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  • 2001.
    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.

  • 2002.
    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)
  • 2003.
    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)
  • 2004.
    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.

  • 2005.
    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.

  • 2006.
    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.

  • 2007.
    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.

  • 2008.
    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.

  • 2009.
    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)
  • 2010.
    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.

  • 2011.
    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.

  • 2012.
    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)
  • 2013.
    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.

  • 2014.
    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.

  • 2015.
    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)
  • 2016.
    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.))
  • 2017.
    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.

  • 2018.
    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.

  • 2019.
    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.

  • 2020. 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)
  • 2021.
    Zackrisson, Simon
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Westman, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelserna av det första året som yrkesverksam sjuksköterska: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Registered nurses is a profession with long tradition and the profession has undergone many changes over time. In Sweden, today, nursing education leads to an academic degree but also provides a vocational degree. Profession as a nurse requires much of the practitioner for this to be considered competent to maintain credentials. The path from novice to expert is long while the lack of nurses is large and many choose to leave the profession. Aim: The aim was to describe how newly graduated nurses’ experience their first year as professional nurses. Method: A literature-based study was conducted in which ten qualitative studies were retrieved from the databases Cinahl, Proquest and Pubmed. The studies were subjected to quality assurance and Friberg's five-step analysis.  Result: Through the analysis, the results of the articles were compiled into a new result, in which three themes, and nine subthemes were formed. The main themes were “unreasonable expectations about the new profession”, “the first year - a reality shock” and “the need for support in the workplace”. Conclusion: The first year of occupational nurses was experienced a difficult period and was lined with feelings of unpreparedness for what the profession meant and expectations of the profession that did not really correspond. The need for support was considered important for transition from education to professional nurse to be successful. The workplace of the graduates graduated was crucial for whether the nurse came to stay in the profession or not.

  • 2022.
    Zahirovic, Semra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelse av att diagnostiseras och behandlas förbröstcancer samt sjukdomens påverkan på livssituationen: En litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common form of cancer in women. It is considered anappalling disease with its high mortality, demanding treatment and major impact on selfimageand body perception.

    Aim: The aim of this study is to describe women's experiences of being diagnosed and treatedfor breast cancer and how the breast cancer affects their life situation.

    Method: The method used was a literature study based on qualitative research. Eleven studieswere analysed according to the five-step model by Friberg.

    Results: The analysis resulted in three main themes and sex subthemes. The main themeswere: The life is threatened, Suffer from disease and Life continues.

    Conclusion: Suffering from breast cancer imposes changes on all aspects of the women's life,both physically, mentally and socially and evokes various individual coping strategies. In thisprocess it is vital that the nurse, which is closest to the patient, has a good understanding ofthe various patterns of crisis reaction to be able to deliver a good professional care andindividual support to the women.

  • 2023.
    Zotova, Tanja
    et al.
    University West, Department of Nursing, Health and Culture.
    Ljungberg, Nina
    University West, Department of Nursing, Health and Culture.
    Orsaker till låg följsamhet till handhygienföreskrifter: En litteraturöversikt2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hand hygiene is the simplest and most fundamental means to prevent care related infections. It is of great importance that the guideline of hand hygiene is followed for the patient’s sake. Unfortunately, healthcare workers perform hand hygiene too seldom. If the patient comes down with a care related infection, the suffering will increase. The nurse's role is therefore to prevent unnecessary suffering for the patient by following recommendations for hand hygiene. In order to get a broader understanding of the reasons why the compliance of hand hygiene is so low the theory of planned behaviour was used (TPB). This theory explains the human behavior. Aim: The aim of this study was to describe causes of not following recommendations for hand hygiene among health care workers. Method: This literature review was based on quantitative and qualitative scientific articles. Results: The findings indicated that there were several factors that influence the low compliance of hand hygiene recommendations. These were summarized as: workload and lack of time, skin irritation, attitudes and motivation, insufficient access to hand hygiene products, inappropriate glove use, lack of knowledge and unawareness.

