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  • 2001.
    Wiesner, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Wennberg, Tove
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ett tillitsfullt samspel: Barnhälsovårdssjuksköterskors upplevelser av vad som stödjer och hindrar vårdrelationer till föräldrar2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Child healthcare in Sweden and its health promotional work, with the aim of promoting children's health and safety is a social resource. The child health nurse meets the majority of families regardless of the families' social or cultural background. The nurse is responsible for creating and maintaining a good caring relationship to parents, as well as inform and reach out with health promotion knowledge. In a systematic search, an overwhelming amount of research was identified about the caring relationships in a hospital context.

    Aim: The aim of the study was to describe child health care nurses' experiences of what supports and prevents the caring relationship with parents in child health care in Sweden.

    Method: The qualitative data collection consisted of 15 narrative stories written by nurses and sent by e-mail. The informants work in northern, middle and western Sweden in municipalities with a range of 4800-579000 inhabitants, with a wide socio-demographic variation. The analysis was conducted with qualitative content analysis according to Hällgren Graneheim and Lundman.

    Results: The result ended in an overall theme: a trusting interaction, which was the foundation of a caring relationship with five categories: time, communication, knowledge, responsiveness and environment - that according to the nurses could support or prevent the caring relationship.

    Conclusion: A good caring relationship with trust between nurses and parents facilitates the health promotion work in child health care, which is an important part of promoting Swedish public health.

  • 2002.
    Wigert, Helena
    et al.
    University of Gothenburg, (SWE) .
    Berg, Linda
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, (SWE).
    Arveklev Höglund, Susanna
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Morrison-Helme, Morag
    Faculty of Education, University of Cambridge, (GBR).
    Lepp, Margret
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, (SWE); Østfold University College, Halden, (NOR); School of Nursing and Midwifery, Griffith University, (AUS).
    Managing conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play2021In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 56, p. -7, article id 103177Article in journal (Refereed)
    Abstract [en]

    Aim:

    To describe and illuminate conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play.

    Background:

    Conflicts are common in healthcare settings and affect patient care and the wellbeing of nurses. To be able to manage complex practice situations, conflict management is an essential competence for nurses and should be highlighted during education. The aim of the study was to describe and illuminate conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play.

    Design:

    The study was designed as a summative qualitative analysis of written group assignments related to nursing students participation in a drama workshop. Method: A summative qualitative content analysis of written group assignments related to nursing students participation in a drama workshop, focusing on conflict management. During the workshop the students explored conflict situations they had encountered during clinical practice, through Forum Play. After the workshop, the students handed in a mandatory written group assignment where they described one of the conflict situations. Results: The findings are presented in three categories; Parties; Arenas; Situations, one main theme;  Who knows best and two subthemes; Difficulties to adapt to the new and Difficulties reaching a mutual understanding.

    Conclusion:

    Conflict situations that nursing students encounter during their clinical practice often stem from the health care staff’s difficulties in adapting to the new and difficulty reaching a mutual understanding. Conflict management can be implemented as a powerful learning strategy in nursing education.  

  • 2003.
    Wik, Kristina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Yarollahi, Alexandra
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Första året som intensivvårdssjuksköterska: Upplevelsen av att vara nyutbildad2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Newly trained intensive care nurses describe the first year as very challenging. Bad experiences such as lack of support and feedback prevent the intensive care nurse from feeling confident in their professional role with the result of leaving their employment.

    Aim The purpose of the study was to describe the newly trained intensive care nurse's experience of working in the intensive care unit

    Method The study is based on a qualitative method. With the help of semi-structured interviews, material was collected from nine intensive care nurses and then analyzed with qualitative content analysis.

    Results Finally, the results of this study are based on two main categories, "Using one's knowledge and developing" and "Working in a good psychosocial work environment". The two main categories each have two subcategories.

    Conclusion In order to feel confident in her professional role, the newly trained intensive care nurse must acquire knowledge and learn to trust her own abilities over time. The importance of a good psychosocial work environment emerges as an important aspect in most of the interviews. To feel respected and to be part of the working group is fundamental. A good psychosocial work environment promotes pedagogical conversations and the exchange of knowledge, where newly trained intensive care nurses are allowed to develop in safe circumstances.

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  • 2004.
    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.

  • 2005.
    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)
  • 2006.
    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)
  • 2007.
    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.

  • 2008.
    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.

  • 2009.
    Wikström, Markus
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hälsa och livskvalitet hos dialyspatienter: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dialysis is a treatment for patients suffering from chronic kidney failure and is a necessity for the patient to stay alive. The treatment when undergoing hemodialysis in a hospital setting includes several long visits every week and can only be terminated if the patient has received a new kidney through transplantation. In relation to the concept of health as Katie Eriksson explains it this study focuses on Lennart Nordenfelts theory of Quality of Life and Health as one way of understanding the patients’ perception on these accounts.

    Aim: To investigate in what way the dialysis treatment affects, and its consequences affect, the patients.

    Method: A literature review of qualitative studies was conducted in this study to identify what is stipulated as the aim of the study.

    Results: A wide variety of factors impairs the dialysis patient’s ability to live a life with quality and good health. They affect both the physical and psychological realm of the patient and extends into more specific areas such as the social life and ability to work. These factors causes the patient to feel fear, shame and isolation as three examples, which in turn can add to the burden creating a vicious cycle.

