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  • 1951.
    Walladbegi, Java
    et al.
    University of Gothenburg, Department of Oral Medicine & Pathology, Institute of Odontology, The Sahlgrenska Academy, Box 450, 405 30, Gothenburg, Swede.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Law, Economics, Statistics and Politics. University West, School of Business, Economics and IT, Divison of Informatics.
    Svanberg, Anncarin
    Uppsala University, Department of Hematology, Institute for Medical Sciences, Faculty of Medicine, Uppsala University Hospital, U751 85, Uppsala, Sweden.
    Jontell, Mats
    University of Gothenburg,Department of Oral Medicine & Pathology, Institute of Odontology, The Sahlgrenska Academy, Box 450, 405 30, Gothenburg, Sweden.
    Correction to Innovative intraoral cooling device better tolerated and equally effective as ice cooling2018In: Cancer Chemotherapy and Pharmacology, ISSN 0344-5704, E-ISSN 1432-0843, Vol. 81, no 1, p. 225-225Article in journal (Refereed)
    Abstract [en]

    Unfortunately, the online published article has error in Table 1. The correct Table 1 is given in the following page.

  • 1952.
    Walladbegi, Java
    et al.
    University of Gothenburg, Department of Oral Medicine & Pathology, Institute of Odontology, The Sahlgrenska Academy, Box 450, 405 30, Gothenburg, Sweden.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Law, Economics, Statistics and Politics. University West, School of Business, Economics and IT, Divison of Informatics.
    Svanberg, Anncarin
    Uppsala University,Department of Hematology, Institute for Medical Sciences, Faculty of Medicine, Uppsala University Hospital, 751 85, Uppsala, Sweden.
    Jontell, Mats
    University of Gothenburg, Department of Oral Medicine & Pathology, Institute of Odontology, The Sahlgrenska Academy, Box 450, 405 30, Gothenburg, Sweden..
    Innovative intraoral cooling device better tolerated and equally effective as ice cooling.2017In: Cancer Chemotherapy and Pharmacology, ISSN 0344-5704, E-ISSN 1432-0843, Vol. 80, no 5, p. 965-972Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Most of the patients who receive myeloablative therapy prior to stem cell transplantation develop oral mucositis (OM). This adverse reaction manifests as oral mucosal erythema and ulcerations and may require high doses of morphine for pain alleviation. OM may also interfere with food intake and result in weight loss, a need for parenteral nutrition, and impaired quality of life. To date, there have been very few studies of evidence-based interventions for the prevention of OM. Cryotherapy, using ice chips, has been shown to reduce in an efficient manner the severity and extent of OM, although clinical applications are still limited due to several shortcomings, such as adverse tooth sensations, problems with infectious organisms in the water, nausea, and uneven cooling of the oral mucosa. The present proof-of-concept study was conducted to compare the tolerability, temperature reduction, and cooling distribution profiles of an intra-oral cooling device and ice chips in healthy volunteers who did not receive myeloablative treatment, and therefore, did not experience the symptoms of OM.

    METHODS: Twenty healthy volunteers used the cooling device and ice chips for a maximum of 60 min each, using a cross-over design. The baseline and final temperatures were measured at eight intra-oral locations using an infra-red thermographic camera. The thermographic images were analysed using two digital software packages. A questionnaire was used to assess the tolerability levels of the two interventions.

    RESULTS: The intra-oral cooling device was significantly better tolerated than the ice-chips (p = 0.0118). The two interventions were equally effective regarding temperature reduction and cooling distribution.

    CONCLUSIONS: The intra-oral cooling device shows superior tolerability in healthy volunteers. Furthermore, this study shows that temperature reduction and cooling distribution are achieved equally well using either method.

  • 1953.
    Wallander, Alexandra
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Bohlin, Elin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskors upplevelser av interaktion med närstående i kommunal äldrevård2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    In pace with the increasingly aging population will the number of older people in nursing homes and with care in home grow. This means that the nurse will face related to the older more frequently and more widely. Nurses has overall responsibility over both the care of the elderly as a responsibility of maintaining good relationships with related parties. Related parties are of great importance for the older individual, it is therefore relevant for the nurse to be able to interact in a respectful and sensitive manner to involve the relatives in care.

    Aim:

    The aim with this study was to highlight nurse's experiences of interaction with related parties to elderly in community health care.

    Method:

    A literature review based on nine qualitative articles was conducted. Friberg design was used with the inspiration of Lundman and Hällgren Graneheim regarding the analysis of Articles.

    Results:

    The study resulted in four themes. They included information about nurse's experiences of interaction with related parties. These themes describes the importance of communication in the interaction, the attitudes various expressions, cooperation with related parties and experiences with related parties' participation in care.

    Conclusion:

    An important conclusion is that the nurse should take advantage of related parties skills and resources in health care around the elderly. The nurses sometimes has difficulties interacting with related parties. Nurses probably need to see the difficulties from different perspectives and seek help of colleagues.

  • 1954.
    Wallentinsson, Emma
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hur musik kan användas för att påverka personer med demenssjukdom: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This study turns especially to assisting nurses and auxiliary nurses who often meet people with dementia on a daily basis in their home or in assisted living homes. Today dementia is an endemic disease and there is a lot of knowledge about what it means to have it. Memory loss, changes in the intellect and personality are just some of the changes that come with the disease. Persons who are affected with dementia often describe feelings of chaos and loneliness and although medications help a lot easing the symptoms, they come with a lot of side effects

  • 1955.
    Wallin, Carl
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Dahlberg, Jessica
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Upplevelser av att leva med självskadebeteende: En bloggstudie2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Self-injurious behavior is an increasing problem among adolescents and young adults.

    The aim of this study was to explore the experiences of adolescents and young adults' living with self-injurious behavior.

    Method: The material consists of 15 blogs on the internet. These blogs have been analyzed using qualitative content analysis.

    The result emerged in one theme: An inner struggle, with the following four categories: Difficulties in everyday life, Concealment, The behavior gets ascendancy, Relationships and limitations, Treatment. The result shows a lack of understanding about self-injurious behavior in health care and in society. The treatment they face in health care, in relationships and in the society show a lack of understanding and of acceptance, which means they hide their mood and their self-injurious behavior. The people suffer an endless struggle with feelings they do not understand or can express, and with a vapor, which they can handle only by, for example cutting themselves, due to lack of other coping strategies.

    Conclusion: Adolescents and young adults with self-injurious behavior are living with an inner struggle. They are struggling with anxiety without relevant tools to handle the situation. Unworthy treatment and lack of understanding fill their everyday life. Therefore, they keep their problems as a secret, which limit their lives and causes them a lot of suffering.

  • 1956.
    Wallin, Christel
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kuutti, Sara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Inkludera utan att markera: HBTQ-personers upplevelser i mötet med vården2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background LGBTQ-persons have been treated differently in both society and health care throughout the history. Just a few years ago it was illegal to be gay. Today the attitudes have changed toward an openness and positive society, but does that mean that LGBTQ-persons get the same treatment in the health care? Aim The aim of this study is to illuminate LGBTQ-patients' experiences when encountering health care. Method A literature study method was used for this study. Results Six themes emerged, feeling of not being able to influence, feeling different, feeling offended, feeling of uncertainty, feeling welcome and feeling understood. Both positive and negative result were found. Ways to include and welcome these patients emerged. Understanding and compassionate personnel gave LGBTQ-patients a positive experience when they accepted the patient's lifestyle. Conclusion Specific LGBTQ knowledge and education among healthcare professionals is needed to encounter LGBTQ- persons with dignity.