  • 2024.
    Zotova, Tanja
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Skogsberg, Gina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans erfarenheter av att kommunicera med patienter via tolk2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of patients with a foreign background is increasing, thereby it can be a challenge for the staff to communicate with those who do not speak the native language. Therefore, the need for good communication is crucial in order to meet patient’s right and secure the quality of nursing care. Interpreters are increasingly used in healthcare today, despite of this the communication between the nurse and patient does not work. Few studies are made where the communication between the nurse and patient through an interpreter is studied in the primary care in Sweden. Aim: The purpose of this study was to describe nurse’s experience of communication with patients through an interpreter in the primary care.

    Method: Eight nurses and district nurses were interviewed individually during winter 2013. The interviews were recorded and transcribed. A qualitative content analysis method was used to analyse the interview texts. Results: Four main categories were revealed: experiences of communicating through an interpreter, family member as an interpreter, professionalism among interpreters and strategies for the use of interpreters. It is a challenge to work through an interpreter since it require more time and resources. There are differences in the interpreter’s skills and to use relatives as interpreters is not optimal for the patient's autonomy. Nurses have their own strategies when it comes to the use of interpreters. In spite of this it is nurses pointed out the need for training in intercultural communication and training in effective use of interpreters. Conclusion: There is a need for better collaboration between the interpreter agency and the nurses there the views and expectations of both sides can be discussed. That could improve quality of the communication with the patient and provide the care that is planned. Training for nurses in intercultural communication should also be improved

  • 2025.
    Zouini, Btissame
    et al.
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Senhaji, Meftaha
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences,Tetouan, Morocco.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Self-reported aggressive and antisocial behaviors in Moroccan high school students2019In: Psihologija, ISSN 1451-9283, Vol. 52, no 3, p. 235-247Article in journal (Refereed)
    Abstract [en]

    The aims of the present study were to map the level and distribution of aggressive and antisocial behaviors in a sample of Moroccan high school students and to define the level of these behaviors in adolescents who reported parental alcohol use problems and/or experienced abuse. In total, 375 high school students completed the "Mental and Somatic Health without borders (MeSHe)" survey that includes the Life History of Aggression scale. Male students had significantly higher scores for aggression and antisocial behaviors than female. The students who reported experience of abuse or parental alcohol use problems scored significantly higher for aggression, self-directed aggression, and antisocial behaviors compared to students not reporting these negative psychosocial factors. Previously shown gender-specific patterns in aggressive and antisocial behaviors, but not in self-harm behaviors were confirmed in these Moroccan high school students. Reported experience of abuse and/or parental alcohol use problems were associated with increased frequency of aggressive and antisocial behaviors.

  • 2026.
    Åhlund, Camilla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åström, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara medvandrare i en andlig och existentiell livsvärld: En kvalitativ litteraturbaserad studie om sjuksköterskors erfarenheter av andliga och existentiella möten vid livets slut.2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 91000 people died in Sweden in 2016 and of those who died an estimate of 70000-75000 needed palliative care. When facing one’s own death it actualises questions about life and death and what happens thereafter. An important aspect of caring for patients at the end of life is the existential and spiritual dimension and therefore it is important that nurses have adequate knowledge and insight to be able to provide the best possible spiritual care for the patients. Aim: The aim of this study was to illustrate nurses’ different experiences of existential and spiritual encounters with patients at the end-of-life. Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was used. An analysis of thirteen qualitative articles was carried out and resulted in 3 main themes and 12 subthemes. Results: The results of the study showed that some important factors with regards to existential encounters were courage, good communication skills, presence and the ability to care with love and compassion and to instill a sense of hope. For the nurses the encounters fostered a process of inner growth as they started to reflect on their own sense of spirituality and on issues of death and dying. Barriers included lack of time, knowledge and staff shortages. Conclusion: There is a need for sufficient time, education and support for the nurses to feel more prepared and comfortable in meeting the existential needs of the patients. Keywords: Palliative care, existential, spiritual, experience, nurse

  • 2027.
    Åhs Hultgren, Sofia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Suslova Olsson, Anna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    En litteraturbaserad studie med syfte att belysa personers upplevelser efter en organtransplantation2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a person suffers from organ failure, an organ transplantation can save life. Persons on the waiting list often have mixed feelings like uncertainty and hope for the future. Even the time after transplantation is described like a period of physical and mental challenges during the recovering.

