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  • 201.
    Angenete, Eva
    et al.
    University of Gothenburg, Department of Surgery, Sahlgrenska University Hospital/Östra.
    Jacobsson, Anders
    Swedish National Board of Health and Welfare, Stockholm.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Division of Computer Science and Informatics.
    Haglind, Eva
    University of Gothenburg, Department of Surgery, Sahlgrenska University Hospital/Östra.
    Laparoscopy on the Risk of Small-Bowel Obstruction: A Population-Based Register Study2012In: Archives of surgery (Chicago. 1960), ISSN 0004-0010, E-ISSN 1538-3644, ISSN 0004-0010, Vol. 147, no 4, p. 359-365Article in journal (Refereed)
    Abstract [en]

    Objective  To investigate the incidence and risk factors for small-bowel obstruction (SBO) after certain surgical procedures. Design A population-based retrospective register study. Setting Small-bowel obstruction causes considerable patient suffering. Risk factors for SBO have been identified, but the effect of surgical technique (open vs laparoscopic) on the incidence of SBO has not been fully elucidated. Patients The Inpatient Register held by the Swedish National Board of Health and Welfare was used. The hospital discharge diagnoses and registered performed surgical procedures identified data for cholecystectomy, hysterectomy, salpingo-oophorectomy, bowel resection, anterior resection, abdominoperineal resection, rectopexy, appendectomy, and bariatric surgery performed from January 1, 2002, through December 31, 2004. Data on demographic characteristics, comorbidity, previous abdominal surgery, and death were collected. Main Outcome Measures Episodes of hospital stay and surgery for SBO within 5 years after the index surgery. Results A total of 108 141 patients were included. The incidence of SBO ranged from 0.4% to 13.9%. Multivariate analysis revealed age, previous surgery, comorbidity, and surgical technique to be risk factors for SBO. Laparoscopy exceeded other risk factors in reduction of the risk of SBO for most of the surgical procedures.

    Conclusions Open surgery seems to increase the risk of SBO at least 4 times compared with laparoscopy for most of the abdominal surgical procedures studied. Other factors such as age, previous abdominal surgery, and comorbidity are also of importance

  • 202.
    Angervall, Elwira
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Eliasson, Rebecka
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Åtgärder som vidtas för att förhindra spridning av vårdrelaterade infektioner: en litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. Hospital-acquired infections are/is a major problem in health care. In order to reduce the spread of these infections, it is important that health professionals perform basic hygiene practices and precautions. Aim. The aim is to highlight the steps that are taken, in health care, to prevent the spread of hospital-acquired infections in health care. Method. A literature review based on qualitative and quantitative research. Result. The findings show the different measures taken and reported in the following five thematic areas: staff hygiene, protection equipment, environment, isolation and training/responsibility. In these outlines basic hand hygiene, cautions, cleaning and the nurse's responsibility. Conclusion. Healthcare staff is aware of the precautions to be taken but the infections spread anyway. It is located in the nurse's responsibility to engage in a good and safe care with high standards of hygiene, which means to be responsible that the hygiene procedures are followed in the workplace.

  • 203.
    Ankerson, Elin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pham, Yen
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers upplevelser av livsstilsförändring vid diabetes typ 22019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Type 2 Diabetes (T2D), one of the largest public disease, is rapidly increasing in the entire world. The disease causes increased morbidity and mortality. In case of illness in the T2D, lifestyle change has a crucial importance in the health and well-being of a person, just like diet changes and physical activity. To reduce the risk of severe complications self-care through lifestyle change are necessary.

    Aim The aim of this study was to describe experiences of lifestyle change in people with the T2D.

    Method A literature review was conducted with a qualitative approach. Nine qualitative studies were analyzed according to Fribergs five-step analysis, which resulted in three themes and eleven subthemes.

    Results The theme Experiences about physical activity described Obstacles to being physically active and Source of motivation and recovery. The theme Experiences around diet described Understanding of the importance of the diet and Changing diet - a challenge. The theme Self-care and own responsibility described Denial and rejection, Hope for the future, Struggle for a meaningful life, Powerlessness and Willingness to change.

    Conclusion Implementing lifestyle changes is a complex process that requires knowledge and motivation in people with DT2. The nurse needs to find appropriate ways to inform and transfer useful knowledge to the person. The persons need support to find their usefulresources to perform self-care and achieve the nursing goals. A preferable way to support the person is involving the family or relatives.

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  • 204.
    Ankerson, Elin
    et al.
    University West, Department of Health Sciences.
    Zerka, Zakia
    University West, Department of Health Sciences.
    Föräldrars erfarenheter av transition från neonatalvårdavdelning till hemmet: En litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There can be various reasons for a child needing care in neonatal care unit. Forthe family to feel secure before the transition to home, good planning and cooperation is required throughout the continuity of patientcare, from neonatal care unit to children healthcare services. It creates conditions for promoting health in the family. Parents, with the support of the nurse specialist, are important for the child’s development and well-being. Previous research shows that parents who are involved in their child’s care become confident in caring for the child themselves, which strengthens the connection and can lead to a shorter period of care at the neonatal care unit. The nurse specialist is the one who has knowledge of the meaning of the transition and can adapt support to the family’s needs to maintain health. Aim: The aim was to describe parents’ experiences of the transition from neonatal care unit to home. Method: A scoping review that was analysed with qualitative content analysis. Results: Three main themes emerged in the result; The importance of the transition, A changed life world and Parents’needs. The first theme consists of three subthemes; Feeling joy and anxiety before going homewhich highlights parent’s ambivalent feelings connected to the transition home and the importance of competent healthcare professionals for parents to feel security. Not feeling included as a father shows fathers’ feelings of not being included in their child’s care, which makes them experience difficulty in supporting their partners and child. Improving the transition to the home highlights parents’ different perspectives of preparation for transition.The second theme contains three subthemes; Being in their home environment describes parents’ experiences of coming home with their child. Gaining new perspectives in lifehighlights parents’ experiences of becoming parents when the child comes home, but also experiences of being able to continue living after the transition. Wanting to protect the childincludes experiences and perspectives of creating a daily life with the child. In the third theme, two subthemes emerged; Getting support in the parental role describes different types of support that parents experience during the transition and Strategies to handle the situationexplain methods that parents found support through. Conclusion: It might imply a great challenge when parents get a child in need of care at neonatal care unit. The transition to home needs preparation. Parents experienced security and felt less ambivalence when they get through nursing staff got support and guidance. Parents who been involved in their child’s care in the neonatal care unit experienced the transition more joyous than parents who was not involved. The nurse specialist has an important role in facilitating the transition. To make the parents secure and safe taking care of their child at home. Further competence of parents’experiences requires in both neonatal care units and in child health services.

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  • 205.
    Antblad, Alexandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sundelius, Jenny
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Det sociala stödets betydelse vid återhämtning från egentlig depression: En litteraturbaserad studie2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is a growing problem worldwide where depression is reported as the most common underlying cause. Living with depression can adversely affect individuals' abilities, functions and their quality of life. There are various forms of treatment that can benefit recovery. Studies show that social support obtain quality aspects that can support the individual in his or her recovery. Since there was little research regarding how social support promotes recovery in major depression, it became an interesting area to research further. Aim: The aim of this study was to investigate adult experiences of how social support promotes recovery. Method: To answer the purpose, a literature-based study was chosen for examining patients' subjective opinions. Results: The results appeared in two themes: Promoting information with subthemes Support through knowledge transfer, and Getting to communicate; To be supported with care with subthemes The value of emotional and practical support, and To support oneself helps. Conclusion: Social support could promote recovery by providing individuals with the knowledge, skills and ability to communicate. The knowledge contributed to perceived participation, increased sense of control and empowerment. Social support supported people emotionally and practically by helping, listening, confirming and providing people with love and hope. Social support could promote recovery by providing space and opportunity for people to support themselves

  • 206.
    Antonsson, H
    et al.
    Umeå University, Department of Nursing.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Lundström, M
    Umeå University, Department of Nursing.
    Graneheim, U H
    Umeå University, Department of Nursing.
    Skilled interaction among professional carers in special accommodations for adult people with learning disabilities.2013In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 20, no 7, p. 576-583Article in journal (Refereed)
    Abstract [en]

    Communicative difficulties affect interactions between people with learning disabilities and their carers. Despite such difficulties, however, some carers seem to interact successfully with people who have limited ability to communicate verbally and exhibit challenging behaviour. This study aims to illuminate skilled interaction among carers working in special accommodations for people with learning disabilities. Interactions between 16 caregivers and 11 residents with learning disabilities were recorded on video. Verbal and non-verbal interaction skills among the carers were identified. Four caring situations with people with learning disabilities were chosen to illuminate skilled interaction. The transcribed text was subjected to qualitative content analysis and core stories were created. The results show that skilled interaction between the carers and the people with learning disabilities is based upon being confirming, sharing daily life experience, giving time and space, and using congruent and distinct language. In this paper we present examples that offer concrete suggestions of how to promote successful interaction and create meaning in the shared day-to-day life in special accommodations for people with learning disabilities.