    Conclusion: The risk of being unable to fulfill ones goals in life is greatly increased for a patient undergoing dialysis. Hence, it is vital for nurses to explore in what way the will of the patient is compromised through person centered care.

  • 2010.
    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.

  • 2011.
    Winman, Thomas
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Vesterlind, Marie
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Tynkkinen, Mona
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Eriksson, Marita
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lärande inom och mellan verksamhetsfält2015Conference paper (Other academic)
  • 2012.
    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)
  • 2013.
    Winroth, Jan
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Organisationshälsa: En bok om hållbart arbetsliv2018Book (Other academic)
  • 2014.
    Wässing, Linn
    et al.
    University West, Department of Health Sciences.
    Spartalis, Paul
    University West, Department of Health Sciences.
    “Sjuksköterskan Bob?”: Komplexiteten med den manlige sjuksköterskans beröring2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to the traditional gender norms the nursing profession is best suited for women. The healthcare is female-dominated with a slow development of men entering the profession. Despite the low number of male nurses, they are most common to appear in sexual allegations or misinterpretations, in men’s use of touch in the nursing care.

    Aim: The aim of the study was to investigate in what way traditional gender norms can interfere in the professional practice for the male nurse in the complex use of touch.

    Method: A literature review of ten articles was conducted. Friberg’s model for analyzing qualitative research was used to examine/analyze the articles.

    Results: Two main themes were identified from the articles; The adaptions of the male nurse to the traditional gender norms, Lack of knowledge of different approaches and how to apply them in practice. Additionally, five sub-themes were found from the main categories; Adaptation when touching female patients, Adaptation- risk creating ethical dilemmas, Traditional gender norms create uncertainly in professional practice, Lack of strategies in training and Lack of preparation for the professional role.

    Conclusion: Male nurses may feel insecure relating to touch of the female patient. To cope they will make adaptations to prevent misinterpretations and avoid being accused of sexual allegations. There is a lack of education about touch in nursing care, and more knowledge and strategies should be given in nursing school in how to use touch. 

  • 2015.
    Wöst Renås, Emma
    et al.
    University West, Department of Health Sciences.
    Gustafsson, Simone
    University West, Department of Health Sciences.
    Se och förstå mig som lider: Patienters upplevelser av lidande och lindring vid palliativ vård2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The population is growing, which places higher demands on palliative care and the need for knowledge development in nursing. Suffering is a big part of living with a terminal illness and relive suffering is part of the nurses' area of responsibility. It is of value for nurses to get insight into the patients' world of life, to provide individual palliative nursing measures. The aim in nursing is to promote quality of life through person-centered care.

    Aim: The aim of this study was to describe adult patients' experiences of suffering and alleviation in palliative care.

    Method: The study was based on a qualitative literature study, with six scientific articles. The articles were selected from the databases Cinahl and PsycInfo, with delimitations for Peer- Reviewed, adults, English language and published between 2013-2023. To analyze the articles, the five-step model of Friberg (2017) was used.

    Results: Three themes emerged from the analyses: Emotional suffering, Physical suffering and Close to death. This study showed patients different and similar experiences of suffering and alleviated suffering at the end of life. Reliving experiences was based on preparation for death, be treated with respect and compassion, be seen and heard, discuss thoughts about life and death and maintain the activities of importance.

    Conclusion: By providing compassionate care, active listening, and being genuinely interested in the patients' wellbeing, increased patients' experience of life quality and gave them a sense of relief. The care measures should be individually tailored due to every patient’s unique needs. It is therefore important for nurses to have a knowledge of how suffering could appear and choose fitting palliative care measures to reach the goal of relieved suffering

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  • 2016.
    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.

  • 2017.
    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.

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  • 2018.
    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.

  • 2019.
    Yousef, Alham
    et al.
    University West, Department of Health Sciences.
    Koluman, Rebecca
    University West, Department of Health Sciences.
    Patienters upplevelse av sin livskvalitet efter hjärtinfarkt: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction is caused by an ischemic condition in the heart muscle. Cardiovsacular diseases is one of Swedens largest public health disease were approximatley 12% of the population is affected. The survival rates are increasing in Sweden due to information and preventive care. The health-related quality of life are affected for those surviving.

    Aim: The aim of the study was to describe patients' experiences of their life quality post myocardial infarction.

    Method: A qualitative literature-based study were used in order to answer the aim of the study. A total of ten representative studies were analyzed and interpreted to obtain themes.

    Results: The result was compiled by three main themes and nine sub-themes. Main symptoms reported post myocardial infarction were fatigue, reduced physical capacity and mental state, uncertainty and affected autonomy.

    Conclusion: Patient’s lifequality were affected due to physical- and psychologial limitations caused by myocardial infarction. The need for information in order to find coping strategies were seen as a necessity by the patients. Acknowledgement and individual supportive care by healthcare providers were considered essential in order to offer person-centered care for those affected.

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  • 2020.
    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.

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  • 2021.
    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.

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  • 2022.
    Zakrisson, Julia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ålander, Sara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Väntan på att få återgå till livet: Personers upplevelser i väntan på en njurtransplantation2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Kidney transplantation is the most common transplant globally and nationally, which is seen as the most efficient treatment for kidney failure. The demand for a new kidney is greater than the supply and many people have to wait several years before a compatible kidney is found. Diabetes, prolonged hypertension and inflammatory diseases can contribute to kidney failure, and dialysis is a common treatment for people who suffer from kidney failure and are waiting for a kidney transplant.