    Aim: The aim of this study was to highlight persons´ experiences after an organ transplantation.

    Method: The method used was a literature-based study based on qualitative articles. A total of eight articles were analyzed with a Qualitative content analysis.

    Results: The results from the study showed that people experienced mixed feelings after transplantation and these were described in three main themes: A new reality, New strategies and Emotional roller coaster.

    Conclusion: People who have undergone an organ transplant experience both physical and mental stress during recovery.

  • 2028.
    Åkerlund, Sofia  
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lindgren, Jenny
    University West, Department of Health Sciences, Section for nursing - graduate level.
    "Försöka känna hopp samtidigt som jag försöker vara förberedd på det värsta": att vara närstående till en patient som vårdas på intensivvårdsavdelning.2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Relatives of a critically ill patient being cared for at an intensive care unit are in great need of support from the intensive care nurse. To be able to handle the stressful situation they need information, the opportunity to be involved and to be greeted in a positive manner.

    The purpose of this study was to describe relatives' psychiatric health at an intensive care unit.

    A cross-sectional study using a survey and qualitative content analysis was chosen as the design for this study.

    The result reveals that relatives feel great concern and have a hard time relaxing. A lot of them feel anxiety and depression as a result of the strains from the time at the intensive care unit. To oscillate between hope and despair meant that they lived with great uncertainty and made it difficult to keep their motivation up. They describe that their psychiatric health is affected by the promotion of relationships, as they're living with uncertainty, as they're being able to handle the situation and as they're experiencing a loss of control.

    The result of this study showed that relatives of a critically ill patient being cared for at an intensive care unit have a high occurrence of anxiety and depression. Resources need to be allocated to caring for relatives to prevent illness.

  • 2029.
    Åkerman, Karin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Setterberg, Jenni
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    "Jag är inte rädd för att tolka men jag är rädd för att missa någonting. Det är ett stort ansvar.": En intervjustudie om språktolkens erfarenhet2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It is important to use a language interpreter in health care meetings where patients do not speak Swedish to increase the understanding and participation among the patients. The use of a language interpreter in the health care meeting requires the interpreter and the caregiver to follow the regulations and guidelines at hand. It is a challenge for the language interpreters to be able to efficiently convey whatever is said during the meeting since there can be obstacles such as for the interpreter to be misunderstood or mistrusted in their job.

    Aim: To describe the language interpreter´s experiences of being a tool in the health care meeting. Methods: A qualitative study where interviews have been made with eleven language interpreters. The interviews have been analyzed by qualitative content analysis. Result: The language interpreter found his or her work rewarding with a great responsibility in conveying messages correctly between the parts. In some cases the language interpreter experienced that the caregiver or the patient didn't trust the interpretation to be correct. It was found hard to perform a proper interpretation when the caregiver or the patient lacked knowledge of the interpreter's role. According to the informants, the quality of the interpreted conversation increased significantly if both the language interpreter and the caregiver had experience in language interpretation. Conclusion: There is doubt about how to use a language interpreter in the health meeting according to the interviewed language interpreters. Even though there are regulations on, and guidelines to, how to conduct a meeting where a language interpreter is used, there are few caregivers who have knowledge about what their own role and the language interpreter role should be in the health care meeting.

  • 2030. Åman, J
    et al.
    Samuelson, Gösta
    Tuvemo, T
    Problemfri overgång till insulin 100 for barn  och ungdom1989In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 38, p. 3161-3162Article in journal (Other academic)
  • 2031.
    Årstrand, Frida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Östlind,  , Marie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av barn som misstänks fara illa eller som far illa.: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Child maltreatment has since 1979 been a punishable crime according to Swedish law but is still occurring in society today. All sorts of physical, psychological, sexual violence, neglect and exploitation of an individual under 18 years old was qualified as child maltreatment. Previous research has found an insecurity among nurses when they met children exposed to maltreatment. Nurses can encounter these children and are obligated through duty to notify and report when they suspect child maltreatment.

    Aim: The aim of this study was to illustrate nurses´ experiences of suspected child maltreatment or child maltreatment.

