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  • 201.
    Backlund, Linus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Grundvall, Fredrik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Omvårdnad av anhöriga till traumapatienter: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During trauma treatment lots of health personal are mobilized under a short timeframe. The focus lies upon the care of the patient which leads to reduced focus on the nursing care for the relatives. The relatives are in a difficult life situation and in a major need for nursing care. Aim: The aim of this study was to illuminate the nurses' care for the relatives of trauma patients. Method: This study is a literature review of eleven studies that involves relatives or nurses perceptions of the nursing care provided for the family-members of critically ill trauma patients. The studies were analyzed and categorized into themes and subthemes. Results: A total of three themes emerged. "Communications with the relatives", with subthemes the nurse gives information, nurses' behaviors and accessibility, taking the time to get to know the relatives. "Relatives involvement in care" with the subthemes involving the relatives in care, letting the relatives close to the patient. The last theme was "nurses provide care for the patient" without any subthemes. Conclusion: Information was crucial to the relatives. The nurse had to be calm and accessible to the relatives' needs and when he or she seemed stressed it was considered uncaring for the relatives. The relatives wanted to comfort themselves and the patient by being close to him or her. The subject needs more research especially with focus on what's being done for the relatives of trauma patients.

  • 202.
    Bador, Kourosh
    et al.
    AGERA KBT AB, Gothenburg, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care2019In: Journal of Behavioral Health Services & Research, ISSN 1094-3412, E-ISSN 1556-3308Article in journal (Refereed)
    Abstract [en]

    The study aimed to evaluate an integrated intensive cognitive behavioral therapy (CBT) group treatment for people with substance-related syndrome in outpatient care and to identify eventual gender differences. The study population consisted of 35 outpatients (18 male, 17 female) at a clinic in Western Sweden. The patients completed a four-month period of intensive group therapy and participated in the data collection at admission and discharge. The data were collected using the following inventories: Beck Depression and Anxiety Inventories, Rosenberg Self-Esteem Scale,Hopelessness Scale, and Trait Hope Scale. Results showed decreases in anxiety, depression and experience of hopelessness, and increases in self-esteem and hope. In females, the most dramatic improvement was measured for the anxiety and depression attributes, while in males the strongest effect was measured for hope and self-esteem. This study provides clinical evidence of the positive effects of integrated intensive CBT in outpatient care of people with substance-related syndrome.

  • 203.
    Bagger, Marie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Johansson, Jenny
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans upplevelse av att vårda barn i hemmet2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    As a nurse working in community home care you should today have enough knowledge to provide patients in different stages of life with good and safe care. The number of children receiving care in their home is increasing. There are today no Swedish studies that focus on this topic. How is the nurses experience of provide care of children in their homes?

    Aim

    The aim of this study was to illuminate the nurse's experience of giving care to children in their homes.

    Method

    An interview study was made with eight nurses working in community home care in four different community's in the western of Sweden. The text from the interviews was analyzed through a qualitative content analysis.

    Result

    The analysis resulted in three categories, seven subcategories and one theme.

    The following categories emerged: To feel inadequate, To take notice of the particular family´s needs, To be committed. The theme that emerged was oppressive but .rewarding.

    Conclusion

    The nurses felt inadequate when it came to giving care to children in their homes. The main reason for this was the feeling of lack of knowledge and experience of giving care to children. The nurses experienced that the family had a big and important role when it came to giving care for children in their home and that a good cooperation with the family was important to be enable to give the best possible care to the child. The nurses experienced that it was important to be truly committed when working with children.

  • 204.
    Bahramvalady, Mozhgan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livskvalitet för patienter med kronisk obstruktiv lungsjukdom2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic obstructive pulmonary disease is a growing problem today around the world. People are getting diagnosed with COPD everyday and the number of cases is expected to increase in the future. It is important that the nurse can respond to people living with COPD and to understand the symptoms and living condition of these people in order to apply a good nursing care.

    Aim: The aim of this study was to describe how quality of life is affected by chronic obstructive pulmonary disease (COPD).

    Method: The method of this study is based on a qualitative and quantitative research according to Friberg (2006) and Friberg (2012). Nine articles was analyzed according to Fribergs five-step model and results divided in three main themes.

    Results: The main themes were Symptom that limits everyday life, symptoms with a psychosocial impact and Relieving of symptoms that increases the quality of life.

    Conclusion: The results showed that COPD affects the entire life. To combine different treatment options such as applying oxygen, special breathing techniques and to increase the physical activity, it is possible to increase quality of life in COPD.

  • 205.
    Baker, Jay
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pain and embaressment: Patients' experience of pilonidal disease2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Pilonidal disease describes the occurrence of a cyst, abscess or sinus tract located near or on the natal cleft of the buttocks that contains hair and skin debris, it affects predominantly men and is notable for affecting relatively young patients (15-35 years) and having long healing time. Aim: This study will create a literature review of patients' experience of their post-surgical wounds after surgery for removal of pilonidal sinus tracts, abscess or cysts. By highlighting issues encountered by patients after surgery this study aims to provide nurses with insight as to the specific needs of this group of patients. Method: Literature review based on scientific articles. Eight articles were selected and analyzed. Articles were searched for in the databases; CINAHL, and Pubmed available through University West. Results: Results of this review formed two distinct categories. Firstly pain was identified as a category, this contained subcategories of; pain due to dressing change, sitting and walking post-operatively, pain and analgesia and post-operative pain due to differing operative technique. Secondly embarrassment was identified as a category, this divided into the subcategories of; embarrassment due to malodour and embarrassment connected to altered body image. Conclusion: Pain and embarrassment during extended healing periods may have a significant effect on a patients' quality of life. As the primary patient contact point due to frequent dressing changes, the nurse has the ability to improve patient experience through a combination of applied practice and patient education to improve personal wound

  • 206.
    Baldock, Karina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Anhörigas upplevelser av bemötande inom psykiatrisk vård: Den utfrysta anhöriggruppen2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Making people feel safe and secure in health care is one of the most importanttasks of nursing. A good response is not only important to patients but also to their relatives. Previously, for most of last century, relatives were not welcome to the psychiatric health care. But research show they are in need of information and support from the health care. It istherefore important that nursing staff learn what kind of response the relatives require.