  • 207.
    Antonsson, Helena
    et al.
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Hällgren Graneheim, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Umeå , Department of Nursing , Umeå , Sweden.
    Isaksson, Ulf
    University of Umeå , Department of Nursing , Umeå , Sweden.
    Åström, Sture
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Umeå , Department of Nursing , Umeå , Sweden.
    Lundström, Mats O
    University of Umeå , Department of Nursing , Umeå , Swede.
    Evaluation of a Web-Based Training Program for Professional Carers Working With People With Learning Disabilities and Challenging Behavior: A Pilot Study with SSED-Design.2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 10, p. 734-743Article in journal (Refereed)
    Abstract [en]

    The interaction between people with intellectual disabilities and professional carers is often influenced by communicative difficulties contributing challenging behaviours. The aims of this study were to evaluate to a web-based training program aimed at improving carers' abilities to interact with people with learning disabilities who exhibit challenging behaviours and to explore carers' experiences of participating in such a program. A single-subject experimental design and mixed methods were used to integrate qualitative and quantitative data. Triangulation of questionnaires, interviews with carers, and assessments of one woman's behaviour was performed. The participants were professional carers aged 20 to 55 years. The web-based training program increased carers' abilities to handle challenging behaviours and decreased challenging behaviours in daily care. The program improved the opportunities to offer training to carers who work in community-based accommodations with limited time to receive training.

  • 208.
    Antonsson, Lisa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Gustavsson, Carolina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Livet efter organtransplantation: En litteraturbaserad studie om patienters upplevelser2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: For patients with end-stage organ failure receiving an organ is lifesaving. To be transplanted means a big change and adjustment in life with lifelong medication. The ambition for these patients is to go back and live as normal of life as possible.

    Aim: The aim of this study was to describe patients experiences of being organ transplanted.

    Method: The method used was a literature-based study based on qualitative scientific articles. A total of 9articles were analyzed with a qualitative content analysis.

    Result: After analysis 5 categories emerged; indebted, limitations in daily life, fear of organ rejection, concerns about medicine and a positive attitude to life. It showed that patient´s experiences of being organ transplanted are individual and unique. Some experiences are harder to deal with than others.

    Conclusion: Patients describe both negative as well as positive experiences of being transplanted. They express a need for more knowledge about their condition and a need that health care staff enhance their knowledge and understanding about their unique situation.

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  • 209.
    Antonsson, Lisa
    et al.
    University West, Department of Health Sciences.
    Karlsson, Sandra
    University West, Department of Health Sciences.
    Hälsofrämjande arbete med skolbarn som har övervikt: skolsköterskans erfarenhet2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity have increased and are a global health problem. Being overweight can lead to physical sequelae and mental illness. The school nurse works with health promotion, and mission is to offer every student repeated health visit during school. During the health talk, the child is given the opportunity to reflect on health and things that may cause anxiety in the child. The school nurse can identify overweight during the health talk, and then the caregivers should be involved. Motivational talks are a way of working to motivate children to make lifestyle changes and create conditions for good health. The best interest of the child must be considered in all situations. Health is a multidimensional concept that individuals can influence through different choices in live. The aim: of the study was to shed light on school nurses´ experiences of meeting overweight school children. Method: an integrative literature review with an inductive approach based on 8 qualitative and 2 quantitative studies. Studies have been analyzed according to Whittemore and Knafl. Results: three categories emerged; the school nurse´s preventive work, overcoming hindering factors in health promotion work and communication as a tool. Conclusion: school nurses have different experiences of meeting overweight children and their caregivers. They feel that early interventions were important and that the focus of the work should be health promotion and prevention. Various hindering factors could arise that make it difficult to carry out one´s duties. Collaboration and a child´s perspective are important in order to give the child good conditions for good health. There was a need for additional competence in order to feel secure in their professional role.

  • 210.
    Anwar, Kavin Shwan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Starlander, Karin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av egenvård i det postoperativa skedet: En litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Self-care is a healthcare measure that is performed by the patient themselves. Postoperative recovery is described as an energy-consuming process where the goal is to regain the independence that the patient had before the surgery. Previous research shows a positive impact on recovery by involving the patient in postoperative care with the help of self-care measures. The aim of this study was to examine patients' experiences of postoperative self-care. The method that was used is a literature study based on analysis of qualitative research. 10 Qualitative articles were selected to gain a deeper understanding of patients' experiences of performing postoperative self-care. The findings were presented by using three themes; To become an active participant, The challenges of self-care and The contact between nurse and patient. The result highlights the patient's experiences of taking responsibility and becoming independent as well as experiences of feeling insecure and the need for support. The patients also experienced a lack of information to perform self-care and found it difficult to perform self-care when they didn’t know where to turn when complications occurred. In order for self-care to free up resources and develop the quality of health care, the patient's need for continuity needs to be prioritized by assigning a contact nurse to each patient who performs postoperative self-care. In order to reduce the uncertainty that the patients experienced, the nurse needs to focus on self-care education. It is important to plan and adapt the education based on the patient’s individual needs by offering several teaching methods.

  • 211.
    Aoude, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mengstab, Yolanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas upplevelser av att leva med diabetes typ 22017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is an incurable and chronic disease and a risk factor for both stroke and cardiovascular disease. Type 2 Diabetes mostly affect people over the age of 40 however, in recent years even a lot of younger people got this disease. Since every patient is a unique person with its own needs and conditions the experiences of how to live with this disease is an important acknowledge in the caring of these patients.

    Aim: The aim with this study was to illuminate experiences of living with diabetes type 2.

    Method: 10 articles has been analyzed by Friberg's five step model.

    Results: The analysis resulted in three themes; The environmental impact, with sub team the feeling of shame, blame and grief; the need of support with sub themes support and information and information for self-care; and another life with sub themes lifestyle changes and self-care and fear of complications. 

    Conclusion: The results showed that the need for support and information about self-care was important to increase patient motivation. Lack of knowledge about the disease gave negative experiences such as difficulty in accepting the disease and also the feeling of guilt and shame occurred.

  • 212.
    Appasi, Bisan
    et al.
    University West, Department of Health Sciences.
    Settergren, Stina
    University West, Department of Health Sciences.
    Specialistsjuksköterskans stöd för egenvård till diabetes mellitus typ 2 patienter, inom primär- och kommunal hälso- och sjukvård2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes Mellitus type 2 is one of the folk diseases in Sweden and continues to increase. It is a serious disease which can lead to severe complications such as cardiovascular disease, eye complications, neuropathy, and nephropathy. The treatment includes antidiabetictablets or insulin injections but also self-care which includes lifestyle changes. The self-care mainly consists of dietary changes and increased physical activity as well as weight loss.

    Aim: The aim of this study is to study the caregivers’ conditions for supporting self-care with diabetes type 2 patients, in primary and municipal care.

    Method: The conducted method for the study is a literature-based study with qualitative approach.

    Results: The categories found were: ”Providing conditions and face problems”, Creating an empathetic and trusting environment” and ”Developing a supportive organization”. The analysis showed that individualized care and goalsetting were important conditions for compliance in self-care. It is important that the patient receives information about options and is being included in decision making and goalsetting. A strong relationship between caregiver and patient is important in order for the caregiver to get to know the patient to find resources, barriers and wishes. The analysis also showed hindering factors in supporting self-care such as lacking competence within different occupational groups, lack of time and lacking motivation from the patient.

    Conclusion: To be able to support patients in their self-care and avoid complications the caregivers need to get to know the patient and individualize care, treatment, goal-setting and follow-ups. Advice should be concrete, and goals should always be set with the patients´involvement. Care-settings that treat patients with diabetes needs adequat competence and increased cooperation between different care-settings as well as clear guidelines and teamwork.

  • 213.
    Appelgren, Camilla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahl, Inger Helén
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När kroppen inte gör som hjärnan vill: En litteraturstudie om personers erfarenheter av att leva med Parkinsons sjukdom2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Parkinson’s disease is a chronic progressive neurological disease. About 10 million people are living with the disease today, knowing that there is no cure. There are different types of pharmacological ways to slow down the development of the symptoms but little is known about people’s experiences of living with the disease. Aim The aim of this study was to describe people’s experiences of living with Parkinson’s disease. Method A literaturebased study based on analysis of eleven qualitative scientific studies to get a deeper understanding of people’s experiences. Result The analysis resulted in three themes with ten sub themes. The themes that emerged was Readjustment of life, Changed as a person and The body does not work properly. People suffering from Parkinson’s disease experienced physical, mental, social and existential challenges which led to feelings of shame and isolation. It also affected their daily lives and relationships. Shame and anxiety was constantly present causing them to withdraw from others and made them worry about the future. Conclusion Due to the results the conclusion was that an early effort in psychological support, continuous follow-up and information is necessary to give the people the opportunity to manage their disease and to increase their quality of life

  • 214.
    Appelt, Kalle
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Karlsson, Rasmus
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Motivation till fysisk aktivitet: Skillnader och bidragande faktorer2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Different kinds of physical activity were and had been of interest to both of us for the larger part of our lives. This made us decide to create a quantitative survey study. The focus of this study would be on motivation for being physically active. The reason for this decision being, that we both thought it would be interesting to study what motivates gym-goers to be and stay physically active. The positive effects of physical activity are well documented in today’s society. It helps diminish the effects of heart problems, strengthens the immune system, and makes the individual more energetic.