    Method: A literature review was conducted with a qualitative approach. Ten qualitative studies from Cinahl and Pubmed was reviewed for quality assurance and analyzed by Friberg's five-step analysis.

    Result: The analyze of the study resulted in three themes and eight subthemes. The first theme, Complex meetings, was about experiences in being a professional and challenges in the meeting. The second theme, Complicated assignments, described how nurse's experienced to assess the child's situation, to make a report and the cooperation with authorities. The third and last theme, Inhibitory and promotional activities, exposed the nurse's view on receiving support and education and the support for children and parents.

    Conclusion: Nurses experienced that it was important to be available and to build a relation with the child so the child could feel safe to tell about the mistreatment. It has also been shown that the nurse experienced complex emotions in the meeting with both the child and the parents and that it was not always clear to the nurse when to report child maltreatment. There was a need for more information and education for the nurse within the topic of child maltreatment. Also, the nurse experienced a need for better cooperation with the authorities that oversees cases of child maltreatment.

  • 2032.
    Åsén, Emma
    University West, Department of Health Sciences.
    Jag slipper i alla fall använda preventivmedel: En litteraturbaserad studie om fertila kvinnors upplevelser kring sin hysterektomi2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Every year approximately 8,000 women undergo a hysterectomy. A hysterectomy alleviate the pathogenic problem but can itself create a new suffering where the sexuality and ability to get pregnant can be affected. To meet the requirements of promoting health and alleviate suffering the nurse need greater understanding of women’s experiences and needs after a hysterectomy. The aim of this study was to describe the fertile women’s experiences due to a hysterectomy. In this study eight qualitative articles were analysed by the five-step method described by Friberg (2012). Three main categories were described: the need to feel acknowledged and respected, free from symptoms but not without pains and body changes leads to new experiences.Women perceive that they do not get enough information and feel that they may not be involved in decisions regarding the hysterectomy. Regardless of whether the woman has undergone a planned or an emergency hysterectomy, there are those who are suffering great loss of their womb. They lack the possibility of pregnancy and doubt whether the surgery was the right thing to do. It is important that nurses’ inform the patient about what a hysterectomy is. The nurses’ must also inform about how the surgery is performed and how it can affect women physically and mentally regardless if it is a planned or an emergency hysterectomy. Nurses’ must stop being ashamed of talking about sexuality and gain courage to answer the women’s questions that they may have.

  • 2033.
    Ólafsdóttir, Arndís Finna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Users experience of Flash Glucose Monitoring2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: For individuals with diabetes it is important to be able to monitor their blood glucose in a safe and effective way. This has traditionally been done with Self-measurement of blood glucose. In the last decade Continuous Glucose Monitoring has become available and in 2014 a Flash Glucose monitor (FGM) came onto the market. To be able to help each individual find the best possible system for themselves the diabetes nurse has to be familiar with all systems.

    Aim: The aim of this study was to explore user's experience of a Flash Glucose Monitor.

    Method: This was a quantitative study done in 2 outpatient clinics in western Sweden during 2015. Individuals with type 1 diabetes answered a questionnaire (min0-max10) about their experience after using a Flash Glucose Monitor for 2 weeks.

    Results: Mean age was 47.5 years (SD 15.9) and 40% were women. The user experience was positive, with mean for the questions ranging from 8.08-9.79 (SD 0.6-2.5). There was a significant positive correlation to increasing age for 8 of the questions. Only statistical difference between genders was that women found the FGM disturbed more in their daily life.

    Conclusion: The FGM can be considered for individuals with type 1 diabetes and it is important to also include this when informing older individuals of the possible options for measurement of blood glucose.

  • 2034.
    Ökvist, Marie
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Sömn hos små barn och deras föräldrar2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: How small children sleep influence the whole family. Sleeping problems, could influence children physical, mental, emotionally, cognitive and socially. When parents get waked by the children, who wake by themselves in the middle of the night, the parents do not always now what to do. Aim: The aim of this study was how children sleep and how it influence their parents sleep habit. The question formulation was threefold: Firstly. To describe the sleeping habit of children aged 0-3 years and their parents. Secondly, how usual are sleeping problems and which are the differences concerning sleep between those who experience problems and those who do not? Thirdly, witch help has the parents searched and received concerning sleeping problems. Method: The study was empirical and a questionnaire was constructed. This was delivered to three children care centres. 51 questionnaires were answered and analysed. Results: The parents who believed that they sometimes had problem with the sleep, felt more irascible. They also believed that the children were more frequently sick. The parents talked more with district nurse, and they had more frequently at least two children.