    Aim: The purpose of this study was to examine people's experiences while waiting for a kidney transplant.

    Method: A literature-based study based on analysis of qualitative research.

    Results: The main result in this study tells that people experiences while waiting for a kidney transplant was stressful. Many of the people described feelings of hopelessness and the future felt uncertain. Feelings of limitations in the daily life due to dialysis treatment was stressful both physically and mentally. People experienced the need for support from both family and healthcare. 

    Conclusion: To receive a kidney transplant was seen as a key for a normal life. Regardless of the continent, there were similar feelings about the long wait for a kidney transplant. The limitations and uncertainty that comes with being on a waiting list contributed to feelings of being out of context. Through good care, the nurse can guide people through the challenges that the uncertain wait entails and help people find a meaningful context.

  • 2023.
    Zander, Fatima
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Judith
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med diabetes typ 2: En litteraturbaserad studie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus is increasing rapidly and will be one of the future leading causesof death globally. Diabetes mellitus type 2 (DMT2) is the most common type of diabetes and is a chronic and lifelong illness that can affect people of all ages. The disease causes suffering and affects the patient's quality of life. Ability to self-care is very important to avoid complications associated with the illness.

    Aim: The aim of this study was to illuminate patient´s experience of living with DMT2

    Method: A literature-based study consisting of twelve articles based on qualitative research was conducted and analyzed with the help of the five-stage model of Friberg.

    Results: The result show that people`s experiences of living with type 2 diabetes are initially about being a disease where emotional emotions dominated and where health care and the support of relatives was important. The experiences were also about managing one´s self-care with the impact of diet, creating activity in everyday life and dealing with one´s treatment. They tried to find a new identity through acceptance, living with limitations in everyday life and a concern for the future. 

    Conclusion: The results show that the experiences of living with diabetes type 2 varies from person to person and every person have to live with challenges like lifestyle change. A diabetic needs help, motivation, understanding, instruction and support from health professionals as well as family and friends to manage the illness, improve their well-being, overcome and deal with the challenges. 

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  • 2024.
    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.

  • 2025.
    Zouini, Btissame
    et al.
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Sfendla, Anis
    Higher Institute of Nursing Professions and Health Techniques, Errachidia, Morocco.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Senhaji, Meftaha
    Abdelmalek Essaadi University, Faculty of Sciences, Tetouan, Morocco.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Mental health profile and its relation with parental alcohol use problems and/or the experience of abuse in a sample of Moroccan high school students: An explorative study2019In: Annals of General Psychiatry, E-ISSN 1744-859X, Vol. 18, no 1, article id 27Article in journal (Refereed)
    Abstract [en]

    Background: Studies on mental health are scarce from Arab countries, especially studies focusing on adolescents. In addition to the neurobiological and physiological changes that occur during adolescent development, psychological, societal and cultural influences have strong effects on adolescents’ behavior and on their somatic and mental health. The present study aimed (1) to describe the mental health profile, operationalized as psychological distress, of a sample of Moroccan adolescents, and (2) to investigate how specific psychosocial factors (parental alcohol use problems and the experience of physical and/or psychological abuse) may affect adolescents’ mental health. Methods: The sample included 375 adolescents from conveniently selected classes of four high schools in the city of Tetouan in Morocco. The participants responded to an anonymous survey containing, beside other inventories, the Brief Symptom Inventory (BSI) and identified those reporting parental alcohol use problems and/or the previous experience of abuse. The sample characteristics were defined using descriptive statistics. The effects of the defined psychosocial factors were identified using the Kruskal-Wallis test, followed by the post hoc Fisher’s least significant difference test. Results: The most common problems found in high school students from an urban region of Morocco were memory problems, concentration difficulties, restlessness, fear, nervosity and feelings of inadequacy during interpersonal interactions. The female students reported significantly higher psychological distress levels when compared to the male students (p < 0.001). The adolescents reporting parental alcohol use problems and the experience of physical/psychological abuse showed significantly higher levels of psychological distress (p = 0.02), especially symptoms of somatization (p < 0.001), hostility (p = 0.005) and anxiety (p = 0.01), than those not reporting any of these psychosocial factors. Conclusion: The mental health profile of female adolescents from an urban area of Morocco is worse than that of their male fellow students. Adolescents reporting parental alcohol use problems and/or the experience of physical/psychological abuse need synchronized support from social- A nd healthcare services. © 2019 The Author(s).