    Aim: To investigate how relatives experience the response from nursing staff within thepsychiatric care.

    Method: Qualitative interviews with eight respondents, where the answers were transcribedand analysed to learn how they had experienced the response from nursing staff. In theanalysis the text was condensed and abstracted into subcategories and categories.

    Result: The analysis resulted in twelve subcategories and three categories; Feeling valued andmaking a difference, Feeling left out and not wanted, Response improvement suggestions.

    Conclusion: This study shows that relatives still to a large extent are left out fromparticipation in psychiatric care, although society has placed the main responsibility on themto support their next of kin. The result shows that relatives require more information andparticipation to be able to support their next of kin. Getting a good response from nursing caremeans for them to be seen, listened to and getting information and support. They don´t wantto be left out any more.

  • 207.
    Bancks, Ann-Sofie
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ivarsson, Karin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Förutsättningar som behövs för att implementera personcentrerad vård inom Kommunal Hemsjukvård: En kvalitativ intervjustudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background According to the Swedish Association of Local Authorities and Regions should all healthcare professionals within the regions, municipalities and county councils work for an introduction of person-centered care, which will aim to promote good and equitable health care and to enhance patients and users as co-creators in their own care process.

    Aim The aim of this study was to describe the district nurses' perception of person-centered care and the conditions required to implement person-centered care in home care.

    Method A qualitative study was conducted using eleven face-to face interviews.

    Results The analysis showed that the district nurses perceive person-centered care was to have the person at the center when it comes to planning and implementation of health care. To achieve this goal the nurses declared the need for certain conditions. These are reported to be team work, support from the organization and patient involvement in their care.

    Conclusion All nurses in the study were positive to a person-centered care approach and basically they were aware of the meaning of the term. The district nurses who had recently undergone specialized training focusing on district nursing had a more scientifically based definition of what person-centered mean In relation to those with older training. The former appeared more likely to work on a basies of a person-centred approach and were more positive to develop such approach in health care.

  • 208.
    Bandic, Mia
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Baban, Vian
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Attityder gentemot sexualförbrytare inom kriminalvården2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Professionals' attitude towards sex offenders is a field that requires more research. Former studies, made in other countries, have shown that the public and often even professionals have negative attitudes towards this type of offenders. In Sweden there is no previous study that investigates professionals' attitudes towards sex offenders. The aims of the present study were to describe the general perception of attitudes towards sex offenders among prison personnel in Sweden, and to investigate if these attitudes affect their professional work. Respondents in this study participated through a web based inquiry. The participants were professionals working closely with sex offenders. The results show that personnel with good knowledge about sex crimes are motivated in their work with sex offenders. Furthermore, the results also show that personnel are optimistic to treating individuals who have been convicted of sex offending. They also consider that attitudes, among the personnel, affect the treatment of the offenders and in that way it can also affect the nursing of them. Because of the low number of participants in this study, caused by a relatively great external dropout, one should be cautious in interpreting the results and not generalize the results to represent prison wards in Sweden.

  • 209. Barbosa da Silva, António
    et al.
    Berggren, IngelaUniversity West, Department of Nursing, Health and Culture, Division of Nursing.Nunstedt, HåkanUniversity West, Department of Nursing, Health and Culture, Division of Nursing.
    Omvårdnadshandledning: ur etiskt och tvärdisciplinärt pers2009Collection (editor) (Other academic)
  • 210.
    Bardhi, Razije
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Björling, Sonja
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distriktsköterskors och diabetessköterskors erfarenheter av att möta patienter med diabetes som riskerar att få fotsår2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:  Diabetes is one of the most common chronic diseases in the world and according to studies, the disease has a rapid development, especially type 2 diabetes that may be similar to an epidemic. Foot complications are among the most risky and costly late complications of diabetes mellitus. Neuropathy is the commonest complication and affects about half of all with diabetes. An important part of the preventive work of diabetes-related foot ulcers to provide both patient and family with knowledge, information and self-care education. Aim:  The aim of this study was to describe district nurse's and diabetic nurse's experience of meeting patients with diabetes who are at risk of foot ulcers Method:  The study had a qualitative approach. The study was based on individual interviews, with nine participants. Data analysis was then done using qualitative content analysis. Results:   The study resulted in four categories: conditions for a good start of a long-term relationship, different care depending on where the patient lives, the nurse as a mediator of knowledge and difficulties in preventive work. Conclusion:  This study shows that a large part of the preventive work is about self-care. It also appears that it is a challenge for nurses when patients do not want to take care of the advice and information they receive.

  • 211.
    Barimani, Mia
    et al.
    Department of Women's and Children's Health, Division of Reproductive Health, Karolinska Institutet, Re tsius väg 13 A, SE:17177 Stockholm, Sweden.
    Forslund Frykedal, Karin
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages. Department of Behavioural Sciences and Learning, Linköping University, Sweden.
    Rosander, M.
    Department of Behavioural Sciences and Learning, Linköping University, Sweden.
    Berlin, A,
    Division of Nursing, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.
    Childbirth and parenting preparation in antenatal classes2018In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 57, p. 1-7Article in journal (Refereed)
    Abstract [en]