  • 1957.
    Wallin, Helene
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Dezhlani, Hanna
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Personals upplevelse av hot och våldssituationer  inom vård för unga2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of incidents when employees of juvenile care institutes experience threats or violence in their working place increases dramatically during the past years. Aim: The aims of the present study were to (1.) measure the frequency of the experience of threat and violence during the past year (2.) and to investigate if the prevalence of the experience of threats and violent acts varies by gender, age, educational level or by experience. Method: Staff members of juvenile care institutes from the region of West-Gothenburg completed voluntary and anonymously a web-based questionnaire Results: The experience of threats and violent acts did not differed between male and female employees, neither by the employees’ education level. However, positive associations between the number of experienced threats/violent acts and the employees’ age, and their work experience was found. Conclusion: Even if the present study has strong limitations, such as a very low number of participants, the results suggest that more experienced employees may experience more threats and violent acts.

  • 1958.
    Wallin, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kaldén, Michaela
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur påverkar livsstilsförändringar personer med diabetes typ 2?: en litteraturbaserad studie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is one of the biggest growing diseases in the world. Often are overweight and inimical eating habits the reason to develop Diabetes type 2. Lifestyle changes are the most effective way to improve the disease and become healthier. The nurse has an important role to help the person with the changes by among other things give information, motivation and by setting up goals.

    Aim: To illustrate how lifestyle changes affect people with type 2 Diabetes and their everyday life. Method: This study was a study based on literature and with qualitative articles. Nine articles were taken from the database Cinahl and one was taken from PubMed. The analysis was done from Fribergs modell.

    Results: It emerged four themes. Changes in food and exercise; mention that people with type 2 Diabetes needed a lifestyle changes, it meant both positive and negative effects. Food was the hardest thing to change and it appeared harder in the time of a holiday. Emotional changes; talked about the emotional struggle and the struggle against the disease. The life changed in many ways, which became difficult for them to adjust to. Reversed social life; talked about the family and friends who could help and support. Sometimes this support became something positive but sometimes it became an obstacle and something negative. The last theme, Failure and tribulation; mentioned the importance of support from someone when they felt like failures. Often was shame a feeling that was connected to failure and sometimes it lead to cheating.

    Conclusion: People affects different from lifestyle changes. Change in behavior and lifestyle is not easy to do and it take a lot of time to manage it. The person needs good support, information and motivation. It´s the job assignment of the nurse to help people with lifestyle changes and therefore is this knowledge important to nurses.

  • 1959.
    Wallroth, Josefin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Healthcare professionals' management and treatment methods of pain in conventional and traditional medicine in Sri Lanka2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Pain is a complex and common phenomena in healthcare. Pharmaceuticals is the main method of treatment and is considered to be cheap, effective and safe. But despite this, pain is still widely untreated. Traditional medicine has come to play an important, yet underestimated part of healthcare in the world. The request of traditional medicine continues to increase and spread to new areas of the world. Sri Lanka provides a public healthcare system of both conventional medicine and the traditional medicine of Ayurveda, and thereby can exemplify differences in pain relief management in the different medicine traditions.

    Aim: To examine healthcare professionals' management and treatment methods of pain in conventional and traditional medicine in Sri Lanka.

    Method: An empirical study based on interviews were conducted in Sri Lanka with informants from both an Ayurvedic hospital and the National Cancer Institute of Colombo.

    Result: Three themes were identified providing information on view on pain, how it is to work with pain and how pain is treated in conventional and traditional medicine.

    Conclusion: Due to the differences in the understanding of pain, the conventional medicine and Ayurveda has varieties in the treatment of pain. In conventional medicine, pain was treated as an isolated symptom. In Ayurveda, pain was viewed more holistically and considered as a secondary effect of an underlying imbalance.

  • 1960.
    Wasshede, Lena
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lesbiska barnfamiljers möten med hälso- och sjukvården2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Due to a more open climate in society for homosexual people several lesbian couples have given birth to children in their relations. Research has shown no differences between children in lesbian families and children in heterosexual families considering mental and social health. International research has also shown that lesbian parents often have bad experiences from meetings with healthcare providers.

    The

    aim of this study was to describe lesbian child families/familyplannings and the lesbian parents experiences and expectations of the healthcare.

    The

    method for the study was qualitative interview with 9 lesbian parents. The data was analysed by the queer theory heteronormative concept.

    The

    results of the research was that lesbian families considered themselves as a nuclear family and at the same time distanced themselves from the nuclear family concept. The findings showed that lesbian couples are involved in a very long process when they try to become parents. The lesbian parents often met a heteronormative approach in their meetings with nurses in the health care, mainly in nurse's speech and practices. Such approaches lead to negative experiences for the lesbian parents.

    Conclusion:

    Nurses need to bee aware of the consequences of heteronormative practices. These aspects should be highlighted in all education for nursing. 

  • 1961.
    Wattman, Erika
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ljungqvist, Robert
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att ändra kost vid sjukdom: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The most common cause of death in the world today are diseases related to poor diet and lifestyle. As diet and its impact on disease becomes more recognized, nurses needs to assess this and be able to support patients if they wish to modify their diet because of disease. Therefore, nurses need to have a good understanding regarding how patients experience changes in diet due to disease.

    Aim: The aim of the study is to describe patients experiences of amending diet because of disease.

    Method: Method of usage was a literature study. The qualitative studies were analysed using a five step model.

    Results: The results were derived into three themes and six sub-themes - Motivation to change diet with the sub themes fear that motivates and obstacles of motivation - Support from surroundings with the subthemes being understood and insufficient understanding - The need of knowledge with the sub themes coming to insight and receiving information.

    Conclusion: The results showed that patients often experience fear for their illness and their life which also makes them more determined to change diet. Amending diet is not always simple due to habits and customs. The support from surroundings are important when changing diet. Knowledge and being informed makes it easier for patients to change diet and patients also requests more information on disease and diet from their healthcare personnel.

  • 1962.
    Weckfors, Carina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kontaktsjuksköterskan – på väg mot personcentrerad kommunikation2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurse coordinators are today obligated to form a person-centered communication with patients. Studies show that the communication with patients treated for cancer should be created from a sensitivity and a knowledge about different phases of illness and that the nurse coordinator need theory, work experience and systematic reflection to form the communication.

    Aim: To describe experiences of cancer nurse coordinators regarding person-centered communication and to headlight needs of work integrated learning related to a person-centered way of working.

    Method: A semi-structed interview study was conducted with seven cancer nurse coordinators from three different cancer care units in Västra Götalands region, Sweden. A qualitative content analysis was performed.

    Results: The analyze resulted in showing how cancer nurses use their experience working towards a person-centered communication and their thoughts about person-centered care. The result also headlights the nurses thoughts of work integrated learning related to person-centered way of working.