  • 2035.
    Öster, Inger
    et al.
    Umeå University, Department of Nursing.
    Tavelin, Björn
    Umeå University, Department of Radiation Sciences.
    Egberg Thyme, Karin
    Department of Clinical Sciences, Division of Psychiatry, Umeå University.
    Magnusson, Eva
    Umeå University, Department of Clinical Sciences, Division of Psychiatry.
    Isaksson, Ulf
    Umeå University, Department of Nursing.
    Lindh, Jack
    Umeå University, Department of Radiation Sciences.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Art therapy during radiotherapy: A five-year follow-up study with women diagnosed with breast cancer2014In: The arts in psychotherapy, ISSN 0197-4556, E-ISSN 1873-5878, Vol. 41, no 1, p. 36-40Article in journal (Refereed)
    Abstract [en]

    Follow-up studies on art therapy are lacking. In a randomised art therapy intervention study from 2001 to 2004 with women with breast cancer, results showed that patients benefitted from participating in art therapy for up to four months after the intervention. The aim of this study was to describe the coping resources and quality of life amongst women treated for breast cancer five to seven years after participating in individual art therapy during radiotherapy as compared to a control group. In 2009, thirty-seven women, 18 from the intervention group and 19 from the control group, answered questionnaires about their coping resources and quality of life. The results showed no significant difference between the groups regarding their coping resources or quality of life, except for an unexpected significantly lower score in the domain ’Social relations’ in the study group as compared to baseline, at the time of the follow up. However, our study from 2001 to 2004 supports various positive effects of art therapy within six months of participation as compared to a control group. Consequently, attending art therapy during the treatment period for breast cancer can be of great importance to support health, coping and quality of life in a short-term perspective. © 2013 Elsevier Ltd.

  • 2036.
    Östergren, Marina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors erfarenheter av möten med flyktingar i primärvården: En kvalitativ intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The migration into Sweden has been high during the last decade. Primary care nurses will encounter these migrants, on a regular basis, hence the primary care is the first step into the health care for the entire population. Nurses are obliged to keep a person centered care approach and to work with a health perspective. Aim: The aim with this study was to describe challenges nurses’ and district-nurses experienced from encounter with migrants in a primary care setting. Method: An interview study with a qualitative content analysis was conducted. Participants was recruited from primary care units in Western Sweden and from a closed group for nurses on Facebook. During the entire study ethical considerations were taken. Result: There are some challanges when it comes to migrants seeking care according to the nurses interviewed. Partly because of lack of common language but also because of differences in attitudes towards health and illness as well as cultural differences. According to the nurses it is a challenging and difficult task but also educative and rewarding. Nurses point out the importance of meeting every individual based on the individual’s unique point of view tough it is not always possible given the circumstances of the health care system. Conclusion: A lot of these difficulties and challenges could be decreased if the nurses adopt a more person centered and norm critical approach.

  • 2037. Östman, J
    et al.
    Samuelson, Gösta
    Starkare insulin från första april 19871986In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 83, no 43, p. 3615-3616Article in journal (Other academic)
  • 2038.
    Östman-Smith, Ingegerd
    et al.
    Gothenburg University, Division of Paediatrics, Department of Clinical Sciences, Sahlgrenska Academy.
    Wisten, Aase
    Sunderby Hospital, Luleå, Department of Internal Medicine.
    Nylander, Eva
    Linköping University, Department of Clinical Physiology/CVM, Faculty of Health Science.
    Bratt, Ewa-Lena
    Gothenburg University, Division of Paediatrics, Department of Clinical Sciences, Sahlgrenska Academy.
    de-Wahl Granelli, Anne
    Gothenburg University, Division of Paediatrics, Department of Clinical Sciences, Sahlgrenska Academy.
    Oulhaj, Abderrahim
    University of Oxford, OPTIMA, Department of Physiology, Anatomy and Genetics.
    Ljungström, Erik
    Lund University, Department of Cardiology, University Hospita.
    Electrocardiographic amplitudes: a new risk factor for sudden death in hypertrophic cardiomyopathy.2010In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 31, no 4, p. 439-449Article in journal (Refereed)
    Abstract [en]

    AIMS: Assessment of ECG-features as predictors of sudden death in adults with hypertrophic cardiomyopathy (HCM).