    Objectives: to describe topics (1) presented by midwives' during antenatal classes and the amount of time spent on these topics and (2) raised and discussed by first-time parents and the amount of time spent on these topics. Design: qualitative; data were gathered using video or tape recordings and analysed using a three-pronged content analysis approach, i.e., conventional, summative, and directed analyses. Setting and participants: 3 antenatal courses in 2 antenatal units in a large Swedish city; 3 midwives; and 34 course participants. Findings: class content focused on childbirth preparation (67% of the entire antenatal course) and on parenting preparation (33%). Childbirth preparation facilitated parents' understanding of the childbirth process, birthing milieu, the partner's role, what could go wrong during delivery, and pain relief advantages and disadvantages. Parenting preparation enabled parents to (i) plan for those first moments with the newborn; (ii) care for/physically handle the infant; (iii) manage breastfeeding; (iv) manage the period at home immediately after childbirth; and (v) maintain their relationship. During the classes, parents expressed concerns about what could happened to newborns. Parents' questions to midwives and discussion topics among parents were evenly distributed between childbirth preparation (52%) and parenting preparation (48%). Key conclusions: childbirth preparation and pain relief consumed 67% of course time. Parents particularly reflected on child issues, relationship, sex, and anxiety. Female and male participants actively listened to the midwives, appeared receptive to complex issues, and needed more time to ask questions. Parents appreciated the classes yet needed to more information for managing various post-childbirth situations. Implications for practice: while midwifery services vary among hospitals, regions, and countries, midwives might equalise content focus, offer classes in the second trimester, provide more time for parents to talk to each other, allow time in the course plan for parents to bring up new topics, and investigate: (i) ways in which antenatal course development and planning can improve; (ii) measures for evaluating courses; (iii) facilitator training; and (iv) parent satisfaction surveys.

  • 212.
    Barimani, Mia
    et al.
    Karolinska institutet.
    Wikström, Anna
    Karolinska institutet.
    Rosander, Michael
    Linköpings organisation.
    Forslund Frykedal, Karin
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Berlin, Anita
    Karolinska institutet.
    Facilitating and inhibiting factors in transition to parenthood: ways in which health professionals can support parents2017In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, p. 537-546Article in journal (Refereed)
    Abstract [en]

    Background: The transition to parenthood is an overwhelming life event. From a theoretical perspective, tran- sition to parenthood is a developmental transition that contains certain phases and patterns.

    Aim: This study aim was twofold (i) discover, describe and comprehend transitional conditions that parents per- ceive as facilitating and inhibiting during transition to parenthood and to (ii) use that knowledge to develop recommendations for professional interventions that sup- port and facilitate transition to parenthood.

    Design: Meleis transition theory framed the study’s deduc- tive qualitative approach – from planning to analysis. Methods: In a secondary analysis, data were analysed (as per Meleis transition theory) from two studies that implemented interviews with 60 parents in Sweden between 2013 and 2014. Interview questions dealt with parents’ experiences of the transition to parenthood – in relation to experiences with parent-education groups, professional support and continuity after childbirth. Ethical issues: A university research ethics board has approved the research.

    Results: These factors facilitated transition to parenthood: perceiving parenthood as a normal part of life; enjoying the child’s growth; being prepared and having knowledge; experiencing social support; receiving professional support, receiving information about resources within the health care; participating in well-functioning parent-education groups; and hearing professionals comment on gender dif- ferences as being complementary. These factors inhibited transition to parenthood: having unrealistic expectations; feeling stress and loss of control; experiencing breastfeed- ing demands and lack of sleep; facing a judgmental attitude about breastfeeding; being unprepared for reality; lacking information about reality; lacking professional support and information; lacking healthcare resources; participating in parent-education groups that did not function optimally; and hearing professionals accentuate gender differences in a problematic way.

    Conclusion: Transition theory is appropriate for helping professionals understand and identify practices that might support parents during transition to parenthood. The study led to certain recommendations that are important for professionals to consider. 

  • 213.
    Bauer, G.F.
    et al.
    University of Zurich, Center of Salutogenesis, Institute of Epidemiology, Biostatistics, Prevention, Zurich, Switzerland.
    Roy, M.
    University of Sherbrooke, Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Quebec, Canada,.
    Bakibinga, P.
    Health Challenges and Systems Research Program, African Population & Health Research Center, Nairobi, Kenya,.
    Contu, P.
    University of Cagliari, Department of Medical Sciences and Public health, Cagliari, Sardegna, Italy.
    Downe, S.
    University of Central Lancashire, School of Community Health and Midwifery, Preston, UK.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Espnes, G.A.
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway.
    Jensen, B.B.
    Health Promotion, Steno Diabetes Center Copenhagen, Gentofte, Denmark.
    Juvinya Canal, D.
    University of Girona, Faculty of Nursing, Girona, Spain.
    Lindström, B.
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway.
    Mittelmark, M.B.
    University of Bergen, Department of Health Promotion and Development, Bergen, Norway.
    Morgan, A.R.
    Glasgow Caledonian University, School of Health and Life Sciences, Glasgow, UK.
    Pelikan, J.M.
    University of Vienna, Institute of Sociology, Vienna, Austria.
    Saboga-Nunes, L.
    University of Education Freiburg, Institute of Sociology,Freiburg, Germany.
    Sagy, S.
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway.
    Shorey, S.
    Alice Lee Center for Nursing Studies, Yong Lo Lin School of Medicine, Singapore .
    Vaandrager, L.
    Wageningen University, Department of Social Sciences, Health and Society, Wageningen, The Netherlands.
    Vinje, H.F.
    University College of Southeast Norway, Faculty of Health and Social Sciences, Department of Health, Social and Welfare Studies, Kongsberg, Vestfold, Norway.
    Future directions for the concept of salutogenesis: A position article2019In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, p. 1-9, article id daz057Article in journal (Refereed)
    Abstract [en]