    Conclusion: The cancer nurse coordinators used their experience to shape a person-centered communication with the patient. The nurse was supported and developed the work through the support from knowledgeable co-workers. The results show that despite the support and learning trough co-workers, which gave partially development of the work integrated learning, the theoretical knowledge of a person-centered care was at times uncompleted.

  • 1963.
    Wendel, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Berg, David
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att ständigt vara på sin vakt - sjuksköterskors upplevelser av hotfulla situationer på akutmottagningar: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Physical and verbal aggression against healthcare staff, particularly nurses is an international concern. The emergency department is seen as a high-risk area for workplace aggression. Working as a nurse in such environment is demanding and involves facing a variety of risks and threats.

    Aim: To highlight nurses' experiences of threatening situations at emergency departments.

    Method: A literature study based on qualitative articles. Eleven articles were analysed and included.

    Results: How the nurse experience the threatening situation defines the outcome of the consequences. The nurses' experiences can be divided into three main themes; to constantly be on your guard, unseen and unheard, vulnerable and inadequate. The feeling of fear in their working environment effected the caring of all patients.

    Conclusion: The experience of threatening situations is individual and can be percieved in different ways. Often a feeling of fear and insecurity emerges. The patientcare is therefore negatively affected and nurses receive little support from the hospital management.

  • 1964.
    Wennberg, Peter
    et al.
    Stockholm University.
    Dåderman, Anna Maria
    Stockholm University; Karolinska Institutet.
    Alcohol-related symptoms in a sample of male forensic psychiatric patients and a normal representative cohort of Swedish males2000In: German Journal of Psychiatry, ISSN 1433-1055, E-ISSN 1433-1055, Vol. 3, p. 21-26Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was to compare alcohol habits in a forensic psychiatric sample to those of a normal representative one with respect to alcohol-related symptoms. Two male samples were compared with respect to self-reported alcohol-related symptoms, a forensic psychiatric sample (n=60; mean age 27 years) and a control sample (n=106; mean age 36 years). As expected, there was a higher proportion of alcohol-related symptoms in the forensic psychiatric sample. The frequencies of specific symptoms were compared between the samples.

  • 1965.
    Wennerberg, Mia M.T.
    et al.
    University of Gothenburg,Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Eriksson, Monica
    University West, Department of Health Sciences, Health and culture.
    Danielson, Ella
    University of Gothenburg,Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Lundgren, Solveig M.
    University of Gothenburg,Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Unravelling Swedish informal caregivers' Generalized Resistance Resources2016In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 3, p. 602-603Article in journal (Refereed)
    Abstract [en]

    BackgroundInterlinked aspects, as demographic changes, accentuation on home-based community care, increase the amount of informal caregivers to older adults. To preserve and enhance their health are subsequently essential and a reoccurring topic on political agendas. How this may be achieved is vividly debated and mainly focused on elimination of risks and stresses associated with caregiving. Within health promotion, the salutogenic approach focusing on resources to health is recognised and this approach was used to acquire necessary knowledge to enhance caregivers' health 'the salutogenic way'.AimTo present Generalised and Specific Resistance Resources (GRRs/SRRs) described by caregivers as stemming from themselves and their carerecipients.MethodologyTo unravel caregivers' GRRs/SRRs, a theory-driven, explorative design guided by definitions of GRRs/SRRs was utilised. Data were collected through salutogenically guided interviews with 32 Swedish caregivers in one municipality. Inductively, data were analysed using content analysis to identify each caregiver's SRRs and thereafter deduction to identify the population's GRRs.FindingsThe synthesis of findings, caregivinghood, encompasses several domains of GRRs seemingly involved in caregivers' movements towards health. In the caregiver domain, 'Being someone significant in my own eyes' unites the essence of having access to GRRs stemming from oneself and 'Being "blessed" with a co-operative co-worker' that of having access to GRRs stemming from the carerecipient. This may be the core in an orientation to life which creates positive life experiences, since it enables caregivers to find a 'fit' between the possible and desired when resolving challenges.Conclusion and implicationsHealth-promoting initiatives should be conducted as partnerships between formal and informal sources due to the versatility of GRRs. It also seems essential to empower both parties so that they may make sense of their situation and use their available GRRs/SRRs in this 'joint venture' of managing. Thereby, their motivation to continue the journey through Caregivinghood may be enhanced.

  • 1966.
    Wennerberg, Mia M.T.
    et al.
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden..
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Lundgren, Solveig M.
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden..
    Danielson, Ella
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden..
    Unravelling Swedish informal caregivers' Generalized Resistance Deficits2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 1, p. 186-196Article in journal (Refereed)
    Abstract [en]

    In salutogenic theory, individual/contextual, immaterial/material characteristics enabling movements towards health are labelled Specific and Generalised Resistance Resources, SRRs/GRRs, and characteristics counteracting such movements Specific and Generalised Resistance Deficits, SRDs/GRDs. The aim of this paper was to present SRDs and GRDs described by caregivers as stemming from themselves and their care recipient. Guided by salutogenic theory, an explorative design was used to collect data through interviews with 32 Swedish informal caregivers. During the theory-driven analysis, SRDs were unravelled using within-case approaches. To be able to unite them as GRDs across cases, a serviceable GRD definition was developed from the existing theoretical GRR definition. In findings, SRDs are visualised in citations and GRDs described in detail. Caregivers' experiences of SRDs/GRDs are presented as themes: 'Experiencing personal deficiencies', when stemming from themselves; and 'Struggling with an uncooperative co-worker', when stemming from their care recipients. Findings indicate that if these themes dominate a caregiver's view of life, she/he seems to have reached the 'breaking point' when caregiving ends due to lack of usable SRRs/GRRs. To prolong the time until this occurs, support, making otherwise unusable SRRs/GRRs usable, is needed. When designing this type of 'salutogenic' support, it seems essential to involve the target group (e.g. caregivers, care recipients), to ascertain what their SRRs/GRRs and SRDs/GRDs may consist of. Such knowledge regarding SRRs/SRDs could be used to design individualised support, and regarding GRRs/GRDs to design generalised support at group level. This study suggests how such new knowledge regarding resistance resources and deficits could be acquired.

  • 1967.
    Wennerberg, Mia M.T.
    et al.
    University of Gothenburg, Department of Homecare Health and Nursing, Municipality of Orust , Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg , Sweden.
    Lundgren, Solveig M.
    University of Gothenburg , Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg , Sweden.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Danielson, Ella
    University of Gothenburg, Department of Nursing , Mid Sweden University, Östersund, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg , Sweden.
    Me and You in Caregivinghood: Dyadic resistance resources and deficits out of the informal caregiver's perspective2018In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:To present Specific and Generalized Resistance Resources (SRRs/GRRs) and Deficits (SRDs/GRDs) described by 32 informal caregivers as originating from themselves and their older adult carerecipients as dyads.METHOD:Salutogenic interviewing was used to assemble data from caregivers. A theory-driven, memo-guided and comparative analysis using within- and across- case analysis was applied to unravel resources and deficits influencing the outcomes when they managed tension associated with caregiving.FINDINGS:Living in fellowship in a well-functioning dyad unites the essence of having access to dyadic SRRs/GRRs. Such access enables dyads to use their specific dyadic tension management to resolve challenges through cooperation, derives 'positive' life-experiences and preserves dyad functioning. Struggling alone in a malfunctioning dyad indicates the presence of dyadic SRDs/GRDs counteracting such a development. If these SRDs/GRDs accumulate, the dyad become less able to resolve challenges, 'negative' life-experiences accumulates, the carerecipient's capability to cooperate decreases, caregiver's workload increases, the dyad becomes increasingly malfunctioning and moves towards the point where caregiving ends due to lack of usable SRRs/GRRs.CONCLUSIONS:Findings reveals the complex duality of caregiving and the necessity to assess all available SRRs/GRRs and SRDs/GRDs for caregiving dyads, including out of the carerecipient's perspective. Appropriate 'salutogenic' support reduces SRDs/GRDs, makes available SRRs/GRRs usable or provides alternative SRRs/GRRs, thereby dyadic tension management and dyadic functionality is preserved during this phase of life labelled Caregivinghood. The study adds new knowledge to the salutogenic framework regarding central, theoretical concepts and suggests how data for health promoting initiatives conducted the 'salutogenic way' may be acquired.