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  • 2026.
    Zouini, Btissame
    et al.
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Sfendla, Anis
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Senhaji, Meftaha
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Råstam, Maria
    Lund University, Department of Clinical Sciences,Lund, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescents2019In: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 7, article id 2050312119852527Article in journal (Refereed)
    Abstract [en]

    Background: Adolescence is a distinct developmental phase characterized by multiple physical and psychological changes andby an increased vulnerability to somatic and mental health problems. These risk and vulnerability factors are part of a complexbiopsychosocial matrix, encompassing multiple factors, such as inherited biological determinants and psychological, societal,and cultural influences, which affect an adolescent's overall wellbeing. In Morocco, similar to other developing countries,adolescents (young people aged from 15 to 19years) constitute a substantial proportion of the population (almost 9%).However, studies about adolescents' health in developing countries are scarce. In this study, we describe adolescents' somatichealth in a sample of high school students from the city of Tetouan, Morocco, and investigate how negative psychosocialfactors, such as parental alcohol use problems and/or the experience of abuse, may influence them.Methods: The study sample included 655 adolescents (315 boys and 340 girls, M=16.64years, range=15–18years) fromconviniently selected classes of four high schools in the city of Tetouan in Morocco. The students responded to a survey thatassessed the prevalence of somatic complaints/disorders. They also indicated whether they had ever experienced physicaland/or psychological abuse and whether they had parents with alcohol use problems.Results: More than half of the adolescents suffered from headaches and one-third had substantial problems with diarrhea orconstipation. Both problems were more common in female students. The third most frequent somatic problem, affecting onein four in both genders, was allergy. Almost one-third of Moroccan adolescents (significantly more boys than girls; p=0.004)reported no somatic complaints. In adolescents who reported parental alcohol use problems and/or experience of physicaland/or psychological abuse, the prevalence of several somatic complaints (epilepsy, migraine, headache, diarrhea/constipation,gluten intolerance, allergy, and skin or thyroid disease) increased highly significantly compared to the adolescents whoreported no such psychosocial environmental factors.Conclusion: The results suggest that only 3 in 10 urban-living Moroccan adolescents are free of somatic complaints, whilethe majority suffer from some somatic problems, most often headaches and diarrhea/constipation. The association of certainnegative psychosocial factors with adolescents' somatic health suggests the need of a holistic approach to the treatment of affectedadolescents.

  • 2027.
    Zöögling, Liza
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Babur, Awas
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att möta flickor i grundskolan som lever i en hederskultur: Skolsköterskors erfarenheter av hälsofrämjande insatser2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Thousands of women and girls are murdered every year because of honor, it is often by male relatives to regain the honor of family. The National Board of Health and Welfare describes honor-related violence violations of human rights. The student health team at the school has a responsibility to identify children who are doing badly or who are at risk. Honor culture among girls in primary school can be distinguished in different ways, there may be situations where girls are not allowed to participate in different activities in school due to being told by their parents that they are not allowed, swimming lessons are common examples. The school nurse has an important role in being able to identify girls who live in an honor culture through the health conversation and provide support and guidance.

    Aim: The aim was to describe the school nurse's experiences of meeting girls in primary school who live in an honor culture.

    Method: The study was an empirical study based on and qualitative design with an inductive approach. Semi-structured interviews were conducted where a total of six participants were interviewed. The data collection was analyzed on the basis of a qualitative content analysis.

    Results: The results showed that the health conversation is an important tool for being able to identify girls who live in a culture of honor. Giving support to the girls in the school who live in an honor culture is important and could involve girl groups,where the girls had the opportunity to discuss norms and values linked to honor culture. Cooperation with the entire student health team, teachers and social services emerged to be important and a must in order to be able to work to promote health.

    Conclusion: In order to be able to help girls in elementary school who live in an honor culture, it is required that all professions in the school receive education on the subject. By a working collaboration, the girls can be identified early and offered support and guidance. The authors believe that further research needs to be applied in this area.

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  • 2028.
    Ängehagen, Henry
    University West, Department of Health Sciences.
    Sjuksköterskans erfarenheter av att ge symtomlindring inom palliativ hemsjukvård: En litteraturöversikt2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The need for palliative and the will to be cared for at home is growing. Palliative patients often need symptom relief to a wide range of symptoms which challenges the role of the home care nurse. It’s therefore a need to provide new evidence that describes symptom relief in palliative home care from the nurse’s perspective. 

    Aim The aim of this study was to examine the nurse’s experience of providing symptom relief in palliative home care.

    Method The study is a literature review with a qualitative approach. The literature consisted of eight scientific articles from databases cinahl and pubmed selected to match the aim of the study. The articles were then analyzed using a five step method inspired by Friberg (2017a). 

    Results Two major themes appeared: The need of professional support to achieve good symptom relief and how relations, participation, and the home milieu affects the symptom relief. The nurse’s highlighted the need for support from everybody involved in the caring process for the symptom relief to work. 

    Conclusion Being distanced from patients that suffered from a wide range of symptoms and working alone clarified the nurse’s need of support from either professional caregiver, next of kins or the patient were communication was highlighted as a key facilitator. The nurse should therefore early in the palliative process establish roles, ways of communication and regular follow ups between next of kin, patient, nurse and other professionals. 

  • 2029.
    Åberg, Christèl
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hellström, Lisbeth
    Mid Sweden University, Sundsvall (SWE).
    Avatar i klassrummet.2022Conference paper (Other academic)
  • 2030.
    Åberg Jansson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sangya, Melina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Arbetsrelaterad stress hos nyutexaminerade sjuksköterskor: En litteraturöversikt2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The transition from student to nursing profession can be experienced as both challenging and frightening. Stress is a common feeling that newly graduated nurses experience in the beginning of their career. The new role as registered nurse is knowledge-intensive and entails increased responsibility for others. Difficult and unexpected situations can arise and can be difficult to handle, with stress and uncertainty as a result. In the worst case, a care injury can occur because patient safety is endangered. The aim of this study was to describe work-related stress in newly graduated nurses. The research method was a litterateur review based on qualitative and quantitative articles. Friberg’s three-step model were used to analyze the articles. The analysis resulted in three themes and six subthemes. The first theme was Feeling unprepared which described lack of knowledge and skills, lack of self-confidence. The second theme was Workload which described understaffed and time pressure, fatigue and stress. The third theme was Loneliness which described horizontal violence, lack of support and encouragement. The results of this study show that newly graduated nurses experience the transition from student to registered nurse as stressful. They experience difficulties during the first period of their career, where they face several problems. Continuous help and support should be available for newly graduated nurses in order to contribute to professional development and improve clinical learning.