    METHODS AND RESULTS: ECG-amplitude sums were measured in 44 normals, 34 athletes, a hospital-cohort of 87 HCM-patients, and 29 HCM-patients with sudden death or cardiac arrest (HCM-CA). HCM-patients with sudden death or cardiac arrest had substantially higher ECG-amplitudes than the HCM-cohort for limb-lead and 12-lead QRS-amplitude sums, and amplitude-duration products (P = 0.00003-P = 0.000002). Separation of HCM-CA from the HCM-cohort is obtained by limb-lead QRS-amplitude sum >or=7.7 mV (odds ratio 18.8, sensitivity 87%, negative predictive value (NPV) 94%, P < 0.0001), 12-lead amplitude-duration product >or=2.2 mV s (odds ratio 31.0, sensitivity 92%, NPV 97%, P < 0.0001), and limb-lead amplitude-duration product >or=0.70 mV s (odds ratio 31.5, sensitivity 93%, NPV 96%, P < 0.0001). Sensitivity in HCM-patients <40 years is 90, 100, and 100% for those ECG-variables, respectively. Qualitative analysis showed correlation with cardiac arrest for pathological T-wave-inversion (P = 0.0003), ST-depression (P = 0.0010), and dominant S-wave in V(4) (P = 0.0048). A risk score is proposed; a score >or=6 gives a sensitivity of 85% but a higher positive predictive value than above measures. Optimal separation between HCM-CA <40 years and athletes is obtained by a risk score >or=6 (odds ratio 345, sensitivity 85%, specificity 100%, P < 0.0001).

    CONCLUSION: Twelve-lead ECG is a powerful instrument for risk-stratification in HCM.

  • 2039.
    Økland Lier, Haldis
    et al.
    Haugesund Hospital, Section of Mental Health Research, Helse Fonna HF, Haugesund, Norway.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Rørtveit, Kristine
    Stavanger University Hospital, Psychiatric Nursing, Stavanger District Psychiatric Centre, Stavanger, Norway.
    Patients’ daily life experiences five years after gastric bypass surgery – a qualitative study2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 3-4, p. 322-331Article in journal (Refereed)
    Abstract [en]

    Aim and objective The objective was to explore and describe patients’ daily life experiences five years after gastric bypass surgery. Background Bariatric surgery markedly decreases body weight. Previous studies describe positive consequences, as well as physical, social and emotional challenges during the first few years after surgery. An understanding of how patients adjust to and cope with postsurgical changes in the long term is crucial to help them obtain a successful outcome after bariatric surgery. Method A qualitative method was employed. In-depth interviews with 10 men and women were conducted five years after bariatric surgery in a Norwegian hospital. Results One overarching theme – a multitude of daily life changes following bariatric surgery – was developed based on three main themes: relational aspects related to weight loss, the new body and changes in self-esteem. Six sub-themes are described. Conclusion Those who undergo gastric bypass surgery experience enormous changes in their daily lives. Their social lives, their relationship to their body and their self-esteem may be altered by the weight loss. Relevance to clinical practice The results of this study suggest directions for patient education, health staff education and peer education. A patient education programme focusing on changes in daily life experiences when undergoing gastric bypass surgery is suggested due to the changes experienced by the patients involved in this study.

  • 2040. Samuelson, Gösta (Editor)
    Barn- och ungdomsdiabetes: vårdprogram1987Report (Other academic)
  • 2041. Samuelson, Gösta (Editor)
    Kost, aktivitet och hälsa hos barn och ungdom.1990Book (Other academic)
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