    Purpose & Issues: The purpose of this study, was to investigate, and try to pinpoint what makes people motivated to be and stay physically active. Further important topics and issues that were to be investigated in this study, was if there were any differences regarding gender, and how motivation could differentiate between subgroups regarding the subject of physical activity.

    Method: This study has been a quantitative cross-sectional study, using a survey to collect data.

    Results: The result shows that most people who responded to this survey, indicated that the health and pleasure that exists within physical activity are the main motivational factors. Further comparisons also show that there are some differences in what men and women prefer to do in correlation of physical activity, and how the level of motivation may differ from earlier exercise experiences. Our results showed, that in general strength training was more popular among men, while endurance training was more popular among women.

    Conclusion: After the analysis of the result of this study, the conclusion could be made that people are motivated by what they think is fun. To preserve the health and joy in their physical activity, was what appeared to be the main motivation sources. A further conclusion was also that people became more motivated, the longer they had been regularly physically active. A slight difference was also observed between men and women regarding training habits. Men engage more in strength training, whilst women are more active regarding endurance training.

  • 215.
    Arakelian, Erebouni
    et al.
    Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala (SWE).
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway (NOR).
    Managerial challenges faced by Swedish nurse managers in perioperative settings: a qualitative study2021In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 20, no 1, p. 1-10, article id 117Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Nurse managers need to create cultures that are worthy, not only of the commitment of everyone who comes to work but also of the trust of everyone who comes to be served. The aim of our study was to describe the challenges faced by Swedish nurse managers in a perioperative setting.

    METHODS: A qualitative study was conducted. The participants were chosen by convenience sampling, and individual in-depth interviews were conducted. Data were analysed by Systematic Text Condensation. The COREQ checklist was consulted throughout the study to optimise the quality.

    RESULTS: Nineteen nurse managers (all women) participated. Six themes were identified: "striving to treat employees with consideration and solicitude"; "the obligation to take care of each employee's individual needs"; "convincing others was an uphill battle", "finding solutions when things seem impossible"; "staff recruitment, allocation, and management"; "working with constantly changing planning".

    CONCLUSIONS: The nurse managers faced challenges because of the overwhelming amount of work tasks, with almost no time for reflection. Having carefully chosen tasks and a realistic time schedule for each work task, plus time to find one's own path to inner peace, are essential for nurse managers. Organisations that provide these prerequisites show that they care about their nurse managers. The results of this study indicate the need for time to reflect, as well as support from superior managers and from the human resources department.

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  • 216.
    Arakelian, Erebouni
    et al.
    Uppsala University, Department of Surgical Sciences, Uppsala University Hospital, Entrance 70, 1st Floor, 751 85, SE, Uppsala, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Nursing and Health Sciences, 8049, Bodø, Norway (NOR).
    Reaching a tipping point: perioperative nurse managers' narratives about reasons for leaving their employment - a qualitative study.2021In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 29, no 4, p. 664-671Article in journal (Refereed)
    Abstract [en]

    AIM: To describe reasons why nurse managers in perioperative settings decide to leave their employment.

    BACKGROUND: Current literature has shown that perioperative nurse managers' reasons to leave their positions are formed through an interaction of factors.

    METHODS: Individual in-depth interviews were performed with seven nurse managers, all women, in perioperative settings in Sweden. Data were analysed using Systematic Text Condensation.

    RESULTS: Five key themes were identified: a- To end where I started, as a front-line nurse; b- I wanted to develop further to the next level in my career; c- I ran out of ideas; d- I lost trust in my head manager and did not believe in the new organization, and e- I had had enough of being offended by my superior manager and my employees.

    CONCLUSION: Nurse managers experienced feeling forced into a decision to leave because of being offended by their superiors or their employees. Furthermore, the findings indicate that nurse managers should be offered support from superior managers and the organization together with time for discussions.

    IMPLICATIONS IN NURSING MANAGEMENTS: The most essential element should be the influence of caritative leadership and the obvious expectation of being treated with dignity, respect, and appreciation.

  • 217.
    Arakelian, Erebouni
    et al.
    Uppsala University, Department of Surgical Sciences, Uppsala, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Norway; Bocconi University, Milan, Italy.
    Rask-Andersen, Anna
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Runeson-Broberg, Roma
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Wålinder, Robert
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    I Stay: Swedish Specialist Nurses in the Perioperative Context and Their Reasons to Stay at Their Workplace2019In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 34, no 3, p. 633-644Article in journal (Refereed)
    Abstract [en]

    Purpose To investigate why nurse anesthetists and operating room nurses choose to stay in the same workplace.

    Design Qualitative design.

    Methods Individual interviews were conducted with 15 nurse specialists from four hospitals in Sweden. Two men and 13 women aged between 43 and 63 participated. Data were analyzed with systematic text condensation according to Malterud.

    Findings Three themes were identified. (1) Organizational stability contributed to low staff turnover, with good spirits between colleagues, representing everyone’s equal value and resulting in a feeling of homelikeness. (2) Sustained development in one’s own profession. (3) A humane head nurse who was at hand, who was a facilitator, who knew staff members, and eliminated obstacles for them.

    Conclusions In a nonhierarchical and stable organization with a head nurse with caritative leadership skills, a welcoming working environment with opportunities for professional development is created. Thus, nurse specialists choose to stay, contributing to organizational development.

  • 218.
    Arakelian, Erebouni
    et al.
    Uppsala University Hospital,Department of Surgical Sciences, Entrance 70, SE-751 28..
    Swenne, Christine Leo
    Uppsala University, Department of Public Health and Caring Sciences, Box 564, SE-751 22, Uppsala, Sweden.
    Lindberg, Susan
    Skaraborg Hospital, Department of Anaesthesia, SE-541 85, Skövde, Swede.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Faculty of Professional Studies, University of Nordland, 8049, Bodø, Norway..
    von Vogelsang, Ann-Christin
    Karolinska Institutet, Department of Clinical Neuroscience,Stockholm, Sweden..
    The meaning of person-centred care in the perioperative nursing context from the patient's perspective: an integrative review2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 17-18, p. 2527-2544Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To determine the meaning of person-centred care from the patient's perspective and in the context of perioperative nursing. BACKGROUND: Person-centred care (PCC) is used but not defined in the perioperative context. The concept indicates an interest in the patient's own experience of health, illness, needs and preferences. As with many terms that are frequently used, there is a tendency for person-centred care to mean different things to different people in different contexts. METHODS: A two-part search strategy was employed; firstly, a computerized database search of PubMed and CINAHL, using Medical Subject Headings and free terms to search articles dating from 2004 to 2014, and secondly, a hand-search of those articles' reference lists was performed. Twenty-three articles were selected and an integrative review was conducted. RESULTS: Four themes were discovered: 'Being recognized as a unique entity and being allowed to be the person you are', 'Being considered important by having one's personal wishes taken into account', 'The presence of a perioperative nurse is calming; prevents feelings of loneliness and promotes wellbeing, which may speed up recovery', and 'Being close to and being touched by the perioperative nurse during surgery'. CONCLUSIONS: PCC means respecting the patient as a unique individual, considering the patient's particularities and wishes, and involving the patient in their own care. PCC also implies having access to one's own nurse who is present both physically and emotionally through the entire perioperative process and who guides the patient and follows up postoperatively, guaranteeing that the patient is not alone. RELEVANCE TO CLINICAL PRACTICE: By having a common understanding of the concept of PCC, the nurse anaesthetists' and theatre nurses' caring actions or concerns will be directed towards the patient', resulting in personalization of care rather than simply defining the concept. This article is protected by copyright. All rights reserved.

  • 219.
    Arakelian, Erebouni
    et al.
    Department of Surgical Sciences, Uppsala University, Uppsala University Hospital, Uppsala, Sweden.
    Wålinder, Robert
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Rask-Andersen, Anna
    Uppsala University, Department of Medical Sciences, Occupational and Environmental Medicine, Uppsala, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Nursing and Health Sciences, Bodø, Norway (NOR).
    Nurse managers in perioperative settings and their reasons for remaining in their jobs: A qualitative study2020In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 28, no 6, p. 1191-1198Article in journal (Refereed)
    Abstract [en]

    AIM: The study describes what helps nurse managers maintain the strength to keep going as leaders.