  • 2031.
    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

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  • 2032.
    Åhlund, Kristina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Samverkan inom slutenvård: för bevarad fysisk funktion hos sköra äldre2023In: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Stockholm: Liber, 2023, p. 132-151Chapter in book (Other academic)
    Abstract [sv]

    Boken beskriver samverkan i hälso- och sjukvård ur olika perspektiv och ger verksamhetsnära exempel. Svensk hälso- och sjukvård har jämförelsevis goda resultat men brister i exempelvis kontinuitet och koordinering. Till följd av vårdens ökade specialisering behövs förmågan att samverka för en säker vård och ett effektivt utnyttjande av resurser.

  • 2033.
    Åhman, Ann-Charlotte
    et al.
    University West, Department of Health Sciences.
    Bernhardsson, Christina
    University West, Department of Health Sciences.
    Skolsköterskans arbete med psykisk ohälsa bland barn2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There has been an increase in mental ill-health among children in society. Mental health is considered as a fundamental human right that is crucial, for the individual ongoing development. The school nurse plays a vital role in working with mental illness, both from a health promotion and preventive perspective, as they meet many children in their work.

    Aim: The aim of this study was to describe school nurses' experiences in working with mental illness among children.

    Method: This study used a literature review based on integrated analysis, including a total of 11 articles, 10 qualitative and one quantitative as its method. The results were analyzed based on the five different steps in the integrated analysis and resulted in three themes and eigth sub-themes.

    Results: The results of the study revealed that the school nurses found working with mental illness among children to be difficult and challenging. Early identification of the problems was of great importance promoting children´s mental health. Being present and creating trusting relationships with both the child and their guardians were essential in helping the child in the best way. Collaboration between different professions was crucial to create a consensus on the child’s problems. However, the collaboration was sometimes difficult. Majority of the school nurses lacked knowledge in mental illness, that led to uncertainty in their work. They also struggled to find enough time to work with health promotion, which was described as the biggest obstacle in their work with mental illness.

    Conclusion: Working with mental illness among children is a complex and large area. Health promotion work was not included to the extent desired. Close cooperation with other professions and guardians is essential to form a consensus around the child. Knowledge about mental illness is significant in strengthening school nurses in their role.

  • 2034.
    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.

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  • 2035.
    Åhs, Jill W.
    et al.
    Department of Neurobiology, Care Sciences, and Society, Division of Nursing, Karolinska Institutet, Huddinge (SWE); Department of Health Sciences, Swedish Red Cross University, Huddinge, (SWE).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Mazaheri, Monir
    Department of Neurobiology, Care Sciences, and Society, Division of Nursing, Karolinska Institutet, Huddinge (SWE); Department of Nursing Sciences, Sophiahemmet University, Stockholm (SWE).
    Distant suffering: A concept analysis.2024In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 151, p. 1-9, article id 104672Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Patients who are suffering may be commonly encountered in health care. The growing use of telehealth implies that encounters with patients who are suffering may increasingly take place at a distance. "Distant suffering" is a concept coined within sociology to describe the suffering of far-away others. It is conceptualized as a paradox, as distance changes the relation between the witness of suffering and the suffering encountered. Impacts may include a potential detriment to the sufferer and ethical implications for the witness.

    OBJECTIVE: To explore the concept of distant suffering and any relevance, implications, or important avenues for potential research within the healthcare sciences.

    DESIGN: Rodgers' evolutionary concept analysis.

    DATA SOURCES: Databases of Web of Science, Medline, CINAHL and PsycInfo were searched for the terms "distant suffering" or "mediated suffering".

    REVIEW METHOD: Attributes, surrogate or related terms, antecedents, consequences, and uses of the concept were extracted and synthesized.

    RESULTS: Thirty articles published within the past ten years were selected for review from the search results. "Distant suffering" was characterized as comprising 1) mediated far-away suffering, 2) a "recognizer" or witness, and 3) a potential role of a moderator. Antecedents include shared understandings and socially-influenced responses. Consequences include responses like empathy, compassion, pity, also indifference, cynicism and compassion fatigue.

    CONCLUSIONS: Further research to explore distant suffering from healthcare sciences' perspective could uncover valuable insights for those suffering, for healthcare workers, and any who are exposed to it. An improved understanding of how distant suffering is conveyed and moderated could enable targeted reduction of exposure or improve response to distant suffering. Such knowledge could help diminish negative consequences for those suffering, for healthcare workers who are caring at a distance for those suffering, or for others who encounter distant suffering in their occupations or in daily life via media, social media, or digital communications.

    TWEETABLE ABSTRACT: New analysis finds that exposure to distant suffering may have important implications for health and health care.