  • 1968.
    Wennerblom, Eva
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Möten i livet: En analys av självbiografier skrivna av personer med schizofreni2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Schizophrenia is a psychiatric disorder. Schizophrenia belongs to the group of psychotic disorders which means that the patient loses touch of reality. Schizophrenia is existing all over the world in the same degree. The aim with this study was to illuminate how persons with schizophrenia, experience meetings with other people. The method for reaching the aim in this study was to study, listen and read books written by persons with Schizophrenia and to analyze these books. It felt natural to use autobiographies of schizophrenic persons. The result showed that there were two themes and seven sub themes. The two themes were positive experiences and negative experiences. A positive experience was when they felt some happiness and joy, confirmation, safety and calmness from the person they met. Negative experience was feeling violated, not being confirmed and self- contempt. Conclusions of this study is that giving persons with the diagnosis schizophrenia confirmation and show respect is crucial for a positive experience of meeting with others.

  • 1969.
    Wentz, Elisabet
    et al.
    Institutionen för neurovetenskap och fysiologi, Göteborgs universitet.
    Nydén, Agneta
    Institutionen för neurovetenskap och fysiologi, Göteborgs universitet.
    Osmar Swerkersdotter, Helena
    BNK.
    Niklasson, Lena
    BNK.
    Lindström, Marie
    Hakenäs-Plate, Louise
    BNK.
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Internet-based support and coaching – habilitation of young adults with autism spectrum conditions and other neuropsychiatric disorders. A pilot study2010In: IX International Congress Autism-Europe, A Future for Autism, Catania, Italien 8-10 oktober 2010, 2010Conference paper (Refereed)
  • 1970.
    Werner, Annika
    et al.
    University West, Department of Nursing, Health and Culture.
    Nordberg, Emma
    University West, Department of Nursing, Health and Culture.
    Sjuksköterskors dilemma när patienten motsätter livsavgörande vårdinsatser: en litteraturstudie2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.

    Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.

    Method           A literature review of eight scientific articles with a qualitative approach was performed.

    Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients’ reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislation

    Conclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation.

  • 1971.
    Werner, Gabriella
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Andersson, Jessica
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnor som genomgått mastektomi – Det blir aldrig som förr: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Breast cancer is the most common cancer diagnosis in women. Treatments of breast cancer are constantly developing which leads to a high rate of surviving women. Being affected of breast cancer can result in many intense feelings and a changed body. Most of the women who get affected by breast cancer are treated with surgical treatment. One operation that is used is mastectomy, an surgical operation where one or both breasts are being removed. This may lead to several feelings, changed body image and the women have to adapt to their new body. Aim: The aim of the overview was to explore women's experiences, thoughts and emotions after a mastectomy, due to breast cancer.

    Method:

    A literature overview study based on seven qualitative and three quantitative studies. Results: In the result four themes emerged, The body betrays and is no longer complete, You are not the same person anymore, Femininity and sexuality are lost and The social limitations.

    Conclusion:

    One of the main findings shown in the result was how the mastectomy changed the women's body image. It seemed to be difficult to accept the changed body, which became a constant reminder of the disease. The women no longer recognized themselves and therefore had a hard time when it came to show themselves in front of people in the surroundings. The women also felt limitations in social situations and the body became an obstacle; they did not feel comfortable, isolated themselves and avoided everyday activities. This is important to acknowledge as a nurse and be able to give adequate support in both short term and long term.

  • 1972.
    Wernerliv, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Palmhagen, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patienters sökning efter hälsoinformation via internet inför mötet med distriktssköterskan2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When we as health care nurses meets patients at day care centers, they often have questions regarding health information that they have found on the internet. These questions can be supportive and a guidance in the process of finding appropriate treatment and diagnosis. But the questions can also take important time when the patient interpreted the health information that they found and demand for unnecessary investigations. The aim of this study was to investigate patients search for health information online prior to contact of a Health care nurse. Method: To find participants that used internet for health search we found Facebook as the best place to share a questionnaire. The result of the study was interpreted by both quantitative and qualitative method. The authors used a content analysis to analyse the open questions in the study. The result formed these kategories; trust, participation, empowerment. Conclusion: The result showed that it is important that we as district nurses has knowledge from where patients get their information and that patients are aware the district nurses has the knowledge. Patient needs guidance from the nurses, but the result also shows that patients find it important to be able to discuss the health information they have found. Keywords: district nurse, empowerment, health information, internet, patient

  • 1973.
    Wernerliv, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pihlblad, Sofia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Familjens närvaro vid återupplivning: En litteraturöversikt av sjuksköterskors erfarenheter2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The new guidelines for cardiopulmonary resuscitation states that the family should be given the opportunity to be present at the resuscitation of a close relative. A cardiac arrest is an emotional experience for the family. In addition to being part of the resuscitation effort, the nurse also needs to take care of the family.

    Aim:

    The aim of this study was to describe nurses' experiences of family presence during resuscitation.

    Method:

    A literature review has been made of 13 studies where differences and similarities were analyzed. The articles were published between the years of 2009 – 2013

    Result:

    The nurses' experiences were divided into three categories; Factors that affect family presence, The nurse' experience surrounding the presence of the family, Factors affecting family presence in the resuscitation room. The result showed that, the feeling of confidence, the ability to work under stressful conditions, the reactions of the family and external prerequisites and the presences of a family support person were important. All nurses had unique experiences that influenced their attitudes towards family presence during resuscitation.

    Conclusion:

    Every resuscitation is unique and the family's presence should be evaluated. The need for a family support person was identified as an important factor to ease the family's presence. Local protocols should be created that clearly states the decision process and whom become the family support person. Travelbee's nursing theory facilitates the comprehension of the interactions between the family and the nurse.

  • 1974.
    Wernerliv, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pihlblad, Sofia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Familjens närvaro vid återupplivning: En litteraturöversikt av sjuksköterskors erfarenheter2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The new guidelines for cardiopulmonary resuscitation states that the family should be given the opportunity to be present at the resuscitation of a close relative. A cardiac arrest is an emotional experience for the family. In addition to being part of the resuscitation effort, the nurse also needs to take care of the family.

    Aim:

    The aim of this study was to describe nurses’ experiences of family presence during resuscitation.