    Aaron Antonovsky advanced the concept of salutogenesis almost four decades ago (Antonovsky, Health, Stress and Coping. Jossey-Bass, San Francisco, CA, 1979; Unravelling the Mystery of Health. Jossey-Bass,San Francisco, CA, 1987). Salutogenesis posits that life experiences shape the sense of coherence (SOC)VC that helps to mobilize resources to cope with stressors and manage tension successfully (determiningone's movement on the health Ease/Dis-ease continuum). Antonovsky considered the three-dimensionalSOC (i.e. comprehensibility, manageability, meaningfulness) as the key answer to his question about theorigin of health. The field of health promotion has adopted the concept of salutogenesis as reflected in theinternational Handbook of Salutogenesis (Mittelmark et al., The Handbook of Salutogenesis. Springer,New York, 2016). However, health promotion mostly builds on the more vague, general salutogenic orientation that implies the need to foster resources and capacities to promote health and wellbeing. Tostrengthen the knowledge base of salutogenesis, the Global Working Group on Salutogenesis (GWG-Sal)of the International Union of Health Promotion and Education produced the Handbook of Salutogenesis.During the creation of the handbook and the regular meetings of the GWG-Sal, the working group identified four key conceptual issues to be advanced: (i) the overall salutogenic model of health; (ii) the SOC concept; (iii) the design of salutogenic interventions and change processes in complex systems; (iv) the application of salutogenesis beyond health sector. For each of these areas, we first highlight Antonovsky'soriginal contribution and then present suggestions for future development. These ideas will help guideGWG-Sal's work to strengthen salutogenesis as a theory base for health promotion.

  • 214.
    Bay, Annika
    et al.
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lamas, K
    Umeå University, Nursing, Umeå, Sweden.
    Sandberg, Camilla
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Johansson, Bengt
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Facilitators and barriers for physical activity in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no suppl_1, p. 1120-1121, article id ehy566.P5433Article in journal (Refereed)
    Abstract [en]

    Background: A majority of adults with congenital heart disease (CHD) have reduced exercise capacity and do not reach the recommended level of physical activity. A physically active lifestyle is essential to maintain health and counteract acquired cardiovascular disease. This study illuminates aspects that may be relevant for performing physical activity.Purpose: To describe facilitators and barriers for physical activity in adults with CHD.Methods: Semi-structured interviews were performed individually with fourteen adults (age 19–68 years, women=7) with complex CHD. The interviews were analyzed using qualitative content analysis.Results: Aspects that may enable or inhibit physical activity were found in two domains; Facilitators and Barriers, which both consisted of four categories physical, psychological, psychosocial and environmental aspects (Table 1).

  • 215.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinical Medicine, Umeå University, Sweden; Department of Nursing, Sweden.
    Dellborg, Mikael
    Gothenburg University, Institute of Medicine, The Sahlgrenska Academy, Sweden..
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Sweden.
    Sandberg, Camilla
    Umeå University, Department of Public Health and Clinical Medicine, Sweden.
    Engström, Gunnar
    Umeå University, Department of Surgical and Perioperative Science, Cardiothoracic Surgery Division,.
    Moons, Philip
    KU Leuven Department of Public Health and Primary Care, KU Leuven - University of Leuven, Belgium; Institute of Health and Care Sciences, University of Gothenburg, Sweden..
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Sweden..
    Patient reported outcomes are associated with physical activity level in adults with congenital heart disease.2017In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 243, p. 174-179Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: In general, adults with congenital heart disease (CHD) have impaired exercise capacity, and approximately 50% do not reach current recommendations on physical activity. Herein we analysed factors associated with physical activity level (PAL) in adults with CHD by using patient-reported outcomes (PRO).

    METHODS: Patients with CHD (n=471) were randomly selected from the national register on CHD and categorized according to complexity of lesions - simple (n=172, 39.1±14.6years), moderate (n=212, 39±14.1years), and severe (n=87, 31.7±10.7years). Participants completed a standardized questionnaire measuring PRO-domains including PAL. Variables associated with PAL were tested in multivariate logistic regression.

    RESULTS: PAL was categorized into high (≥3 METs ≥2.5h/week, n=192) and low (≥3 METs <2.5h/week, n=279). Patients with low PAL were older (42.6 vs. 35.8years, p≤0.001), had more prescribed medications (51% vs. 39%, p=0.009), more symptoms (25% vs. 16%, p=0.02) and comorbidity (45% vs. 34% p=0.02). Patients with low PAL rated a lower quality of life (76.6 vs. 83.4, p<0.001), satisfaction with life (25.6 vs. 27.3, p=0.003), a lower Physical Component Summary score (PCS) (78.1 vs. 90.5, p<0.001) and Mental Component Summary score (MCS) (73.5 vs. 79.5, p<0.001). Complexity of heart lesion was not associated with PAL. The included PROs - separately tested in the model, together with age were associated with PAL.

    CONCLUSIONS: PCS and MCS are stronger associated with PAL than age and medical factors. The use of these PROs could therefore provide valuable information of benefit for individualized advice regarding physical activity to patients with CHD.

  • 216.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinical Medicine Department of Nursing.
    Lämås, Kristina
    Umeå University, Department of Nursing, .
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sandberg, Camilla
    Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Sweden.
    Johansson, Bengt
    Department of Public Health and Clinical Medicine.
    It's like balancing on a slackline: A description of how adults with congenital heart disease describe themselves in relation to physical activity2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 15-16, p. 3131-3138Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To illuminate how adults with CHD describe themselves in relation to physical activity.

    BACKGROUND: Several studies have shown that adults with congenital heart disease (CHD) have reduced exercise capacity and do not reach the recommended daily level of physical activity. With this in view, it is of immense importance to investigate how this population experiences physical activity.

    DESIGN: Qualitative study with semi-structured interviews analysed with qualitative content analysis.

    METHODS: Semi-structured interviews were individually performed with fourteen adults (women=7, age 19-68 years) with complex CHD. Patients were purposively recruited from the clinic waiting list, based on a scheduled follow-up and diagnosis.

    RESULTS: The overall theme, It's like balancing on a slackline, illustrates how adults with CHD described themselves in relation to physical activity. This overall theme consisted of four subthemes: (1) Being an adventurer- enjoying the challenges of physical activity; (2) Being a realist- adapting to physical ability; (3) Being a non-doer- lacking prerequisites for physical activity; and (4) Being an outsider- feeling excluded depending on physical ability.