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  • 2036.
    Åhs, Jill W.
    et al.
    Department of Health Sciences, Swedish Red Cross University, Huddinge (SWE).
    Ranheim, Albertine
    Department of Neurobiology, Care Sciences, and Society, Division of Nursing, Karolinska Institute, Huddinge (SWE).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Mazaheri, Monir
    Department of Neurobiology, Care Sciences, and Society, Division of Nursing, Karolinska Institute, Huddinge (SWE), 4 Department of Nursing Science, Sophiahemmet University, Stockholm (SWE).
    Encountering suffering in digital care: a qualitative study of providers’ experiences in telemental health care2023In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 23, no 1, p. 1-8, article id 418Article in journal (Refereed)
    Abstract [en]

    Background

    Encountering patients who are suffering is common in health care, and particularly when providing mental health care. Telehealth technologies are increasingly used to provide mental health care, yet little is known about the experiences of providers when encountering patients who are suffering within remote care. The present study explored health care providers’ lived experiences of encountering patient suffering during telemental health care.

    Methods

    A qualitative phenomenological approach was used to uncover participants’ experiences. In-depth interviews were conducted with a purposive sample of physicians, psychologists, and therapists who used telemental health in varied clinical practices in Sweden. Data were analyzed using descriptive phenomenology.

    Results

    Telehealth care with patients who were suffering was experienced by providers as loose connections, both literally in compromised functioning of the technology and figuratively in a compromised ability connecting emotionally with patients. Providers’ lived experiences were explicated into the following aspects: insecurity in digital practice, inaccessibility of the armamentarium, and conviction in the value of telehealth care. Interpersonal connection between patient and provider is necessary. Worry and guilt arose for providers with fears that technology would not work, patient status was deteriorated, or the care needed could not be delivered. Providers overcame barriers in telehealth encounters, and expressed they perceived that patients appreciated the care received, and through it found relief.

    Conclusions

    This study brings an understanding of experiences in providing telemental care for patients who are suffering. Providers experience challenges in connecting with patients, and in accessing tools needed to enable reaching the goals of the caring encounter. Efforts to ensure functioning of technology, comfort with its use, and accessibility of tools might be some accommodations to support providers for successful and rewarding telehealth care encounters.

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  • 2037.
    Åhs, Jill W.
    et al.
    Department of Health Sciences, Swedish Red Cross University , Huddinge (SWE); Division of Nursing , Department of Neurobiology, Care Sciences, and Society , Karolinska Institute, Huddinge (SWE).
    Ranheim, Albertine
    Division of Nursing , Department of Neurobiology, Care Sciences, and Society , Karolinska Institute, Huddinge (SWE).
    Mattelin, Erica
    Barnafrid, Swedish National Center on Violence Against Children , Department of Biomedical and Clinical Sciences, Linköping University, Linköping (SWE); Center for Social and Affective Neuroscience, Department of Biomedical and Clinical Sciences, Linköping University, Linköping (SWE).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Mazaheri, Monir
    Division of Nursing , Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, Huddinge (SWE); Department of Nursing Sciences , Sophiahemmet University , Stockholm (SWE).
    Distance in Distant Care: Qualitative Content Analysis of Providers’ Experiences in Tele–Mental Care2023In: Journal of Medical Internet Research, E-ISSN 1438-8871, Vol. 25, article id e38568Article in journal (Refereed)
    Abstract [en]

    Introduction

    Tele–mental care is ubiquitous worldwide [1]. It is effective and even preferred by patients [2]. Yet, providers have expressed concerns that the technology limits conveying nonverbal cues [3,4] or impedes the therapeutic relationship [3,5]. These key aspects of communication and interpersonal connection in care could be described as types of distances, where spatial distance could prevent patient observation, and psychological distance may prevent effective interpersonal connection. Considering the growing use of tele–mental care and the relevance of these forms of distance for successful tele–mental care encounters, this study was conducted to explore these or other forms of “distance” that arise in providers’ descriptions of tele–mental care encounters.

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  • 2038.
    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.

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  • 2039.
    Åkesson, Jennica
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johannesson, Sara
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Skolsköterskors hälsofrämjande insatser för barn med övervikt2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses are responsible for care and aim to promote better health both physically and mentally. With the increase of overweight and obesity being one of the contributing factors to ill-health globally, it can cause overweight children to run an increased risk of developing obesity later in life. A school nurse must therefore work towards promoting health and aim to strengthen the individual’s wellbeing by inspiring them to a healthy everyday life. Health promotion is based on salutogenesis, the origin of health in every human. The subject of weight is a sensitive matter which can provoke strong emotions in children and guardians, requiring school nurses to handle the conversation with care.

    Aim: To describe the school nurses’ experience of health promotion to children with overweight from preschool class up to year six.

    Method: Qualitative method with inductive approach has been applied. Nine semi-structured interviews were conducted with school nurses from four municipalities and the data was analyzed with qualitative content analysis.

    Results: School nurses primarily noticed overweight during health checks and said it was more difficult to act outside of these. The school nurses had the support and collaboration around the health-promoting initiatives with Närhälsan and school doctor. The focus was on conversations where advice was given, and attempts were made to create participation since guardians need to be involved. The school nurses proactively work on a broad front also including the non-overweight children.

