, Philip
    University of Leuven, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium; University of Gothenburg, Institute of Health and Care Sciences, Gothenburg, Sweden; Department of Paediatrics and Child Health, University of Cape Town, Cape Town, South Africa.
    Geographical variation and predictors of physical activity level in adults with congenital heart disease2019Ingår i: International Journal of Cardiology : Heart & Vasculature, ISSN 2352-9067, Vol. 22, s. 20-25Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Physical activity is important to maintain and promote health. This is of particular interest in patients with congenital heart disease(CHD) where acquired heart disease should be prevented. The World Health Organization (WHO) recommends a minimum of 2.5 h/week of physical activity exceeding 3 metabolic equivalents (METS) to achieve positive health effects. It is unknown whether physical activity levels (PAL) in adult CHD patients differ by country of origin.

    Methods

    3896 adults with CHD recruited from 15 countries over 5 continents completed self-reported instruments, including the Health Behaviour Scale (HBS-CHD), within the APPROACH-IS project. For each patient, we calculated whether WHO recommendations were achieved or not. Associated factors were investigated using Generalized Linear Mixed Models.

    Results

    On average, 31% reached the WHO recommendations but with a great variation between geographical areas (India: 10%–Norway: 53%). Predictors for physical activity level in line with the WHO recommendations, with country of residence as random effect, were male sex (OR 1.78, 95%CI 1.52–2.08), NYHA-class I (OR 3.10, 95%CI 1.71–5.62) and less complex disease (OR 1.46, 95%CI 1.16–1.83). In contrast, older age (OR 0.97, 95%CI 0.96–0.98), lower educational level (OR 0.41, 95%CI 0.26–0.64) and being unemployed (OR 0.57, 95%CI 0.42–0.77) were negatively associated with reaching WHO recommendations.

    Conclusions

    A significant proportion of patients with CHD did not reach the WHO physical activity recommendations. There was a large variation in physical activity level by country of origin. Based on identified predictors, vulnerable patients may be identified and offered specific behavioral interventions.

  • 199.
    Laurell, Alexandra
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Carlsson, Galina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    En resa man inte klarar av på egen hand: En kvalitativ studie som beskriver gastric bypass-opererade personers behov av stöd2017Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Fetma är ett av de största folkhälsoproblemen i Sverige och har ökat under de senaste tio åren. Personer med övervikt och fetma upplever ofta besvär i sina liv som kan leda till psykiska och fysiska sjukdomar samt sociala problem. Många försöker gå ned i vikt genom att göra livsstilsförändringar och de som inte lyckas och har uttalade besvär av sin fetma kan bli remitterade för att genomgå en gastric bypass-operation. Syftet med denna studie var att beskriva vilket stöd gastric bypass-opererade personer har behov av. Det är en kvalitativ studie där tio personer opererade med gastric bypass har intervjuats via skype eller messenger videosamtal. Resultatet visar att personerna behöver både professionellt stöd och stöd från närstående samt av andra personer som genomgått en gastric bypass-opereration. Att få information innan operationen bidrog till att personerna kände sig trygga efter operationen. Kontinuerlig och tvärprofessionell uppföljning till exempel från kurator, dietist och distriktssköterska beskrevs som ett önskat stöd, medan brist på kunskap och uppföljning ledde till att personerna kände sig utelämnade till att klara sig själva efter operationen. Studiens resultat visar också att personerna behöver mer stöttning för att genomföra en livsstilsförändring efter operationen. I slutsatsen kom vi fram till att det finns behov av förbättringar av uppföljning för att undvika viktuppgång och öka livskvaliteten för dessa individer. Det behövs mer kunskap om gastric bypass-opererade i primärvården och bättre uppföljning innehållande kontinuitet och att personerna följs upp av olika professioner inom vården.   

  • 200.
    Lexén, Sofia
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Trulsson, Sofie
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    "Vi kallar dem huvudfotingar": Hur vårdpersonal kan stödja personer med utmattningssyndrom2019Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Stressrelaterad ohälsa inklusive utmattningssyndrom (UMS) ökar kraftigt. UMS innebär ett mänskligt lidande för de drabbade och en belastning för vårt samhälle. Det finns ännu ingen evidens för hur personer med UMS ska behandlas.

    Syfte: Att undersöka hur vårdpersonal kan stödja personer med UMS.

    Metod: Semistrukturerade intervjuer genomfördes. Urvalet bestod av sju vårdgivare som alla arbetade med personer med UMS. Data analyserades utifrån en kvalitativ innehållsanalys och med en induktiv ansats.

    Resultat: Det informanterna beskrev som stödjande för personer med UMS var att ge en vård utifrån personens behov, att arbeta för att stärka patientens egna förmågor, att ge möjlighet till en medveten närvaro, att skapa balans mellan aktivitet och vila samt att ge patienten och dennes närstående en ökad kunskap.

    Slutsats: Vårdpersonal kan stödja personer med UMS genom att ge en vård utifrån personens förutsättningar och sjukdomsfas. De stödjande insatserna ska vara personcentrerade och ha som syfte att ge kunskap och verktyg om hur personen kan hantera sin sjukdom. Samarbete mellan professioner är viktigt. Att inkludera psykiatrisjuksköterskan och/eller distriktssköterskan i vården för dessa personer skulle vara gynnsamt eftersom omvårdnad är en faktor som saknas i många fall.

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