    CONCLUSIONS: Adults with CHD seem to have a diverse relationship to physical activity and it involves various aspects throughout the lifespan. The findings point out factors that might constitute as obstacles for being physically active, specific for people with chronic conditions like CHD. This highlights the importance of further exploring the hindering and facilitating factors for being physically active in order to get a deeper understanding of how to support adults with CHD to be physically active.

    RELEVANCE TO CLINICAL PRACTICE: Given the diverse relationship to physical activity, nurses have to further investigate the patients' relationship to physical activity, in order to support a healthy lifestyle. Nurses and allied health professionals should offer individualized exercise prescriptions and education about suitable physical activities in relation to physical ability. This article is protected by copyright. All rights reserved.

  • 217.
    Beagan, Eva-Lotta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brandberg, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hälsa och lidande efter en njurtransplantation: En beskrivning av patienters erfarenheter att leva med en ny njure2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden last year 426 patients received a new kidney. As a patient you can be on a waiting list for a kidney transplantation between 1-3 years, sometimes longer. While waiting for a kidney transplantation dialysis is often required. Kidney transplantation is the renal replacement therapy of choice for more than 55 % of people with kidney failure. Despite improvements of quality of life in physical, social and psychological domains many factors influence life in a negative way.

    Aim: The aim of this study was to describe patients’ experiences after a kidney transplant.

    Method: A literature-study was based on ten qualitative research articles.

    Result: Our analysis of the result emerged in two themes; "Adaption from ill to health with side-effects" and "Difficulties to make friends with uncertainty". Patients experienced a wide range of emotions while trying to adjust to life after transplantation. It is a complex task to establish normality in the shadow of troublesome side-effects and the constant risk of rejection.

    Conclusions: The kidney transplant patient often hovers between health and suffering. It is a big adjustment in life to try to live as a healthy person but along with side-effects and constant threat of graft rejection on the patients’ mind. To learn to cope with the situation and move towards acceptance the patient also needs hope. The nurse must be attentive to what the patient experiences to be able to support the patient in the process of striving towards health.

  • 218.
    Becker, Wulf
    et al.
    Statens livsmedelsverk, Uppsala.
    Hambraeus, Leif
    Institutionen för näringslära, Uppsala universitet.
    Samuelson, Gösta
    Institutionen för klinisk fysiologi, Akademiska sjukhuset, Uppsala.
    Hög proteinhalt i svensk mat: en hälsorik?1996In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 93, no 1-2, p. 37-40Article in journal (Other academic)
    Abstract [sv]

    Proteininnehållet i svenskkost är relativt högt i förhållande till internationella rekommendationer. Höga proteinintaghos barn har satts i samband med ökad risk för övervikt. Hos vuxna har ett högt proteinintag,och därmed förhöjda homocysteinnivåer i serum, samtidigt med ett lågt intag av folacin förts fram som riskfaktorer förhjärt–kärlsjukdom. Det finns inga fördelar – men eventuellt nackdelar – med ett proteinintag över 15 energiprocent, eller1,5 g/kg kroppsvikt.

  • 219.
    Beganovic, Melissa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sadinmaa Halttu, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Självskadebeteende: En litteraturöversikt om faktorer som påverkar mötet och bemötandet2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    The definition of self-harm is described as a conscious act of harm towards oneself without the intent of suicide. The hospital staffs attitudes are important in the encounter with a patient who self-harms. A negative attitude can increase the self-harm, while a positive attitude can prevent it. Factors that can influence the attitudes of staff and the encounter with a patient who self-harms include respect, understanding and sympathy. Aim The aim of this study was to illuminate factors that influence the encounter with a patient and the attitudes of hospital staff toward people with a self-injurious behavior, when being treated for self-harming or mental illness. Method The study was conducted as a literature review with both qualitative and quantitative articles. Twelve articles were analyzed with a focus on differences and similarities. This resulted in four themes. Results The overall result

    displays factors that influence the encounter and attitudes toward patients whit self-injurious behavior. The first theme discusses the lack of understanding and knowledge. The second theme underlines the staffs lack of genuine interest, sympathy and responsiveness. The third theme highlights the absence of availability and patience among staff. The final theme illuminates the staffs emotional experiences in the encounter with self-injurious patients.

    Conclusion The study reveals a lack of knowledge, education and sympathy among hospital staff towards patients who self-harm. This affects the encounter and the attitudes negatively. More education on the subject is necessary to ensure an improved and effective care

  • 220.
    Behrman, Linda
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Larsson, Ulrika
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    "de flesta mår ju bra, men många ungdomar mår dåligt, så är det ju": En kvalitativ studie om skolsköterskors syn på faktorer som påverkar ungdomars mentala hälsa2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden most young people feel good, but there are some young people who are not doing well and this part is so large that it is considered a public health problem. The problems of young people’s lack of mental health are both national and local. According to the reports we have read, the self-reported experience of feeling bad in recent years has leveled off, but there are still too many who are doing poorly. Through qualitative interviews with professional nurses in Sjuhäradsbygden we have investigated the perceptions of factors affecting mental health and contribute to a better mental health. The results were analyzed inspired by a phenomenographic analysis. The school nurses' mandate is to work on health promotion and disease prevention and thus it was interesting to see their beliefs about the aim in this study. The results show that the state of knowledge of nurses about factors affecting mental health is broad. However there are perceptions of the difficulties that influence the factors that affecting young people's mental health. The factors are often described as structural problems based in young people's entire living environment and life situation. Four categories emerged from the analysis: requirements, support, habits and stability all important for important for children/young people during their formative years in order to be able to feel good and develop good mental health. We hope that this work contributes to a deeper understanding to people working with young people in schools about factors affecting their mental health. It may provide a state of knowledge that can be useful not only for the investigations on health promotion at a local level but also for forthcoming activities on public health