    Method:

    A literature review has been made of 13 studies where differences and similarities were analyzed. The articles were published between the years of 2009 – 2013

    Result:

    The nurses’ experiences were divided into three categories; Factors that affect family presence, The nurse’ experience surrounding the presence of the family, Factors affecting family presence in the resuscitation room. The result showed that, the feeling of confidence, the ability to work under stressful conditions, the reactions of the family and external prerequisites and the presences of a family support person were important. All nurses had unique experiences that influenced their attitudes towards family presence during resuscitation.

    Conclusion:

    Every resuscitation is unique and the family’s presence should be evaluated. The need for a family support person was identified as an important factor to ease the family’s presence. Local protocols should be created that clearly states the decision process and whom become the family support person. Travelbee’s nursing theory facilitates the comprehension of the interactions between the family and the nurse

  • 1975.
    Westberg, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alamgir, Sultana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av att leva med en permanent stomi2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Ostomy surgery refers to surgical procedures that reroute the elimination process of the bowel and alters the usual form of elimination. There are different reasons why a person gets a ostomy, depending on the reason for the surgery. The number of persons living with ostomys in Sweden is unknown. However, the reaction to intestinal diversion surgery can be a devastating experience. Living with a ostomy for a longer period may affect the individual. Nurses are important members of the health care team and have a significant role in caring for patients with ostomy.

    Aim: The aim was to describe experiences living with a permanent ostomy.

    Method: A qualitative litterature-based design was used in the study. CINAHL and PubMed databases were used to search qualitative articles. Articles were analyzed and reviewed by the five-step method in Friberg.

    Results: The result is based on ten qualitative articles. After making the analysis three main themes and nine sub-themes were identified. The three main themes were: the altered body appearance, the changing of daily life and interference with anticipated return to normal. The sub- themes were: fear, anxiety, disgrace and irritated skin, body image, acceptance, independence, daily activities, diet, impact on relationships, supporting, loneliness and isolation.

    Conclusion: Having a ostomy is a major event and it affects personal self-concept and restricts their lives in various ways. Nurses need to provide education, support advice and referral for specialist help if required to promote health and reduce suffering.

  • 1976. Wester, Agneta
    et al.
    Larsson, Lena
    Olofsson, Lena
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Caregivers’ experiences of caring for an elderly next of kin in Sweden2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 4, p. 28-32Article in journal (Refereed)
    Abstract [en]

    Background: Care of elderly changed in the 1990s in Sweden; treatment sessions were shortened in particular. Consequently, patients have a greater need for care when returning home from hospital. This task may seem overwhelming and caregivers can feel lonely, worn out and resigned in their situation. Aim: Explore how caregivers experience caring for an elderly next of kin in ordinary living. Method: Qualitative content analysis of semi-structured interviews with eleven Swedish caregivers. Findings: Caregivers experienced their situation as something to be endured. In particular, they felt a need for belonging, a need for controlling everyday life, and a need for support. Conclusion: Home care nurses, health centres and home support workers should be aware of and respect caregivers’ needs in terms of support.

  • 1977.
    Westerberg, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Oskarsson,, Cecilia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nutrition inom den palliativa vården: upplevelser från patienter och närstående2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden many people are in need of palliative care in end of life. The goal with palliative care is to create conditions to improve quality of life when disease can no longer be cured. A natural step in the dying process is that the patients stop eating and this can be difficult to handle for both the patient and their close relatives. Here, the nurse becomes a key to motivate and support.

    Aim: The aim was to highlight the experience of nutrition in palliative care for patients and close relatives.

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

    Results: Themes that emerged in the new result was A desire for extended life, A change in everyday life and Food as a consideration, and associated subthemes. Close relatives often used food as a way of showing love and nursing while patients eat to reduce the anxiety of their close relatives, they ate to please.

    Conclusion: Common to the result was that both patients and close relatives experienced a reduced quality of life related to nutrition and as a reminder that death was approaching. Food was seen as a central and health promoting part of everyday life and a significant part of the social community.

  • 1978.
    Wiesner, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Adolfsson, Sofia
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Sjuksköterskors upplevelser av arbetet med basala hygienrutiner: En litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Every year millions of patients around the world are affected by a nosocomial infection as a consequence of poor hygiene among the caregiving staff. These infections may lead to death, thus the elderly and people with weakened immune systems are at a greater risk. By training all caregivers in proper hygiene and the ways in which infections spread, these cross infections can be avoided.

    Aim:

    The aim of this study was to describe the nurses' experiences of hygiene work. Method: A literature based study was conducted on nine scientific articles extracted from the database CINAHL. These were read, reviewed and analyzed by the authors.

    Results:

    Four themes became apparent; the experience that knowledge matters, the experience that rolemodels matters, the experience that workplace enviroment matters and the experience of a will to protect oneself.

    Conclusion:

    The nurses experienced several reasons for compliance to hygiene including; good role models, easy access to disinfectants, knowledge about hygiene and how infections spread.

  • 1979.
    Wiklund, Nils
    et al.
    Örebro University.
    Dåderman, Anna Maria
    Stockholms universitet.
    Trygg, Linda
    Wirsén Meurling, Ann
    Lunds universitet.
    Lindgren, May
    Lunds universitet.
    Törestad, Bertil
    Stockholms universitet.
    Levander, Sten
    Universitetssjukhuset MAS, Malmö.
    Rorschach används fortfarande projektivt inom svensk rättspsykiatri [Rorchach test is still used projectively within Swedish forensic psychiatry]2002In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 99, no 12, p. 1369-1372Article in journal (Other (popular science, discussion, etc.))
    Abstract [en]

    The continued use of the Rorschach method as a projective test makes Swedish forensic psychiatry more and more unique. Supporters of the Rorschach method claim that it nowadays has good reliability, since it is no longer used as a projective test. According to the RCS, Rorschach Comprehensive System (or the Exner system), it is used as a psychometric test with validation data for specific variables. With this system it is no longer based on psychodynamic theory, but is considered as an empirical non-theoretical perceptual test. The problems, however, remain within Swedish forensic psychiatry, where the method is still used as a projective test.

  • 1980.
    Wikner, Annie
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Stenberg, Linda
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    "Det gör lite ont i hjärtat, de är så unga och ensamma": Om känslor, strategier och lärande i mötet med ensamkommande ungdomar2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This qualitative study explores and describes the feelings that may occur for contact persons working with unaccompanied minors. The study further describes which strategies contact persons use to manage their difficult emotions and how to learn these strategies. The study was conducted using data-material from semi-structured interviews with fifteen contact persons working with unaccompanied young people. We have used the hermeneutic approach, analyzed and structured our results. Our results show that in their profession contact persons experience good emotions, but also difficult emotions. Contact persons cope with these emotions through both conscious and unconscious strategies. In conclusion, the study supplies new knowledge on how to learn strategies in work through communication, relationships and official tools

    . The study gives an important contribution of knowledge for people working with unaccompanied minors, but also for scholars interested in investigating health aspects och social work