    BACKGROUND: Good leadership is important for the quality of patient care, patient satisfaction in care and efficiency. Many nurse managers stay on despite challenges at work.

    METHODS: Twelve nurse managers were interviewed. Data were analysed by systematic text condensation according to Malterud.

    RESULTS: The results were as follows: A-Walking side by side with my employees; B-Knowing that I mean something to my employees; C-Talking to myself-asking myself tough questions; D-Having someone to talk to, to decrease the feeling of being alone; E-Leading and managing in my own way-the fear of not succeeding is my motivation.

    CONCLUSION: The nurse managers built their own strategies to get through and get on when difficult situations arose. In order to succeed in leading their employees, the nurse managers gathered their inner strength through moving caritatively back and forth between the 'secret room' and the 'staff room' in the house of leadership.

    IMPLICATIONS IN NURSING MANAGEMENT: The manuscript gives insights into where nurse managers found sources of strengths in their everyday work. To realize their employees' strengths and motivation made a difference for nurse managers as a driving force. By having someone to talk to and by asking themselves tough questions, they were prepared for the challenges that came.

  • 220.
    Araujo, Johane
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Calo, Nyssa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en person med afasi2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Being close to a person who suffers from a disease can mean a burden, as these tends to disregard own needs in favor of the person who is sick. Aphasia is a disorder that affects communication skills and is one of the most common complications due to brain damage.

    Aim: The main purpose of this literature study was to illuminate relatives experiences of living with a person with aphasia.

    Method: Nine scientific articles were analyzed with a qualitative manifest content analysis which resulted in three themes with subthemes: Emotional reactions: The impact on well-being, Changing social and emotional relationships; A changed everyday life: Obstacles in communication, Decreased social interaction, Being able to handle everyday; Increased need for support: To get information about the aphasia; Deterioration of the economy and the need for financial support.

    Result: It was revealed that relatives felt left aside in the care of their relative with aphasia, resulting in an increased need for information, support and relief.

    Conclusion: Therefore conclusion was that relatives should be asked by nurses of how much involved in the care of their sick relative they want to be or can be and how much support they need to be able to handle that.

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  • 221.
    Ardeshir Davani, Farima
    et al.
    University West, Department of Health Sciences.
    Geiret, Zulihumaer
    University West, Department of Health Sciences.
    En kvalitativ litteraturstudie om vuxna bipolära patientersupplevelser av vården2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bipolar disorder is a chronic and lifelong condition which is characterised by elevated mood swings with manic and depressive episodes. Stigma and suffering are common, therefore it's important in care to have person-centered care and the essential role of the nurse is to be supportive.

    Aim: The aim of this study was to describe bipolar people's experiences of care.

    Method: Literature study, based on seven qualitative original articles.

    Results: The result has two main themes each with three underlined themes. The first main themeis: To be in the center. The three underlined categories are: Uninformed, Doubtful regarding their diagnosis and medical treatment, to be involved. The second main theme is: The human encounter and its three underlined themes are: Burdensome meetings, to be seen and Helpful meetings to reflect on.

    Discussion: People with bipolar disorder experience health, illness and suffering depending on which episode they are in. Care has a huge role in how the patients feel within themselves. Being treated with disrespect and not being seen or heard has a huge impact on the patient's psychic health. Not getting enough information and being misunderstood is common but yet crucial for how the patients react, live with and handle their diagnosis. Theese negative experiences causes suffering.

    Conclusion: There are both positive and negative aspects of a bipolar patient experience. However, the negative aspects are more common and weigh heavier. Therefor it's important for the caregivers to evolve in how they provide care and treat patients to be able to give the optimal quality of care and in that way prevent suffering and stigma within patients.

  • 222.
    Ardeshir Davani, Farima
    et al.
    University West, Department of Health Sciences.
    Geiret, Zulihumaer
    University West, Department of Health Sciences.
    En kvalitativ litteraturstudie om vuxna bipolära patientersupplevelser av vården2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bipolar disorder is a chronic and lifelong condition which is characterised by elevated mood swings with manic and depressive episodes. Stigma and suffering are common, therefore it's important in care to have person-centered care and the essential role of the nurse is to be supportive.

    Aim: The aim of this study was to describe bipolar people's experiences of care.Method: Literature study, based on seven qualitative original articles.

    Results: The result has two main themes each with three underlined themes. The first main themeis: To be in the center. The three underlined categories are: Uninformed, Doubtful regarding their diagnosis and medical treatment, to be involved. The second main theme is: The human encounter and its three underlined themes are: Burdensome meetings, to be seen and Helpful meetings to reflect on.

    Discussion: People with bipolar disorder experience health, illness and suffering depending on which episode they are in. Care has a huge role in how the patients feel within themselves. Being treated with disrespect and not being seen or heard has a huge impact on the patient's psychic health. Not getting enough information and being misunderstood is common but yet crucial for how the patients react, live with and handle their diagnosis. Theese negative experiences causes suffering.

    Conclusion: There are both positive and negative aspects of a bipolar patient experience.However, the negative aspects are more common and weigh heavier. Therefor it's important for the caregivers to evolve in how they provide care and treat patients to be able to give the optimal quality of care and in that way prevent suffering and stigma within patients

  • 223.
    Ardeshir Davani, Farima
    et al.
    University West, Department of Health Sciences.
    Geiret, Zulihumaer
    University West, Department of Health Sciences.
    En kvalitativ litteraturstudie om vuxna bipolära patientersupplevelser av vården2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bipolar disorder is a chronic and lifelong condition which is characterised by elevated mood swings with manic and depressive episodes. Stigma and suffering are common, therefore it's important in care to have person-centered care and the essential role of the nurse isto be supportive.

    Aim: The aim of this study was to describe bipolar people's experiences of care.

    Method: Literature study, based on seven qualitative original articles.

    Results: The result has two main themes each with three underlined themes. The first main themeis: To be in the center. The three underlined categories are: Uninformed, Doubtful regarding their diagnosis and medical treatment, to be involved. The second main theme is: The human encounter and its three underlined themes are: Burdensome meetings, to be seen and Helpful meetings to reflect on.

    Discussion: People with bipolar disorder experience health, illness and suffering depending on which episode they are in. Care has a huge role in how the patients feel within themselves. Being treated with disrespect and not being seen or heard has a huge impact on the patient's psychic health. Not getting enough information and being misunderstood is common but yet crucial forhow the patients react, live with and handle their diagnosis. Theese negative experiences causes suffering.

    Conclusion: There are both positive and negative aspects of a bipolar patient experience. However, the negative aspects are more common and weigh heavier. Therefor it's important forthe caregivers to evolve in how they provide care and treat patients to be able to give the optimal quality of care and in that way prevent suffering and stigma within patients

  • 224.
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. Oslo Metropolitan University, Oslo (NOR); Jönköping University, Jönköping (SWE).
    Work integrated learning for a working life in academia: Experiences from working with PhD-students during the covid-19 pandemic2022In: International Conference on Work Integrated Learning: Abstract Book, Trollhättan: University West , 2022, p. 35-36Conference paper (Other academic)
    Abstract [en]

    Work integrated learning in academia and wellbeing for PhD-students

    Few PhD-students have a clear plan for their coming career after completion of their PhD-studies. There can be dreams of starting new enterprises, combining research with innovations in practice, or to pursue a career in academia. In health and welfare research schools there are many PhD-projects involving single PhD-students, as well as part-time PhD-students whose project is connected to their workplace. Research shows risk of low wellbeing and high levels of stress among PhD-students, together with feelings of isolation and impostor syndrome (Seeber and Horta, 2021, Schmidt and Hansson, 2018). Such negative feelings negatively impact the outcome of the PhD period and may also affect the future career of the PhD-student. To promote and sustain PhD-students health and wellbeing, there is a need to test activities that can decrease experienced negative stress during the PhD-period as well as enhancing academic competencies like academic leadership, academic writing skills and pedagogical skills. In addition, successful academics should have excellent competence in their field, collaborate with stakeholders and engage in impact activities. Thus, the PhD period needs to provide work integrated learning in academia to provide learning opportunities to develop those skills. Research conce rning PhD-students’ wellbeing and progress shows that the supervisor has an extremely important role for completion of the PhD and for the wellbeing of the student (Buirski, 2022). However, there are limited resources set up for PhD supervision and mentoring, which can create stress and mismatch in needs and capacities between the supervisor and the PhD-student. During the covid-19 pandemic the risk of losing pace in PhD-projects increased, in addition to disconnectedness with academy due to digital instead of physical meetings. However, this change also provided opportunities for novel and pragmatic ways of structuring supervision and enhancing the self-efficacy of the PhD-students. The purpose is to present learnings and outcomes of work-integrated learning project in academia for PhD-students.The focus is on two novel learning activities: online writing retreats and online monthly meetings, which were tested during the covid-19 pandemic. The aim of the learning activities was to encourage the PhD-students to be the leaders of their projects, to collaborate with others to find their role in academia, and learn the trade of being an academic, while practicing doing so, and promote wellbeing during the PhD period. The project has been performed with Plan-Do-Study-Act (PDSA) in biannual evaluation cycles. The PDSA is a quality improvement tool focusing on the translation of ideas and intentions into action (Reed and Card, 2016). The iterative structure of PDSA is well suited to promote learning of a tested change and help shape organizational culture for the better (Reed and Card, 2016). Evaluation data includes number of participants, types of spin-offs from the learning activities, and participants’ oral and written feedback on the learning activities. The collected data was analyzed from the perspective of usefulness of the learning activities related to theories of work-integrated learning. Online structured digital writing retreats Open to more than the PhD-students supervised by the facilitating supervisor (any PhD-student who considered themselves in need of learning better academic writing structure, master students who wanted to become PhDstudents, other supervisors who wanted to see how a digital writing retreat worked). This activity showed participants the importance and diversity of academic writing. The participants chose their own writing tasks, report on their progress, and plan for their next step – but being their own controller and thus actively practicing self-leadership. At the same time the participants shared their feelings of participating in the writing retreat when reporting their writing progress – thus creating a social, international, and interdisciplinary forum, increasing their networks and enhancing feelings of belonging. This in turn ignited cross-project collaboration, thematic discussions and sharing of scientific literature of importance. As facilitating supervisor, I participated on the same level as other participants, sharing my writing progress and feelings related to academic writing. The 1-hour monthly meetings for PhD students supervised by the same supervisor.