  • 221.
    Beijer, Emma
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme.
    Eng, Caroline
    University West, Department of Health Sciences, Specialist Nursing programme.
    Äldre och barn sjunger tillsammans: en kvalitativ intervjustudie ur personalens perspektiv2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The Swedish population is getting older. Ageing can be defined from several perspectives. How elderly people experience ageing depends on a number of different factors. If the elderly can participate in social activities, it brings meaningfulness and strengthens their wellbeing and health through sense of coherence. Music and singing has previously been beneficial in regards to the care of elderly. The elderly that are living in nursing homes tend to be old and dependent on the help of others. To give person centred care is to be aware of, and see, the whole being. The advanced nurse in elderly care has a responsibility to person centred care and to help and support co-workers and nursing staff in this. Aim: To describe the staff experience of the effect singing with children has on the elderly. Method: A qualitative interview study. Results: Three major themes emerged: To sing with children gives the elderly validation, it awakens feelings in them but it also brings stressors. The elderly is validated through the relationship that forms between the elderly and the children. This also brings understanding between them. The feelings that are awakened are joy and anticipation. The stressors are related to tiredness and failing health which means the elderly cannot always participate in the activities. Conclusion: Singing with children brought the elderly joy and validation. To make meaningful activities part of nursing home care can contribute to better health in the elderly.

  • 222.
    Beining Dahlgren, Pernilla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Steffenburg Wennberg, Marie
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Faktorer som skapar trygga möten vid smärtsamma procedurer på barn2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Many children are visiting hospitals and health care institutes daily due to a numerous reasons. A child´s experience of pain has for long time been underestimated. Pain together with anxiety could develop mental and physical worries for future meetings with treatment institutes. To upturn the feasibility when a child meets the health care this essay was written.

    Aim:

    The aim was to enlighten factors which creates reassuring meetings for children in painful treatments.

    Method:

    The method used was a literature study based on qualitative and quantitative research. The databases Cinahl and PubMed has been used as sources. All articles has been reviewed according to Friberg.

    Results:

    The result revealed mutual factors with the three pillars in Katie Erikssons nursing theory "Tend, Play and Learn" which are the bases in the result. It's important to please, gain trust, listen, form confidence, participate, share information and utilize the parents as the comfort zone for the child in the meeting. Through distraction and coping strategies moves the interest to cooperate is activated which significant lower the level of distress and fear.

    Conclusion:

    The nurse could by focusing on the patient during the conversation benefit the child personality, resource and caring need by using the three pillars "Tend, Play and Learn". Together with the child and parents the nurse could create solid ground for a safe and sound meeting during a painful examination.

  • 223.
    Bendtsen, Preben
    et al.
    Linköping University, Department of Medical and Health Science, Division of Community Medicine.
    Stark Ekman, Diana
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Johansson, AnneLie
    Linköping University, Department of Medical and Health Science, Division of Community Medicine.
    Carlfjord, Siw
    Linköping University, Department of Medical and Health Science, Division of Community Medicine.
    Andersson, Agneta
    Linköping University, Department of Medical and Health Science, Division of Community Medicine.
    Leijon, Matti
    Linköping University, Department of Medical and Health Science, Division of Community Medicine.
    Johansson, Kjell
    Linköping University, Department of Medical and Health Science, Division of Community Medicine.
    Nilsen, Per
    Linköping University, Department of Medical and Health Science, Division of Community Medicine.
    Referral to an electronic screening and brief alcohol intervention in primary health care in Sweden: Impact of staff referral to the computer2011In: International Journal of Telemedicine and Applications, ISSN 1687-6415, E-ISSN 1687-6423, ISSN 1687-6415, Vol. 918763Article in journal (Refereed)
    Abstract [en]

    The aim of this paper was to evaluate whether primary health care staff's referral of patients to perform an electronic screening and brief intervention (e-SBI) for alcohol use had a greater impact on change in alcohol consumption after 3 month, compared to patients who performed the test on their own initiative. Staff-referred responders reported reduced weekly alcohol consumption with an average decrease of 8.4 grams. In contrast, self-referred responders reported an average increase in weekly alcohol consumption of 2.4 grams. Staff-referred responders reported a 49 reduction of average number of heavy episodic drinking (HED) occasions per month. The corresponding reduction for self-referred responders was 62. The differences between staff- and self-referred patient groups in the number who moved from risky drinking to nonrisky drinking at the followup were not statistically significant. Our results indicate that standalone computers with touchscreens that provide e-SBIs for risky drinking have the same effect on drinking behaviour in both staff-referred patients and self-referred patients. Copyright © 2011 Preben Bendtsen et al.

  • 224.
    Bength, Cathrine
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Edwartz, Linus
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Samband mellan drogberoende och aggressivt antisocialt beteende, sant eller falskt?2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Adolescents tend to be more impulsive and more prone to take risks compared to adults, which can be related to immaturity in the brain structure. This often leads to impulsive acts without thinking about the consequences of their actions. This also means that adolescents are more prone to try new things, like drugs for example. Drug misuse often leads to antisocial behavior (that is often aggressive, but doesn't have to be), mental illness and criminality. The aim of this study was to investigate whether there is a difference in aggressive antisocial behavior in Moroccan adolescents who are drug dependent compared to nondrug dependent Moroccan adolescents. To answer this question a quantitative empirical study design with comparative statistical analysis was used. The result of the study showed that Moroccan adolescents with drug dependence have higher scores in aggressive and antisocial behaviors and also more prone to self-harm than those Moroccan adolescents who have no drug dependence. These results support previous findings, which have shown that adolescents with a drug dependence tend to have aggressive antisocial behavior to a greater extent compared to adolescents who do not have a drug dependence.

  • 225.
    Bengtsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mandelholm, Kajsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med diabetes typ 2: Strävan efter balans2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is today a rapidly increasing global health problem, often caused by unhealthy lifestyle choices. Changing life after a chronic disease is both time-consuming and burdensome, especially when many felt that the life they had lived before was too valuable to give up.

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

    Method: A literature study was produced based on eleven qualitative scientific articles, which were analyzed by Friberg's five step analysis.