  • 1981.
    Wikström, Ann-Charlott
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Knowing in practice: a tool in the production of intensive care2007Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim with the the present thesisi was to find out how intensive care is produced by focusing on the ICU staffs interaction with each other and the technological tools they use. Theoretical perspective draws on socio cultural theory and the concepts accounting practices, moralöity in discourse and workplace research. The method used is ethnography and the data has been collected through participant observations and interviews in an intensive care unit in Swedish health care. The result... mer

    is presented through four papers. The first paper shows that intensive care to a great extent is produced through rutines. The division of labour is marked and taken for granted by the ICU staffs. Verbal reports, visual displays and activities make the information avaliable and shared understanding seems to make words redundant when the everyday practices are carried out. Further technology seems to be embedded in the caring for the patients. In the second paper the findings also show that technology intervenes in the division of labour and both challenges the ICU staffs' practical knowing and refurmulates practice. The awareness of routine problems is connected to the ability to "see" and to the ICU staffs cultural/contextual knowing. Knowing in practice transforms when new technology is introduced in the ICU. Problems are solved in concert often in a hierarchical way. The third paper in turn illuminates that the meaning of technology seems to be connected to the ICU staffs' accounting practices, i.e. their experiences of intensive care, thaier education, how long they have worked in the ICU and their positions in the network. Accounting practices is also socially shaped by the interaction among the ICU staff.It is the knowing that has been developed over time and it is the knowing that new ICU staff members have to learn to be competent actors in the ICU environment. Furthermore it is found in the fourth paper that moral values are negotiated in assessments of patients, medical decisions, other professionals (in)competence and othe institutions' activities. Thus it seems that moral values embedded and intertwined in the ICU staffs' everyday practices. It is concluded that the ICU staffs competence i.e. knowing in situated activities could be seen as a tool in the production of intensive care. And this knowing seems to be distributed between the humans and between humans and the technological tools to make everyday practices more flexible. The ICU staff does not solve problems solely through individual cognitive work rather staff members "borrow" knowing from each other and solve problems in concert. Intensive care is produced here and now at the same time as the past is present in the everyday pracitices. The meaning is shaped in context and moral values are embedded in the intensive care discourse. In this sense intensive care could be described as a technically, cognitively and morally intense environment.

  • 1982.
    Wikström, Ann-Charlott
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Cederborg, Ann-Christin
    Department of Behavioural Sciences, Linköping University.
    Johanson, Marita
    University West, Administration .
    The meaning of technology in an intensive care unit-an interview study2007In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 23, no 4, p. 187-195Article in journal (Refereed)
  • 1983.
    Wikström, Ann-Charlott
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Johanson, Marita
    University West, Administration .
    Plos, Kathy
    Cederborg, Ann-Christin
    Morality in discourse in a intensive care unit: a field studtArticle in journal (Refereed)
  • 1984.
    Wikström, Ann-Charlott
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Larsson, Ullabeth Sätterlund
    Sahlgrenska Academy at Göteborg University, Institute of Health Care Pedagogics.
    Technology -an actor in the ICU: a study in workplace research tradition.2004In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 13, no 5, p. 555-61Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The present study focuses on human-machine interaction in an intensive care unit in the West of Sweden. AIMS: The aim of the present study was to explore how technology intervenes and challenges the ICU staff's knowing in practice. THEORETICAL PERSPECTIVE: The study's theoretical starting point draws on workplace research tradition. Workplace studies encompass the interaction between the actors' situated activities and the technological tools that make their activities possible. METHOD: Fieldwork or in situ studies of everyday practice in an intensive care unit documented in written field notes constituted the data. RESULTS: The findings show first how technology intervenes in the division of labour when the taken-for-granted "old" everyday practice is disrupted when a new machine intervenes in the morning's work; secondly, it reveal how technology challenges practical knowing and thirdly, it shows how technology reformulates practice. Staff members' awareness of routine problems is often connected to the ability to see, which is always related to cultural/contextual competence. CONCLUSION: It is concluded that it is not talk alone that helps the caregivers to "(dis)solve" the problems. The ability to see the problems, the work environment and to find the relevant supporting tools for "(dis)solving" the routine problems is also crucial. But it is not possible to say that it is the skillful work of humans that solve problems, nor do we claim it is the tools that do so. Humans and tools are interwoven in the problem-solving process. Relevance to clinical practice. Routine problems in the intensive care unit are not "(dis)solved" through the cognitive work of individual staff members alone. Problems are also "(dis)solved" jointly with other staff members. Staff members "borrow" the knowing from each other and problems are re-represented through communication. The knowing has to be distributed among the intensive care unit staff to make the everyday work flexible.

  • 1985.
    Wikström, Ann-Charlott
    et al.
    University West, Department of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Sätterlund Larsson, Ullabeth
    Sahlgrenska Academy at Göteborg University, Institute of Health Care Pedagogics.
    Patient on display: a study of everyday practice in intensive care2003In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 43, no 4, p. 376-83Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: This study investigates the situated organization in a workplace producing intensive care, that is an intensive care unit (ICU). The workplace research tradition concerns work and interaction/communication in technology-intensive environments. Communication is seen as social action and cannot be separated from production or from the context in which the activities are situated. AIM: The aim of the present study was to explore how intensive care is produced by analysing a recurrent situated activity in the ICU, namely the delivery and reception of a patient coming from the operation unit. METHOD: In the fieldwork, participant observations was used to study everyday practice in an ICU, combined with written field notes. FINDINGS AND DISCUSSION: Intensive care is to a great extent produced through routine practices. The division of labour is marked and is taken for granted: everyone knows what to do. The actors' physical location in the room is connected to their functions and work with supportive tools. Verbal reports, visual displays and activities make the information transmission available to everyone in the patient room. Shared understanding of the situation seems to make words redundant when the activities of competent actors are co-ordinated. There is also coordination between the actors in the ICU and the technological equipment, which constantly produces new information that must be interpreted. Enrolled Nurses are physically closest to the patients, the physician is the one most physically distant from patients and Registered Nurses bridge the gap between them. These actors produce and re-produce intensive care through constant sense-making in the here and now at the same time as the past is present in their activities.

  • 1986.
    Wilczek-Rużyczka, Ewa
    et al.
    Uniwersytet Jagielloński, Collegium Medicum, Kraków, Polska.
    Basinska, Beata A.
    Gdansk University of Technology, Faculty of Management and Economics, Poland.
    Dåderman, Anna Maria
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Jak pogodzić życie zawodowe i prywatne? – stres zawodowy i zaangażowanie a konflikt praca - dom wśród pielęgniarek [How to balance professional involvement with private life? – job-related stress and professional responsibilities in the light of the conflict between job and private life in the nursing  profession].2012In: Conference "Patient-friendly medicine", Warsaw, 19-20.05.2012: XX Jubilee Conference of Psychosomatic Medicine, Section of the Polish Medicine Association / [ed] Szewczyk, Leszek, 2012, p. 2-Conference paper (Refereed)
    Abstract [pl]

    Wprowadzenie: Większość pielęgniarek to kobiety, które tradycyjnie często godzą profesjonalne obowiązki z życiem rodzinnym. Konflikt pomiędzy sferą prywatną i zawodową ma dwustronną naturę. Negatywny wpływ pracy na życie prywatne jest odnotowywany częściej niż relacja odwrotna (Greuters et al., 2003).