    The meetings were co-designed by the PhD-students, where the first meeting developed from a shared practical problem concerning digital data safety. Coming meetings were then co-designed depending on experienced needs by the PhD-students. The PhD-students were in different phases of their PhD-process; thus, they could bring in varied perspectives and share learning with each other on the academic processes. They could also discuss issues that they considered important, such as being asked to review for a journal or being asked to teach at bachelor or master programs. Such collaborative working discussions across projects and disciplines are important in academia and the meetings were used to solve problems in academic practice and to test scientific ideas. As the meetings also were led in turn by the participating PhD-students, academic leadership skills were practiced in this setting. As participating supervisor, I had a more passive role than in traditional supervision meetings, and the meetings were inspirational and provided opportunities for shared learning.

    Outcomes from the novel learning activities

    The PhD students themselves describe how they have both acquired increased academic skills, and that the online writing retreats have been important in decreasing negative stress, creating a safe social environment which has been important for their wellbeing. The shared learning activities also presented a view of how to work together in academia, which may support the students when thinking of their future career and if this is to relate to academia. As a supervisor, I can clearly see that the activities have enhanced self-efficacy, leadership skills, cross-disciplinary collaboration, national and international networks and decreased dependency on supervisors. The additional bonus of those work-integrated learning activities has been the good progress of the participants’ projects and joy at work!

  • 225.
    Areskoug Josefsson, Kristina
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Lona, Irene
    Divisjon for utdanning og bibliotek, OsloMet – storbyuniversitetet (NOR).
    Lunde, Gerd Hilde
    Institutt for Atferdsvitenskap, OsloMet – storbyuniversitetet (NOR).
    Bedre lesing og forståelse av pensum med støtte av digital sosial annotering / Engl: Improved reading and understanding of the syllabus with the support of digital social annotation2023In: Norsk pedagogisk tidsskrift, ISSN 0029-2052, E-ISSN 1504-2987, Vol. 107, no 3, p. 283-287Article in journal (Refereed)
    Abstract [en]

    Academic reading is a challenge for many students and there is therefore a need to explore opportunities to support students in reading scientific articles in English, and to understand the new knowledge in a Norwegian context and enable them to use the knowledge in their future professional practice. This article shows how a digital tool provides new opportunities for asynchronous interaction between students about subject content and syllabus, and how this can be used to promote academic reading, professional learning and at the same time increase student interaction.

  • 226.
    Areskoug Josefsson, Kristina
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences. Department of Behavioural Science, Oslo Metropolitan University, Oslo (NOR).
    Lunde, Gerd Hilde
    Department of Behavioural Science, Oslo Metropolitan University, Oslo (NOR).
    Learning from coproducing digital courses in sexual health in higher education in Norway2024In: Learning Organization, ISSN 0969-6474, E-ISSN 1758-7905Article in journal (Refereed)
    Abstract [en]

    Purpose – Sexual health is insufficiently addressed in health care and higher education, which can lead tolower quality of life and negative health outcomes. To improve the situation, it is necessary to address both theneeds of patients and professionals and collaboratively engage in finding sustainable solutions. The purpose ofthis paper is to explore the feasibility and value of large-scale digital coproduction in higher education.

    Design/methodology/approach – A study of a project that developed seven interprofessional, digital master-level courses covering different topics related to sexual health. The project was performed through digital coproduction in higher education, with over 100 persons with various backgrounds working together online in designing content and novel digital learning activities.

    Findings – Large-scale digital coproduction in higher education is feasible and valuable, but the process demands sensitive leadership, understanding of coproduction processes and willingness to learn from each other. To meet the demands from practice it is important to understand the complexity, ever-changing and unpredictable working life changes which, in turn, demands engagement in continuous learning, training activities and the need for formal education.

    Originality/value – The study provides learning of the feasibility of the value of large-scale digital coproduction in higher education, which is a novel way of working in higher education.

  • 227.
    Areskoug Josefsson, Kristina
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences. Oslo Metropolitan University, Oslo (NOR).
    Willems, Aron
    Oslo Metropolitan University, Oslo (NOR).
    Manglende kunnskap hos profesjonelle om seksuell helse er en trussel for folkehelsen2023In: Dagens medisin, ISSN 1501-4290, E-ISSN 1501-4304Article in journal (Other (popular science, discussion, etc.))
  • 228.
    Arifaj, Fitore
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Larsson, Kerstin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lågaffektivt bemötande: ett verktyg för den psykiatriska slutenvården? En studie av sjuksköterskors erfarenheter.2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A low arousal approach is defined as a working method that focus on the interaction between the patient and the caregiver. The approach is one of the most important tools in psychiatric inpatient care, which focus on getting the patient to maintain control over their emotions. The work method has been well-evaluated in other contexts outside psychiatry but sparingly evaluated in psychiatric inpatient care. The aim of the study has been to increase knowledge about low arousal approach and its effect in psychiatric inpatient care.

    Aim: The aim of the study was to describe registered nurses' experiences of low arousal approach in psychiatric inpatient care.

    Method: The study is a descriptive qualitative study in which interviews were conducted with ten registered nurses in child- and adult psychiatric inpatient care. The data was analyzed by a qualitative content analysis. An inductive approach was used where similarities and differences in the collected material were described.

    Result: The analysis resulted in three categories. Low arousal approach: Gives an inner and outer strength, Gives a feeling of uncertainty and Put the patient in the center. The result of the study shows both a strength in the low arousal approach experiences, but at the same time it can give the registered nurse a feeling of uncertainty when there are a knowledge gap both in herself or in the staff group. The registered nurses in the study find that the low arousal approachmeans that the patient is seen as a person regardless of diagnosis.

    Conclusion: When the registered nurse feels safe in his or her knowledge and the working group works on a staff-common way with low arousal approach, can this create a calmer careenvironment and a good working climate. The registered nurses also feel that the working method gives the patient an increased opportunity to control his or her feelings and this increases the patient's sense of empowerment.

  • 229.
    Arnell, Linda
    et al.
    School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
    Källström, Åsa
    School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden.
    Gunnarsdottir, Hrafnhildur
    University West, Department of Health Sciences, Section for nursing - graduate level. School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden;Department of Health Sciences, University West, Trollhättan, Sweden.
    Relative Wellbeing of Women Maltreated as Children2022In: Violence against Women, ISSN 1077-8012, E-ISSN 1552-8448, Vol. 28, no 12-13, p. 2947-2965Article in journal (Refereed)
    Abstract [en]

    This study explores and analyzes how adult women in Sweden exposed to childhood maltreatment describe wellbeing, by using a thematic analysis of 22 semi-structured interviews with women maltreated as children. The results show that wellbeing was described as relative to both social norms and the childhood experiences and constituted four dimensions: Material and/or economic; Social and relational;Emotional; and Physical and/or mental. This study concludes that it is important to consider the relative and multiple ways wellbeing can be experienced and understood and to problematize norms of wellbeing, acknowledging the various ways people appraise their lives.