    Results: The analysis resulted in two main themes, Imbalance in life and Balance in life with eight sub-themes; The inner battle, Loneliness, Life in denial, Lack of knowledge, The will to fight, The need for support, Finding acceptance in life and The importance of knowledge. These themes described the striving for balance in life when living with diabetes type 2.

    Conclusion: The study showed that persons with type 2 diabetes experienced a mix of feelings which were highly affected by how their lives around them looked like. This meant that even though you might had learned and accepted to live with type 2 diabetes, it did not necessarily meant that life not will take a turnabout. It is important for the nurse to know that life with diabetes are changeable, and that they therefore have a significant role to support the person to find balance in life.

  • 226.
    Bengtsson, Christine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olofsson, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser vid omhändertagandet av sjuka barn2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses have an important role in identifying life-threatening and serious diseases. Nurses must be able to care for both children and adults but they feel that it is tough, demanding and stressful to care for urgently ill children.

    Aim: The aim was to describe nurses´ experience of caring for ill children.

    Method: Literature-based study in which ten qualitative research articles are rewied and analyzed.

    Results: Three major categories were identified. "feelings of nurturing children" which included fear of failure, linked to their own children and emotions related to the situation. "need for knowledge" which included communication, care for children and stress. The last category was "present parents" which included pressure from parents, taking care of two patients and parents' influence on the child.

    Conclusion: The nurse experienced insecurity and inadequacy in the care of acutely or urgently ill children. They experienced a lack of knowledge in child care.

  • 227.
    Bengtsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nielsen, Ida
    University West, Department of Health Sciences, Section for nursing - graduate level.
    ”Att göra det bästa av situationen”: En kvalitativ studie om sjuksköterskors erfarenhet av vårdmiljöns betydelse för psykiatrisk omvårdnad2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The mental illness in society are increasing both nationally and internationally. In Sweden, about 40 percent of the population has at some point been affected by mental illness. Lack of nurses as well as savings in health and medical care with reduced hospital beds within the psychiatric inpatient care affect the healthcare environment in which staff and patients resides. Knowledge is needed about how nurses experience their care environment in order to continuously improve the possibilities of providing good care within the psychiatric inpatient care. Aim The aim of this study was to illuminate nurses' experiences of the care environment's importance in psychiatric care. Method The study was performed at a psychiatric clinic in southern Sweden. Ten nurses were interviewed individually about their experiences of the importance of the care environment with semi-structured interview questions. The data material was analyzed using qualitative content analysis. Results Two domains emerged, The ward's physical care environment with categories: The design of the premises, Locked doors and Surroundings outside the ward. The ward´s psychosocial care environment with categories: Ward atmosphere, Protocol, Structure and rules, Work group, Stress and Nursing. Conclusion The healthcare environment are important for nurses' ability to provide good care in psychiatric inpatient care. Both positive and negative factors emerged during the analysis. The nurses described that their care environment was not designed to the care that was given, but that they did the best they could with the conditions that existed

  • 228.
    Bengtsson, Emma
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Svanebjer, Martina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Upplevelser av att leva med diabetes mellitus typ 1: Ett barn och ungdomsperspektiv2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 1 Diabetes is a complex disease that the affected have to live with for the rest of their lives. The incidence among children and youth around the world are increasing and appear in increasingly younger ages. Living with a chronic disease like diabetes involves several changes in everyday life in terms of diet, exercise and insulin. It requires careful planning, good knowledge and time to get to know their body and know how to take care of it the best way. For children and young people this may mean additional difficulties when they are already at various stages of development, which can be tough enough. The aim of this study was to highlight children's and adolescence experiences of living with diabetes mellitus type 1. The method used was a qualitative literature-based study. Sixteen scientific articles found from the databases Cinahl and PubMed were included. The analyzed data were described in themes with two or three sub- themes each.

    The result shows the three main themes: The implications of changes in everyday life, Thoughts and emotions and Support. The overall findings show that diabetes in some way changes the childrens and adolescence daily life. The conclusions of this is that children and adolescents with type 1 diabetes may experience changes that can imply restrictions, but also can give strength and self-awareness. Support from the environment can also be considered to have a significant role in how everyday life can be managed.

  • 229.
    Bengtsson, Jonas
    et al.
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Gothenburg,.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Lindholm, Elisabet
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy,.
    Öreland, Tom
    University of Oslo : Institute of Clinical Medicine.
    Börjesson, Lars
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy,.
    Sexual function after failed ileal pouch-anal anastomosis2011In: Journal of Crohn's and Colitis, ISSN 1873-9946, Vol. 5, no 5, p. 407-414Article in journal (Refereed)
    Abstract [en]

    Background and Aims

    Failure of ileal pouch-anal anastomosis (IPAA) occurs in around 10% of the patients. Compared to patients with functioning pouches, health related quality of life is deteriorated after failure. Sexual function in patients with pouch failure is however poorly studied.

    The aim was to study sexual function in patients with pelvic pouch failure; patients with functioning pouches were used as controls. The hypothesis was that patients with pouch failure have worse sexual function.

    Methods

    36 patients with pouch failure were compared with 72 age and sex-matched controls with ulcerative colitis and functioning pouches. The patients answered a set of questionnaires concerning sexual function (Female Sexual Function Index [FSFI] and International Index of Erectile Function [IIEF]), body image (BIS-scale) and health-related quality of life (SF-36).

    Results

    Both women and men with pouch failure scored lower than controls in the FSFI and IIEF questionnaires. However, none of the observations were statistically significant. The scores in the failure group (for both sexes) were below the cut-off level for sexual dysfunction. Scores for the BIS instrument were significantly lower for both sexes in the failure group. Women and men in the failure group scored lower than the controls in all domains of the SF-36, however statistically significant only for the social function domain in men.

    Conclusions

    The hypothesis, that a failed IPAA is associated with worse sexual function, was not confirmed. Compared to patients with functioning pouches, patients with pouch failure have inferior body image.