    Conclusion: Identifying overweight in children is important for the children’s health. The topic children and overweight were sensitive and complex. However, there werethe driving force among school nurses to strive for the best possible health for the child.

  • 2040.
    Årstrand, Frida
    et al.
    University West, Department of Health Sciences.
    Karlsson, Sofie
    University West, Department of Health Sciences.
    Mödrars erfarenheter av amningsstöd från barnhälsovårdssjuksköterskan: En kvalitativ litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Breastfeeding is a global public health issue that can enhance the health of both children and mothers. The World Health Organization’s (WHO) goal is to promote and increase the frequency of breastfeeding, yet the statistics indicate a decline in breastfeeding rates. There are numerous benefits associated with breastfeeding, as well as several challenges that create barriers for mothers to breastfeed. Historically, breastfeeding has been associated with women's functionality, and the inability to achieve this can evoke feelings of guilt and shame. The child health nurse, who attends to mothers after childbirth, plays a crucial role in supporting breastfeeding and providing the necessary individualized support.Aim The aim of this study was to identify and synthesize mothers´ experiences of the child health nurse´s support in breastfeeding.

    Method The study is a qualitative literature study with Evans (2002) description of interpretive data synthesis as a method.

    Results The result includes three themes and six subthemes. It was important that the support was confirmatory and it appeared that mothers felt a pressure to maintain breastfeeding. It was also important to be supported in the choice to breastfeed or not. Mothers experienced that thegiven information was deficient and they got contradictory advice, which showed the importance of informative support. The meaning of individual support was demonstrated through a need to be seen and that the support was available to the mothers.

    Conclusion How the child health nurse supports mothers in breastfeeding is important, as a lack of support can lead to negative feelings such as pressure, not being heard or a lack of trust. In nursing, the child health nurse should work individually and evidence-based regarding breastfeeding support, which some mothers have experience with and others do not.

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  • 2041.
    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.

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  • 2042.
    Åström, Caroline
    et al.
    University West, Department of Health Sciences.
    Skog, Nathalie
    University West, Department of Health Sciences.
    Att aldrig veta när blixten slår ner; Sjuksköterskors erfarenheter av att vårda patienter med trauma på akutmottagningar: En kvalitativ litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syftet med studien var att beskriva sjuksköterskors erfarenheter av att vårda patienter med trauma på akutmottagningar. Resultatet i studien grundades i 10 vetenskapliga artiklar med kvalitativ metod, som analyserats och granskats. Från de analyserade artiklarna framkom två huvudteman och fem underteman som sammanfattningsvis beskriver sjuksköterskans emotionella utmaningar, omgivningens inverkan, kollegornas och teamarbetets betydelse, samt personliga strategier för att orka i det fortsatta arbetet. Att som sjuksköterska arbeta nära patienter som inkommer med ett trauma på akutmottagningar kan vara känslofyllt, stressigt och ångestladdat. Sjuksköterskorna i de utvalda artiklarna vittnar om hur det är att arbeta inom traumavården, stunder då det fungerar bra och situationer som varit utmanande. Resultatet beskrev även att erfarenhet hade stor betydelse, både när det handlade om kunskap och hanteringen av det emotionella i efterförloppet. Stödet från kollegor är extra betydelsefullt i efterförloppet efter en traumatisk händelse inträffat. Att det finns någon att dela sina erfarenheter med som varit med om samma sak. Barn och ungdomar som inkommer med trauma, var det som sjuksköterskor uppgav var den svårasteemotionella utmaningen.

    En slutsats som kan dras är att det behövs mer kunskap i hur sjuksköterskors hälsa och mående påverkats i förlängningen av att arbeta nära traumatiska händelser. En särskild beredskap behövs när det gäller speciellt barn och ungdomar. I bakgrunden beskrevs trauma och akutmottagningar med fokus på sjuksköterskeprofessionen, sjuksköterskans funktion och ansvar samt tidigare forskning. De omvårdnadsteoretiska begrepp som valdes var “hälsa” och “miljö”. Metoden som användes var en litteraturbaserad studie med analys av kvalitativ forskning för att öka förståelsen för det fenomen som studerades. I diskussionen diskuterades de resultat som framkommit gällande sjuksköterskors erfarenheter av arbetet på akutmottagningar inom traumavården

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  • 2043.
    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 (professional degree), 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.

  • 2044.
    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.

  • 2045.
    Örtgren, Isabelle
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Fullerton, Janita
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans arbetsförhållanden och dess konsekvenser i omvårdnaden: En litteraturbaserad studie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nursing is a demanding occupation, both physically and mentally, where working conditions are an increasing problem affecting nursing care. Previous research established that organizational factors such as lack of personnel, resources and lack of support from leadership and colleagues increase the possibility of work-related stress and worsened working conditions. There is a risk that poor working conditions affect nursing care in a negative way.

    Aim: To shed light on how the nurse's working conditions can affect the care of the patient. Method: Qualitative literature review based on eight articles found through systematic and nonsystematic searches in Cinahl. Articles were reviewed critically and analysed according to Friberg’s five step method.

    Results: Three themes and seven subthemes were identified after analyzing the articles. The first theme identifies the cause and effect of stressful working conditions. The second theme discusses the organizational factors that play a role in nurses’working conditions and work-related stress and the third theme considers the role of colleagues and coping strategies in managing stress to improve working conditions. Conclusion: There is a clear connection between poor working conditions and nurse's perception of their ability to provide quality care. 