  • 230.
    Arnold, Melina
    et al.
    Erasmus University Medical Center,Department of Public Health, Rotterdam.
    Moore, Suzanne P
    International Agency for Research on Cancer, Section of Cancer Information, Lyon, France.
    Hassler, Sven
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Ellison-Loschmann, Lis
    Centre for Public Health Research, Massey University, Wellington, New Zealand.
    Forman, David
    International Agency for Research on Cancer, Section of Cancer Information, Lyon, France.
    Bray, Freddie
    International Agency for Research on Cancer, Section of Cancer Information, Lyon, France.
    The burden of stomach cancer in indigenous populations: a systematic review and global assessment2014In: Gut, ISSN 0017-5749, E-ISSN 1468-3288, Vol. 63, no 1, p. 64-71Article in journal (Refereed)
    Abstract [en]

    Objective Stomach cancer is a leading cause of cancer death, especially in developing countries. Incidence has been associated with poverty and is also reported to disproportionately affect indigenous peoples, many of whom live in poor socioeconomic circumstances and experience lower standards of health. In this comprehensive assessment, we explore the burden of stomach cancer among indigenous peoples globally.Design The literature was searched systematically for studies on stomach cancer incidence, mortality and survival in indigenous populations, including Indigenous Australians, Maori in New Zealand, indigenous peoples from the circumpolar region, native Americans and Alaska natives in the USA, and the Mapuche peoples in Chile. Data from the New Zealand Health Information Service and the Surveillance Epidemiology and End Results (SEER) Program were used to estimate trends in incidence.Results Elevated rates of stomach cancer incidence and mortality were found in almost all indigenous peoples relative to corresponding non-indigenous populations in the same regions or countries. This was particularly evident among Inuit residing in the circumpolar region (standardised incidence ratios (SIR) males: 3.9, females: 3.6) and in Maori (SIR males: 2.2, females: 3.2). Increasing trends in incidence were found for some groups.Conclusions We found a higher burden of stomach cancer in indigenous populations globally, and rising incidence in some indigenous groups, in stark contrast to the decreasing global trends. This is of major public health concern requiring close surveillance and further research of potential risk factors. Given evidence that improving nutrition and housing sanitation, and Helicobacter pylori eradication programmes could reduce stomach cancer rates, policies which address these initiatives could reduce inequalities in stomach cancer burden for indigenous peoples.

  • 231.
    Arnoldsson, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cederqvist, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    '' När jag visste att jag hade MS trodde jag att jag skulle dö inom 6 månader": en litteraturbaserad studie om patienters upplevelser av att leva med Multipel Scleros2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Multiple sclerosis (MS) is a serious chronic disease that affects people all over the world. In Sweden about a thousand new patients every year got MS, and today there are approximately 17 500 people who have the diagnosis. As MS often arise in the prime time of life and is unpredictable this causes great difficulty for those individuals who are diagnosed and then forced to live with the disease. Aim: The aim of the study was to illuminate patients' experience of living with Multiple Sclerocis. Method: Method was a literature-based study, in which the analysis is based on qualitative studies. Results: The result showed that MS have a great influence in patients life and tell us how patients experience emotions fear, despair, uncertainty and hope in their everyday lives and emotions of fear. Conclusion: It is evident from the findings of this study that individuals living with MS face several challenges in life. It is valuable for nurses and people who work in health care to know how these patients experience their daily lives. This study will hopefully create awareness of the disease and how the patients feel.

  • 232.
    Arnoldsson, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ottosson, Sofia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Att belysa närståendes upplevelser av palliativ vård i hemmet, före och efter dödsfallet2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Relatives were a large part of palliative care and how they really felt was sparsely studied. Home care was often involved as part of the care chain, and the district nurse in charge could, with her in-depth knowledge, support and help relatives to cope with the difficult times in life.

    Purpose: To shed light on relatives' experiences of palliative care at home, before and after the death.

    Method: An inductive qualitative study. Interviews with eight participants, both men and women. Qualitative content analysis was used as an analytical method.

    Results: The result showed two categories, before death and after death with six subcategories, feelings of losing hope, having control and being strong, the importance of information and communication, feeling neglected, security, feelings of emptiness and the need for support. Many relatives who cared for their sick family member were at risk of developing ill health due to the mental and physical strain the situation entailed. Relatives felt that home care gave them security, but still demanded more support from home care for communication and information. Home care's treatment and support played a large and important role in how the relatives experienced and handled the already difficult situation.

    Conclusion: Close relatives felt that they received a certain amount of security from home care but requested more support and conversations. The district nurse had in-depth knowledge in communication and in health which promotes the work with palliative care. Therefore it is important that there is a district nurse connected to all activities where palliative care is performed.

  • 233.
    Aro, Mirja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bemötande av patienter med oro på sjukhus i Namibia.: Empirisk studie om sjuksköterskors och sjuksköterskestudenters bemötande.2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The way nurses encounter patients affects the whole nursing process. It can be influenced by several different factors. In Namibia the general health situation largely depends on socio-economic resources. The competence of the nurse and the way s/he responds to the needs of anxious patients is crucial in terms of how the patient experiences the nursing interventions. Aim: The aim of the study was to describe the ways in which Namibian nurses respond to anxious patients in the context of nurse-patient encounters. Method: This empirical qualitative study is based on three semi-structured interviews and six non-structured observations which were carried out in Namibia during the spring of 2017. These were analyzed with qualitative content analysis. Results: The results consist of three main categories and eight sub categories. Namibian nurses respond to anxious patients by “Conversation”, “Calm behavior” and “Expression of compassion”. The nurse should have the language skills to explain and talk with the patient. Nurses must not be stressed out, have patience, show empathy and respect. Conclusion: The degree to which the nurse was calm and able to show compassion in the conversations determined the quality of the nurse-patient encounter and the success of the information exchange between them

  • 234.
    Aronsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Magnusson, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När hjärtat är skadat: En kvalitativ litteraturbaserad studie som beskriver patienters erfarenheter av att leva med hjärtsvikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure is a chronic disease that increases among the population, despite progress in research. Living with heart failure can cause suffering and impaired health due to physical limitations in daily life. Research indicates that patients experience of living with heart failure is paid too little attention in relation to the medical treatment itself.

    Aim: The aim of this study was to describe patients' experiences of living with heart failure.

    Method: This study is based on a method to contribute to evidence-based nursing with ground in analysis of qualitative research. Eleven qualitative articles were analyzed using Fribergsfive step model.

    Results: Through the analysis three main themes and eight sub-themes were developed. The main themes were: The daily life changes, To be involved in your own care and Listen to your heart.

    Conclusion: To be diagnosed with heart failure means a life change. Therefore, it is important that the nurse is aware of the physical, and psychological effects of the disease.

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  • 235.
    Aronsson, Jennifer
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sikström, Lina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    De osynliga barnen: En kvalitativ litteraturbaserad studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One-third of patients in psychiatric care were also parents who lived with their children. There is a connection between mental illness among parents and mental illness among children. Mental illness may affect the parental ability. Despite laws and regulation that exists to protect and support children who were living with a parent suffering from mental illness, these children are often forgotten. Children's needs are sometimes not recognized and met. Aim: The aim of this study was to investigate children's experience of living with a parent who suffers from mental illness. Method: A qualitative literature study based on 13 qualitative studies was conducted. Results: The result of this study is divided in two themes of experiences. The results shows that children who were living with a parent who suffers from mental illness experiences a different everyday life and feelings of being different and alone. A life full of fear and worries, a shifting parenting role, lack of knowledge and feeling of being invisible constitute the first theme. The second theme shows children's experiences of being on the outside, alone with thoughts and living in uncertainty. Conclusion: The result shows that children who lived with a parent with mental illness are affected in one or another way. An interpretation of the result is that parents who suffers from mental illness deficits to vouch for the children and that children are forced to handle strenuous situations on their own.

  • 236.
    Aronsson, Lovisa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Svanung, Linda
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Barns upplevelser av stöd vid förälders sjukdom eller död: en litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    According to previous studies there is little known about children's experiences of support when a parent is seriously ill or dying. Even though children have the right to gain information and support when a parent is seriously ill or dying there has not been extensive study regarding the children´s own experiences. Aim: This study aimed to explore children´s support experiences when a parent becomes ill or dies. Method: A literature review was used to analyze ten qualitative articles. Analyses are made according to Friberg's model. Family-related care is used as a thematic framework throughout the essay. Result: Three themes were found describing children's support experiences: children's support experiences in daily life, children's support experiences from health care professionals and children's own support system. Conclusion: It was found that family and friends constitutes a secure base for the children. The children asked for more information and support to handle stressful situations in family life. Children wish to remove responsibility and continuing being a child.

  • 237.
    Aronsson, Malin
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Brobeck, Matilda
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sociala mediers påverkan på ungdomars psykiska hälsa: en litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Adolescents mental health has increased during the past decade, meanwhile social media has expanded in our society. High standards and idealistic expectations for appearance, health and lifestyle are created and maintained through social media. The aim of this study was to describe how social media impact on adolescents mental health. To provide an overwiew of social medias impact on adolescents mental health this study were conducted as a literature review. The search for studies were made in different databases using words like adolescents, mental health and social media. The inclusion criterias were adolescents of both gender, depressive symptoms and social medias. The analysis was conducted by a thematic analysis where the similarities and differences were identified and created themes. The results showed that social media had an impact on adolescents mental health. The impact was made through victimization on social medias and the usage frequency of social medias. Victimization on and usage frequency of social medias showed a relationship to social comparison, lower self-esteem and increased depressive symptoms among adolescents. Social medias impaired adolescents mental health. It needs further research to create future direction how healthcare organizations manage the effects of adolescents social media use.