    Celem pracy była ocena konfliktu praca – dom i dom – praca na percepcję stresu zawodowego i zaangażowania w pracę. Wymagania zawodowe zdefiniowano jako przeciążenie pracą i konflikty interpersonalne (Spector & Jex, 1998). Zaangażowanie charakteryzowano jako wigor i poświęcenie (Schaufeli et al., 2002).

    Metody: Zastosowano następujące metody: Skala Konfliktu Interpersonalnego i Ilościowego Przeciążenia Pracą (Spector & Jex, 1998), Utrechtska Skala Zaangażowania w Pracę – wersja skrócona (Schaueli, Bakker, & Salanova, 2006), Skale Konflikt Praca – Rodzina i Rodzina Praca (Netemeyer, Boles, & McMurrian, 1996).

    W badaniu wzięło udział 98 pielęgniarek (średnia wieku 41 lat SD = 5,9) pracujące w zawodzie przeciętnie od 19 lat (zakres1,5 – 33). Większość byłą zamężna (85%), a ich partnerzy pracowali zawodowo (82%).

    Wyniki: Konflikt praca – rodzina był silniejszy niż konflikt rodzina – praca wśród badanych pielęgniarek. Negatywne oddziaływania pracy na życie prywatne, różnicuje percepcję stresu zawodowego (przeciążenie pracą i konflikty interpersonalne) i zaangażowania w pracę (wigor i poświęcenie).  Pielęgniarki, które odczuwały większy konflikt na linii dom – praca doświadczały większego konfliktu praca dom.

  • 1987.
    Wilsson, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Sara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Partners upplevelser av att leva med en person som har en demenssjukdom: Att fysiskt leva tillsammans, men psykiskt stå ensam2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As the population grows older the more often people become affected of dementia. Behind the person with dementia stands a family and often a partner. Partners feel a responsibility to take care of the person with dementia which means to take care of their daily routines, to manage the behavior and take care of the household. It can be such a stressful task that the partner often forgets their own health and wellbeing.

    Aim: The aim of this study was to illustrate partners' experiences to live with a person with dementia disease.

    Method: A literature study with a qualitative content analysis of twelve scientific articles using Fribergs' five step model.

    Results: The study resulted in three main themes: In sickness or in health, A daily fight and The need of support. In sickness or in health got three subthemes, Feel a duty to care, Go from partner to caregiver and A future as individuals instead of a couple. Under A daily fight there was also three subthemes, To not understand, Handle the everyday life and Manage to undure life. The need of support got two subthemes, Insight to need help and Room for own-time.

    Conclusion: When problems occurs in the caring of the person with dementia, partners needs support from the professional care to learn how to handle situations or to get relieved from the caring. They also need to be seen and confirmed for what they do. Therefore, it is important to in good time support this group of relatives through the progress of the disease.

  • 1988.
    Wingstedt, Sanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ortorexia nervosa : att balansera mellan hälsa och ohälsa2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Orthorexia nervosa is a condition that is used to explain an extremely healthy behavior in terms of food. Ortorexia nervosa is not a diagnosed eating disorder and the concept exhibits both similarities and differences with anorexia nervosa and bulimia nervosa. There are also similarities between orthorexia nervosa and obsessive compulsive disorder.

    Aim

    The aim of this study was to describe the area of knowledge covering the concept of orthorexia nervosa.

    Method

    A literature review was used to analyze eleven quantitative and one qualitative article.

    Results

    The result confirms that orthorexia nervosa is an extremely healthy behavior with consequences like obsessions, malnutrition and becoming socially isolated. The fact that orthorexia nervosa not is a generally accepted diagnosis means difficulties to both measure and to determine prevalence.

    Conclusion

    In the daily work of nurses with health promotion it requires knowledge of what is healthy and what is unhealthy. By understanding what orthorexia nervosa is, an individualized care can be achieved. More research on the concept ortorexia nervosa is required to determine whether there needs to be a diagnosis or if the orthorectic behavior is nothing more than a part of other mental disorders.

  • 1989.
    Winman, Thomas
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Från personlig anteckning till elektronisk patientjournal2009In: Organisation, teknik och lärande / [ed] Larsson, Göran, Stockholm: Carlsson , 2009, p. 187-204Chapter in book (Other academic)
  • 1990.
    Winman, Thomas
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Transforming information into practical actions: A study of professional knowledge in the use of electronic patient records2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Today, technologies are being introduced into historically established settings, which change the conditions for work as well as for work-integrated learning. In health care, electronic patient records (EPRs) has been implemented during the last decades to serve as a tool for planning, decision making and evaluation of care work. The overall aim of the research presented in this thesis is to analyse the complex actions and interactions that occur when EPRs are used in health care practice. Analytically, such an interest is pursued employing a socio-cultural perspective on workplace studies, where the use of technology is studied in action. Through three separate studies, practical actions and practical use of EPRs have been examined and the empirical data draws on observations, video-recordings, audio-recordings and documents from a hospital ward in Sweden. The result shows that technologies such as EPRs both offer and presuppose standardization of terminologies and information structures. This, however, does not mean that EPRs completely format and structure information, or that it is driven by its own logic. When staffs comply with a set of standards, transformations of those standards will gradually occur. Those transformations are collective achievements and since each professional involved act in a conscious and active manner, this affects the use of standards as well as the development of collective proficiency. The results also demonstrate that meaning making in(through) the use of EPRs presupposes extensive knowledge of the indexicality of categories, something that originates in the participants‘ shared institutional history. It is in the process of reliving, creating and exposing the meaning of information, that health care professionals actually bring information in EPRs to life. In further development of EPRs that exceeds institutional and even national boundaries it is important to see this development not as solely technical or organizational questions. To develop systems that enhance the possibilities for professionals in different institutions with different professional domains to make sense of standardized information may be a much more  demanding task than it seems to be. Such boundary-crossing systems are nevertheless of great importance for the further development of health care practice.

  • 1991.
    Winman, Thomas
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Rystedt, Hans
    Department of Education, University of Gothenburg.
    Electronic patient records in interprofessional decision making: Standardized categories and local use2012In: Human Technology, ISSN 1795-6889, E-ISSN 1795-6889, Vol. 8, no 1, p. 46-64Article in journal (Refereed)
    Abstract [en]

    Electronic patient records (EPRs) are a constitutive element of medical practice and are expected to improve interprofessional communication and support decision making. The aim of the current study is to explore the ways in which access to structured information from multiple professions within EPRs enters into the phases involved in arriving at final agreements about patients' future care. The results show that decision making in interprofessional team rounds involves a prestructuring of a pathological reality. Further, the results demonstrate how information in EPRs is deconstructed and recast into patterns that presuppose knowledge about the EPR's structural organization. This means that EPRs are highly flexible technologies and that their design does not determine their usefulness. A major conclusion is that the members' knowledge on how to bridge between standardized categories in EPRs and their local meanings is decisive for understanding the basic conditions necessary for how EPRs could support interprofessional collaboration.