  • 2046.
    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.

  • 2047.
    Østvang Dahlquist, Iselin
    et al.
    University West, Department of Health Sciences.
    Edén, Linn
    University West, Department of Health Sciences.
    Att bevara livet vid dödlig sjukdom: Cancerdrabbade patienters upplevelse av palliativ vård i hemmet2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In the next thirty years, the world’s elderly population will double which will lead to an increase in patients with cancer in need of palliative care at home. There is limited knowledge about the patient’s perspective of receiving palliative care at home and with the increase of patients in need, the home is likely to become a regular environment for care. It is therefore crucial that we know what aspects of care the patients perceive as contributing to their quality of life.

    Aim: In this study authors explored and identified the experiences of patients with cancer receiving palliative care at home.

    Method: This study was based on a qualitative literature study with Friberg’s (2017a) five-step analysis of ten scientific articles. Literature research was done in the databases Cinahl, PsycInfo and Pubmed.

    Results: Two major themes emerged; home as an environment of care and the nurses’ professional care. The patient experienced their home as a caring and familiar environment anda facilitator of life together with their close relatives and freedom to live as they choose. The nurse was also key in fulfilling the patient’s’ wishes with her competence in professional care and cooperation with close relatives.

    Conclusion: This study found that to achieve well-being and quality of life in a patients’ last time of their life it is important that the nurse sees the entire person together with close relatives.

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  • 2048.
    Ćirović, N.
    et al.
    Faculty of Philosophy- University of Niš, Department of Psychology, Niš (SRB).
    Stevanovic, D.
    Clinic for Neurology and Psychiatry for Children and Youth- 11000 Belgrade (SRB); Gillberg Neuropsychiatry Centre,Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Nguyen, H.T.M.
    Faculty of Psychology- University of Social Sciences and Humanities, Faculty of Psychology, Hanoi (VNM).
    Meszaros, Z.S.
    Department of Psychiatry and Behavioural Sciences, SUNY Upstate Medical University, Syracuse, NY (USA).
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences. Centre for Holistic Psychiatry Research CHoPy, 431 60 Mölndal (SWE).
    Thought and mood/arousal disturbances as central broad dimensions in youth psychopathology: A network analysis2024In: Neuroscience Applied, ISSN 2772-4085, Vol. 3, no Suppl 1, p. 103951-103951, article id 103951Article in journal (Refereed)
    Abstract [en]

    Mounting evidence has implicated that the structure of psychopathology is better conceptualized as dimensional and not categorical as well as hierarchical [1-3]. A hierarchical structure includes a broad general dimension of psychopathology and more specific dimensions that capture distinct aspects of psychopathology [3]. Studies inquiring into the structure of psychopathology in youth are limited, but highly needed to provide the basis for aetiological research. A network paradigm could offer a novel way to study the structure of psychopathological dimensions revealing dynamics behind their interrelations.This study was based on the previous analysis that aimed to map various psychopathological symptoms and personality traits within the hierarchical structure based on the Hierarchical Taxonomy of Psychopathology (HiTOP) [2] in a multinational sample of 3923 community adolescents (34.7% males, aged 15 to 19 years) (https://osf.io/fujxa/).

    Twelve specific components were derived via sequential principal component analysis (PCA) and further analysed here: thought dysfunction, low mood, fearfulness, anxiety, physiological hyperarousal, attentional dysfunction, disruptive mood, antisocial behaviour, antagonistic behaviour, detachment, self-destructive behaviour, and substance use. These components were an input to a network analysis to study the grouping/node communities, interconnectedness, and centrality of them. The analyses include Exploratory Graph Analysis (EGA; model=glasso) for dimensionality/grouping analysis and network analysis (EBICglasso estimation performed on Spearman correlations) performed in EGAnet and bootnet packages in R. We used Strength and Expected Influence as centrality measures. Components are represented as nodes in the network.The EGA suggested four dimensions/node communities: the first consisting of substance use and antisocial behaviour, the second composed of self-destructive behaviour and disruptive mood, the third consisting of antagonism and detachment, and the fourth consisting of thought dysfunction, low mood, physiological arousal, anxiety, attentional dysfunction, and fearfulness.

    The network analysis revealed that thought dysfunction, physiological arousal, low mood, and disruptive mood were the most central nodes in the network suggesting their interconnectedness with all other nodes in the network.Our network analysis revealed that specific psychopathological subfactors in youth could be clustered into four broader separate dimensions. Specifically, thought and mood/arousal disturbances proved to be most interconnected with all other nodes/subfactors in the network suggesting that these subfactors could be central in youth psychopathology.

    This result reinforces earlier observations, indicating that thought dysfunction encompasses more than just disordered thought content and forms; it also represents a transdiagnostic phenomenon that spans various disorder dimensions [5]. Thought dysfunction is primarily associated with psychosis but it is also an indication of a broader inability to regulate thinking processes in general (i.e., dysfunctional processes) and extends to other cognitive-rational disturbances [1]. In addition, these findings also align with previous findings that negative affectivity (mostly related to individual differences in experiences of negative emotions), like low or disruptive mood and arousal difficulties highly likely underly general psychopathology [1].

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