  • 238.
    Aronsson, Mariana
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Lindström, Åsa
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    "Du får lite att fundera över liksom": En intervjustudie av medarbetarnas upplevelse av reflektion som arbetsmetod inom äldreomsorgen2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of the study was to investigate the employees' experience of reflection as a work method. The sample for the study consisted of 16 employees (women aged 25-55 years) from four special housing care of the elderly who regularly work with the reflection as a work method. The methodology for this study was qualitative in nature, inspired by a phenomenological approach. The empirical data collected consisted of 16 banded individual semi-structured interviews. The asked questions have been open to give the respondents the opportunity to develop their views and thoughts and to give the study a depth. All 16 interviews were then transcribed and analyzed to arrive a result.

    The theoretical framework for this study includes literature and previous research about the importance of reflection for learning and skills development in the workplace.

    The result has three overarching themes emerged;

    Learning, professionally approach and Culture. These themes summarize the categories that have emerged in the study. The study shows that reflection as a work method provides the group with a better fellowship where they learn from each other and a respectful attitude towards each other. For the individual person, the method gives greater self-insight, improved communication skills and increased competence. The conclusion of the study show that the reflective work method can be considered as a tool that lays the foundation for a common learning where employees have the opportunity to develop both elderly care as common values in order to strengthen and develop the quality of health care.

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  • 239.
    Aronsson, Patricia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hallqvist, Maria
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Livet efter en hjärtinfarkt: En litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Myocardial infarction is one of the most common life threatening diseases in Sweden. Those who suffer have many complications both physical and emotional. In effort to help patients with the rehabilitation nurses need to have knowledge about symptoms, strategies and patients sadness.

    Aim:

    The aim of this study was to illustrate patients' experiences to carry on living after a myocardial infarction.

    Method:

    A literature-based method based on ten articles with a quality approach was chosen.

    Results:

    The analysis revealed three categories and eight subcategories: The new me, A second chance, To move on. To not be able to live life to the fullest because of tiredness caused by fatigue created problems for patients after a myocardial infarction. At the same time they felt happiness surviving and each minute where valuable. The nurse played an important role under the first year of the recovery and it was important to receive right information during the rehabilitation process. It was an important goal for the patients to survive the first anniversary after the myocardial infarction.

    Conclusion:

    Fatigue influenced their lives in a negative way and made it difficult to manage. Nurses' awareness of fatigue and how to overcome it was mostly required from patients. Patients had wishes to access information that's easy to understand and strategies that they could use in daily life. Mentors were very helpful and a complement in the rehabilitation process.

  • 240.
    Aronsson, Patricia
    et al.
    University West, Department of Health Sciences.
    Mellander, Ulrika
    University West, Department of Health Sciences.
    Distriktssköterskans erfarenheter av informationsöverföring om sköras äldres vårdbehov mellan hemsjukvård och primärvård: En intervjustudie2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The transfer of information is an important part of care for fragile older people to receive coherent secure care. According to IVO (2020), deficiencies in information transfer are a common cause of healthcare injury. The district nurses in primary care and home care exchange information on a regular basis between the units. The transfer of information is challenged by the fact that information can be transmitted in many ways and leads to differences in access to information. Adequately available information regarding the care needs of fragile older people is an important part of ensuring that the district nurse can provide good and safe care and prevent care injury. According to the competence description, the district nurse has a responsibility to work from a person-centered approach, provide safe care and have knowledge to drive information technology forward.

    Aim: The aim of this study was to describe the district nurse´s experiences of information transfer about fragile older people care needs between home and primary care.

    Method: The study was conducted using a qualitative method with an inductive approach. Semi- structured interviews were conducted with 11 informants. The study was compiled based on a qualitative content analysis where the manifest in the content was highlighted.

    Results: The district nurses in the study identified terms and conditions for information transfer and what consequences deficiency in information transfer can lead to. The result was divided into three categories. The first category, Existing terms for information transfer with the subcategories: Information systems importance for information exchange, and Deficient routines and unclear interaction. The second category, Conditions for adequate information transfer with the subcategories: Information retrieval affects the work environment and The importance of professional experience in ensuring information. The third and last category, Consequences in case of deficient information transfer with the subcategories Deficient information implies a risk for care suffering and The organization prevents participation in care.

    Conclusion: The result showed that there are major differences in how information transfer is carried out, which affects the district nurse´s ability to deliver effective and secure information.The organization and the district nurses need to cooperate to provide a secure transfer ofinformation. Cooperation between organizations leads to increased opportunities for creating good care relationships and a person-centered care for fragile older people. A clear structure and adequate routines lead to a positive work environment for district nurses and reduced risk of exposing fragile older people to care injuries.

  • 241.
    Aronsson, Therese
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Besic, Damira
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Triage på akutmottagning: ur ett sjuksköterskeperspektiv2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    2.5 million people each year, is expected to seek care at emergency rooms. In order to make a correct prioritization of care needs of the patient, the nurse use a triage scale. Knowledge and experience shows there are great demands on the nurse.

    Aim:

    The aim of this study was to illustrate the experiences of the nurse, when perform triage.

    Method:

    In order to capture the experience of the nurse, a qualitative literature- based study was chosen. Ten articles was read several times and analyzed by the writers.

    Results:

    The results are presented in three different themes and three subthemes, which all highlights nurses' experience of performing triage in the emergency department. The three themes that emerged were: Communication, assessment and decision making and ability.

    Conclusion:

    Results of the study show that communication, assessment, decision making and nurses ability are important parts, when nurses describes there experience to perform triage at an emergency department. But also to get to practice and to study cases related to performing triage

  • 242.
    Arthursson, Jenny
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Tellander Björlén, Sophie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Djurs inverkan på äldre människor: - en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Animals have long been present in human lives and many older people have grown up with some animal. Getting older and maybe losing family members or the opportunity to greet family and friends just as easily can cause the elderly to lose motivation, be less social, become depressed, feel lonely and thus reduce well-being. Therefore, it is important for the nurse to have up-to-date research and knowledge about complementary care in order to increase well-being. Aim: The purpose of the study was to illuminate how animals in nursing care effects older people. Method: The method were to contribute to evidence-based nursing based on analysis of qualitative research. Eleven scientific articles were analyzed according to Friberg's five step model. Results: The analysis resulted in three categories; "Well-being increases in the presence of animals", "Animals effects social interactions", "Robot animals as an alternative". Animals have proven to have positive effects on the elderlys' physical and psychological wellbeing. It also shows that the presence of animals increases the social interactions between humans. Robotic animals can be an option when real animals are not possible. Conclusion: Animal interventions and the presence of animals were found to have a positive effect in elderly people's lives and the authors wishes to see more animals in nursing homes further on.

  • 243.
    Arthursson, Joakim
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Följder efter behandling av prostatacancer2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, around 30 men receives the diagnosis prostate cancer every day. Healthcare services need to understand how treatment for prostate cancer effects a man and his lifeworld. Prostate cancer is the most common type of cancer in Sweden, but insufficient treatment for men's well-being and sense of self after treatment is made.

    Aim: To describe the experiences of men who is treated for prostate cancer.

    Method: A literature overview was performed.

    Results: Results show that men need support when diagnosed and treated for prostate cancer. Men were less likely to seek support and admit to themselves that they needed professional help. The treatment for prostate cancer had negative effects on the man's sense of self.

    Conclusion: The importance of nurse's professionalism in treatment of men with prostate cancer. Nurses need to initiate conversations about the impact the treatment of prostate cancer had on the men's lifeworld.

  • 244.
    Arveklev Höglund, Susanna
    University West, Department of Health Sciences, Section for health promotion and care sciences. Institute of Health and Care Sciences, Sahlgrenska Academy at University of Gothenburg.
    Drama and Learning in Nursing Education: A study in first and second cycle2017Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of this thesis was to explore and describe the nature of students learning through drama in nursing education, in first and second cycle. Methods: Study I was conducted as an integrative review of the literature. Study II was performed as a qualitative phenomenographic study were 16 nursing students was interviewed. In study III 43 group assignment by nursing students in first cycle were analyzed using Qualitative content Analysis. Study IV was conducted as a qualitative phenomenographic study where 15 nursing students in second cycle was individually interviewed. Results: The findings in study I showed that drama can be used effectively in nursing education to enhance students' learning. The summarized results of the empirical studies (II–IV) showed that drama enabled the students to learn about themselves and develop a higher self-awareness. Learning through drama also gave the students opportunities to learn about others by exploring the perspectives of colleagues, patients, and patients' next of kin in fictive nursing situations. The findings showed in addition that drama could make the theoretical course content more concrete and easier to grasp. Learning through drama activated the students' learning by offering them the possibility to be active and explore various roles and scenarios, and by promoting reflection in which they could share experiences with their peers. By participating in drama, the students reached an evolving identification with the profession of a nurse (II–III) and of a specialist nurse in paediatric care (IV). Conclusion: Drama in nursing education has the unique potential to prepare nursing students in both first and second cycle for their future nursing role. Through drama, students are given the opportunity to explore and gain knowledge about how to use theoretical knowledge in practice, about their inner selves, and about other person's perspectives.