  • 1992.
    Winman, Thomas
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Rystedt, Hans
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Från patientjournal till digitala informationssystem2010In: Omvårdnadens grunder: en specialutgåva för sjuksköterskor / [ed] Edberg, Anna-Karin, Lund: Studentlitteratur , 2010, 1, p. 313-342Chapter in book (Other academic)
  • 1993.
    Winman, Thomas
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Säljö, Roger
    Department of Education, University of Gothenburg.
    Rystedt, Hans
    Department of Education, University of Gothenburg.
    Local knowing and the use of electronic patientrecords: categories and continuity of health care2012In: Health and Technology, ISSN 2190-7188, E-ISSN 2190-7196, Vol. 2, no 3, p. 185-196Article in journal (Refereed)
    Abstract [en]

    The electronic patient record (EPR) is a constitutive element of medical practice and can be conceived of as a multi-purpose tool that is intended to support a range of activities such as planning, decision-making and evaluation. Each of these activities is quite complex in its own right. The aim of the present study is to explore how the standardized format of EPRs intervenes in the work of sustaining continuity in patients ' care. In doing this we analyse ow this standardized format contributes to structure the production and use of information concerning patients' mundane problems in the context of rehabilitation. Data consists of observations, informal interviews and video-recordings from a ward for patients affected by stroke. The results show that there is a tension between the highly uniform structures and standards for documentation in EPRs, on the one hand, and, on the other, how information is designed and put into use by care providers. When staff members use EPRs, they constantly have to contextualize what is written in relation to what they know about patients and/or the current situation. On the local level, the increasing standardization that follows the introduction of EPRs will make it even more necessary for professionals to engage in such interpretative work to close the gap between the standardized categories of the EPR and contextually relevant health care interventions. In spite of requests for increasing standardization there will always be a need to adapt to specific needs for more flexible information structures. Otherwise, there may be the risk that non-standard features the initial standardization was intended to reduce may be re-introduced.

  • 1994.
    Winneby, Ewa
    et al.
    SHD, FyrBoDal, Uddevalla.
    Flensner, Gullvi
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Rudolfsson, Gudrun
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Feeling rejected or invited: Experiences of persons seeking care advice at the Swedish Healthcare Direct organization2014In: Japan Journal of Nursing Science, ISSN 1742-7932, Vol. 11, no 2, p. 87-93Article in journal (Refereed)
    Abstract [en]

    Aim Swedish Healthcare Direct is an organization staffed by registered nurses who act as telenurses and assess callers’ need for care, taking both medical and personal aspects into account. They direct the care seeker to: emergency care (level I), a care center on duty (level II), their regular doctor (level III), or provide advice about self-care strategies (level IV). In this assessment process, the nurse and care seeker should reach mutual agreement. The aim and focus of the present study was to elucidate the care seeker’s situation and experiences of the care received after being triaged and directed to level II, although the telenurse in fact assessed their medical problems as corresponding to level III. Methods A total of eight recent Swedish Healthcare Direct users were interviewed in this qualitative study. Data were analyzed by means of content analysis. Results Three themes emerged – “feeling trapped”, “feeling disrespected”, and “feeling invited” – comprising seven subthemes. Conclusion Care seekers experienced suffering as well as struggling to be allowed to be a patient. When not met by an ethically correct stance, they continued to seek care. In contrast, when they encountered commitment and an ethically correct attitude, their health process began and they had no further need for contact.

  • 1995.
    Winroth, Jan
    University West, Department of Health Sciences, Health and culture.
    Organisation som arena för hälsofrämjande arbete2015In: Salutogenes: om hälsans ursprung : [från forskning till praktisk tillämpning] / [ed] Eriksson, Monica, Stockholm: Liber, 2015, 1. uppl., p. 126-190Chapter in book (Other academic)
  • 1996.
    Winroth, Jan
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Rydqvist, Lars-Göran
    Hälsa & Hälsopromotion med focus på individ-, grupp- och organisationsnivå.2008Book (Other (popular science, discussion, etc.))
  • 1997.
    Ylitalo, Natalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ataollahi, Sanaz
    Vuxnas upplevelser av att leva med ADHD: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Attention deficit/hyperactivity disorder (ADHD), a psychiatric disorder that usually give symptoms during early childhood but can in two thirds of the cases persist even into adulthood. However, the problems adult persons diagnosed with ADHD face in their daily lives remain largely unexplored. Aim: The aim was to describe adults experience of living with ADHD. Method: A literature-study based on nine qualitative articles was performed and the result of content analysis was presented in two themes and eight subthemes. Results: The findings were that adults living with ADHD had difficulties following the socially accepted behavior, which led to misunderstandings. The participants struggled with focusing and engaging in daily life. Finally, the result presented that the participants used different coping strategies to help them to manage their daily life. An example could be to set goals and participate in activities of interest to the persons. Conclusion: Adults with ADHD experience difficulties in their daily life. Coping strategies and support is a necessity for them to be able to handle their diagnosis.

  • 1998.
    Yngvesdotter Kaldemark, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Verdrengh, Linnea
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers erfarenheter av att leva med diabetes mellitus typ 22019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 2 is a chronic disease which increased in many countries and is rated as a threat to the public health. In order to be able to handle the disease and prevent severe complications or even death, the person affected with diabetes mellitus type 2 should gather knowledge about the disease and take on great responsibility for proper treatment.

    Aim: The aim of this study was to describe persons' experience of living with diabetes mellitus type 2.

    Method: The method used was a literature study based on qualitative research. The articles were analysed according to Friberg (2017) five step model and resulted in three themes and eight subthemes.

    Results: The themes were The importance of culture, Self-management and Participation in care. The theme The importance of culture described how religion and culture could affect the persons' choice of food and the ways they managed their disease under religious celebrations such as Ramadan. The theme Self-management described the obstacles they could face with their disease, such as medication and how they could manage to control it. The theme Participation in care described different obstacles in health care such as language, culture and lack of insight into the disease.

    Conclusion: One of the most important parts in self-managing diabetes mellitus type 2 was that the persons should realize they suffered from a chronic disease and that they had to change their lifestyles in order to prevent complications related to the disease.

  • 1999.
    Yosief, Harena
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Yussuf, Ilhan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att stå på egna ben: Nyexaminerade sjuksköterskors upplevelser av första året inom yrket2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Registered nurses' profession is nursing which includes provide care, assessment and give advice to the patients. Studies have shown that the transition from nursing student to registered nurse was experienced as a challenge. A transition program was given to the newly graduated nurses to prepare them for the profession. Aim The aim of the study was to highlight the newly graduated nurses experience of the first year in practice. Method The method was a literature study based on qualitative researches. Eleven studies from Cinahl, PubMed and Google Scholar where reviewed for qualitative assurance and analyzed by Friberg's five step analysis. Results Four themes and eight subthemes emerged from the analysis of the studyresult. The first theme was to work as a new graduated nurse which included two subthemes bewildering transition to the practice and lacking knowledge in practice. The second theme was to be a part of the group with the subthemes the pursuit of belonging and difficulties in communicating with the team. Third theme was the challenges within the profession with the subthemes stress and anxiety and lack of self-confidence. Fourth theme was the development within the profession with the subthemes expected success of the transition program and development of professional confidence. Conclusion The result highlighted that the nurses experienced difficulties in the transition to the practice because they weren't prepared for their professional role. The nurses needed support for a successful transition to the practice.

  • 2000. Young, Kue
    et al.
    Hassler, Sven
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Injuries and Violoence2008In: Health Transitions in Arctic Populations, Toronto, Kanada: University of Toronto Press , 2008, p. 338-358Chapter in book (Other academic)
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