  • 245.
    Arveklev Höglund, Susanna
    et al.
    Sahlgrenska Academy.
    Berg, Linda
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Wigert, Helena
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Morrison-Helme, Morag
    Faculty of Education, University of Cambridge, United Kingdom.
    Lepp, Margret
    Østfold University College, Halden, Norway.
    Learning about conflict and conflict management through drama in nursing education.2018In: Journal of Nursing Education, ISSN 0148-4834, E-ISSN 1938-2421, Vol. 57, no 4, p. 209-216Article in journal (Refereed)
  • 246.
    Arveklev Höglund, Susanna
    et al.
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Berg, Linda
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Wigert, Helena
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Morrison-Helme, Morag
    Faculty of Education, University of Cambridge, United Kingdom.
    Lepp, Margret
    Østfold University College, Halden, Norway, School of Nursing and Midwifery, Griffith University, Australia.
    Nursing students experiences of learning about nursing through drama2018In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 28, no 1, p. 60-65Article in journal (Refereed)
    Abstract [en]

    The ability to understand, interact and create a caring relationship with the patient is a core component in nursing. A shift in nursing education from traditional classroom teaching towards more experiential approaches should be encouraged as this will support learning that links theory with practice. The aim of this study was to describe nursing students' experiences of learning about nursing through drama. This qualitative study was conducted at a university in Sweden. Four focus group interviews were conducted with a total of 16 nursing students and the data was analyzed using a phenomenographic approach.Three themes with their attendant categories emerged through the analysis: "To explore the future professional self", "To develop an understanding of the patient perspective", and "To reflect on the nature of learning". In conclusion this study shows that the use of drama in nursing education can provide opportunities to explore interactions with others which can increase students' self-awareness and ability to reflect on their future professional identity. Acting in role as a patient can provide an opportunity to experience the patient perspective. Also clear was the importance of commitment and engagement ofthe students as a prerequisite for optimizing this form of learning experience through drama

  • 247.
    Arveklev Höglund, Susanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Gunnarsdottir, Hrafnhildur
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Relations and interrelations between Sense of Coherence, socioeconomic status and health behaviour: A systematic review2019Conference paper (Refereed)
    Abstract [en]

    Background/Objectives

    Previous research shows that the stronger the sense of coherence (SOC) the healthier behaviour. A strong SOC seems to be related to lower consumption of drugs and smoking, more frequent physical exercises and healthier food choices. Further it is established by previous research that there is a difference in health behaviour between socioeconomic groups. Individuals with lower socioeconomic status (SES) smoke to greater extent, have more sedentary lifestyle and make unhealthier food choices than individual with higher SES. The evidence regarding the interactive relations of SOC and SES to health behaviour or the potential mediating role of SOC in the relationship between SES and health behaviour is more unclear. In order to explore this, there is a need of systematic reviews of the evidence concerning SOC and health behaviour and interactions with SES.

    Thus, the objective of this study is to explore and synthesize empirical findings on the relationship between SOC and health behaviour among adults. Further the aim is to explore to what extent interactions with SES is considered in the studies of SOC and health behaviour.

     Methods

    The study is descriptive and analytical with a systematic integration of the contemporary knowledge base on the salutogenic research focusing on the relationship between sense of coherence and health behaviour among adults and interrelations with socioeconomic status. The review covers scientific publications as well as doctoral theses published 2008–2018. The review is systematic in the sense that all the included papers will be critically examined and analyzed according to (1) the study objective, (2) the study designs and methods for analysis and, (3) the applicability and practical use of the results.

     Results

    Expected outcomes of this study will be established state of the art regarding the relationship between sense of coherence and health behavior and interrelations with socioeconomic status. Further the results will identify knowledge gaps important to address in future research.

    Discussion

    The potential contribution of the synthesized knowledge to achieve a sustainable and equal development of health will be discussed as well as to what extent health inequalities can be explained or understood by SOC.

     

     

     

  • 248.
    Arveklev Höglund, Susanna
    et al.
    Institute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Wigert, Helena
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Berg, Linda
    nstitute of Health and Care Sciences, University of Gothenburg, Box 457, 40530 Göteborg, Sweden.
    Burton, Bruce
    Griffith University, Mt. Gravatt Campus, Queensland, Australia.
    Lepp, Margret
    Østfold University College, Halden, Norway.
    The use and application of drama in nursing education: An integrative review of the literature2015In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, no 7, p. e12-e17Article in journal (Refereed)
    Abstract [en]

    Background Caring is grounded on universal humanistic values such as kindness, empathy, concern and love for self and others. Nurses need to learn how to implement these values in the care for patients. Nursing students find it hard to assimilate theoretical knowledge in practice. Experiential learning in the form of drama has been used in several studies to enhance nursing students' learning. Aim The aim of this study was to review empirical and theoretical articles on the use and application of drama in nursing education. Design An integrative review of the literature.MethodThe databases CINAHL, PubMed, ProQuest and Academic search elite were searched for articles. Result The search generated 64 articles, with 20 articles meeting the inclusive criteria. Three themes with their attendant subthemes emerged through the analysis. The themes are: The Framing, The Objectives and The Embodiment. Conclusion Drama is effective in entry level courses in nursing education to enhance student learning and can be flexible and adjusted to various contexts. Further research using drama to enroll nursing students as fictive patients and relatives and thereby explore different perspectives is suggested, and more research on the application of drama in nursing education at an advanced level is required.

  • 249.
    Arveklev Höglund, Susanna
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences. University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Wigert, Helena
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden; Division of Neonatology, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Berg, Linda
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Lepp, Margret
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden;Østfold University College, Halden, Norway (NOR); Griffith University, School of Nursing and Midwifery, Australia (AUS).
    Specialist nursing students' experiences of learning through drama in paediatric care2020In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 43, article id 102737Article in journal (Refereed)
  • 250.
    Arvidsson, Alexandra
    et al.
    University West, Department of Health Sciences.
    Henström, Elin
    University West, Department of Health Sciences.
    Barnhälsovårdssjuksköterskors upplevelser av att samtala med barn och vårdnadshavare om övervikt och fetma: En meta-etnografisk litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Övervikt och fetma är en av de största folkhälsoutmaningarna. Barn med övervikt och fetma kan få både fysiska och psykiska hälsoproblem senare i livet. Barnhälsovården(BHV) är en viktig del i folkhälsoarbetet och dess mål är att säkerställa barns hälsa, trygghet och utveckling. Genom samtal om hälsa och levnadsvanor och att lyssna på barn och vårdnadshavares erfarenheter arbetar barnhälsovården hälsofrämjande och förebyggande. Enligt svensk lag ska barn ha rätt att höras i alla frågor som rör barnet. Studien har ett salutogent perspektiv, vilket innebär att den grad människor har av känsla av meningsfullhet, begriplighet och hanterbarhet påverkar deras mående.

    Syfte: Syftet med studien var att beskriva barnhälsovårdssjuksköterskors upplevelser av att samtala med barn och vårdnadshavare om övervikt och fetma.

    Metod: Den valda metoden var en kvalitativ litteraturstudie med meta-etnografisk design utifrån Noblit och Hares sjustegsmetod. Två databaser, PubMed och Cinahl, användes för att söka efter relevanta artiklar. Elva artiklar inkluderades.

    Resultatet visade att BHV-sjuksköterskor balanserade mellan sin önskan att vilja fullfölja sitt uppdrag och att övervikt och fetma var ett känsligt ämne att samtala om. I temat en önskan om att vilja fullfölja sitt uppdrag framkom fyra subtema: att upprätthålla den betydelsefulla relationen, att möjliggöra barnens delaktighet, att använda redskap för att underlätta samtaletsamt att förhålla sig till resurser, samarbete och kunskap. I temat ett känsligt ämne att samtala om behandlades att initiera och anpassa samtalet, att hantera vårdnadshavares reaktioner samt att acceptera skillnader i värderingar.

    Slutsats: BHV-sjuksköterskor upplever olika reaktioner från vårdnadshavare vid samtal om övervikt och fetma. Det är viktigt att BHV-sjuksköterskor besitter kunskap om balansen mellan sin önskan om att vilja fullfölja sitt uppdrag och den känslighet som ämnet innebär, för att det hälsofrämjande samtalet ska bli så bra som möjligt.

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