  • 230.
    Bengtsson, Josefine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I dödens närvaro: Sjuksköterskors erfarenheter av att möta döende patienter inom palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses meet patients in palliative care in different wards, in homecare and hospices. The role of the nurse is to provide patients and relatives with good care. A holistic care includes psychological, physical, social and spiritual needs.

    Aim: The aim of the study was to highlight experiences of nurses meeting dying patients in palliative care.

    Method: The method to contribute to an evidence-based care based on analysis of qualitative research as described by Friberg (2012) was chosen for the study. Ten scientific articles were analyzed and the result was three categories, with eight sub-categories.

    Results: The three categories were: death leaves nobody untouched, relations in the shadow of death, and needs on the environment when death approaches. Nurses described their reactions and feelings in relation to the care of a patient in the palliative phase, emotions that both concern and strain. The relationships were important in palliative care, both with patients and relatives. Aspects such as environment, colleagues and knowledge were of importance to a nurse in palliative care.

    Conclusion: Experiences to meet dying patients in palliative care were described as demanding, but also a privilege. It was considered important to include and to co-operate with the patients’ relatives. The colleagues were needed to provide a good care for the dying patient. Nurses reach security through continuous development of knowledge, experience and reflections.

  • 231.
    Bengtsson, Martin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Thörnäs, Amanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientsäkerhet på en akutmottagning i Namibia: Empirisk studie avseende identitetskontroll, basala hygienrutiner och hantering av perifer venkateter (PVK)2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients often suffer from harm and infections when in contact with healthcare. Harm caused by the healthcare imply unnecessary suffering for the patient which the healthcare could have prevented. Being a nurse comes with the responsibility of relieving suffering and preventing harm.

    Aim: The aim of the study was to illuminate the patient safety, focusing on identity check, hygiene routines and management of peripheral venous catheter (PVC), in an emergency ward in Namibia.

    Method: This is an empirical study with a qualitative approach. To gather data, six unstructured observations were carried out. The data was analyzed by using Friberg's five-step-model.

    Results: Two main themes emerged during the analysis; Patient safety work and Non-patient safety work and six sub themes; Use of hand disinfection and single-use gloves, Skillful insertion of PVC and safe management of sharps waste, Lack of identity check, Inadequate use of hand disinfection and single-use gloves, Inadequate approach before and after insertion of PVC and Insufficient conditions in work environment. 

    Conclusion: Hand hygiene was the main problem of patient safety. A work environment where hygiene material is more easily accessible could be a contributing factor to a more patient-safe approach. Identification of patients before insertion of PVC does not appear to be a routine at the emergency ward. Nurses at the emergency ward are skillful at inserting PVC:s, but are failing in other aspects in the procedure.

  • 232.
    Bengtsson, Victoria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Bloom, Emelia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Det är inte bara att ge en spruta...: barnhälsovårdssjuksköterskors upplevelser av att vaccinera barn2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In child health care immunization is a common task for the child health nurse. Often children are unprepared, afraid and preoccupied with pain in the vaccination situation. Most children experience the presence of the parents as important during the procedure. Parents who prepare their child reduce the child's stress during the vaccination situation. An interaction occurs between the child health nurse and the child where participation is a prerequisite for the experience to be a positive outcome. Aim: The aim of the study was to describe the child health nurses' experiences of vaccinating children aged 0-6 years.Method: Semi-structured qualitative interviews were performed with twelve child health nurses. Data was analyzed using a content analysis focusing in manifest content. Results: Child health nurses' experiences of vaccinating commuted between the sense of power and confident. The crucial experience was the support and cooperation that the child health nurses experienced with the parents. It emerged a theme: Participation, three main categories: Sense of power, sense of confidence and cooperation with parents and six subcategories: Abuse, powerlessness, experiences, strategies, common goals and approaches and different goals and approaches. Conclusion: The result indicates that the parents have a dominant role in the vaccination situations with the ability to affect the health nurse's experience. Child health nurse, child and parents must cooperate to vaccinations to be carried out and be perceived in a positive way

  • 233.
    Bengtsson, Victoria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Klomp, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser efter att ha fått en cancerdiagnos: En litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Receiving a diagnosis of cancer often means suffering for the affected, but if the individual can see some kind of hope in the situation, it is possible to move on. Coping is a matter of adapting to difficult life situations. Promoting health and quality of life are main objectives when it comes to cancer care. The nurse will see and respond to the patient's experience of illness and suffering and have an ethical approach with a holistic approach.

    Aim:

    The aim of the study was to describe patients experiences after receiving a cancer diagnosis.

    Method:

    Qualitative litterature review where twelve articles were analysed regarding similarities and differences. Based on the analysis four main categories and three subcategories were identified.

    Results:

    Experiences of crisis, after receiving a cancer diagnosis, were dominated by anxiety and uncertainty. To reduce the mental stress and find some kind of security and stability the patients felt a need for information and support. How patients were able to accept their situation and move on was dependent on a positive attitude, a desire to live and the ability to maintain their daily routine.

    Conclusion:

    If cancer patients receive appropriate information, at the right times, and various forms of support this will help the individual to find some form of security, stability and hope in the situation

  • 234.
    Berg, Ann
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fohlin Johansson, Leone
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Äldre personer med diabetes mellitus och deras upplevelse av egenvård: En litteraturöversikt2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes is a growing health problem and the risk of getting diabetes is increasing with age. Beside diabetes, older persons often have several diseases which makes their situation complex. Self-care is an important part of treatment and how the older persons experience this is relatively unknown. The aim of the literature review was to investigate how older persons with diabetes experience self-care to find out how support for self-care can be developed. Systematic searches were made in the databases Cinahl, Pub/Medline and PsychInfo for the period 2007-2017. Fifteen articles were found and analysed using a descriptive synthesis. Three themes were identified: 1) To be responsive to the body's signals, 2) To be able to understand the life situation, and 3) To participate creates security. Older persons with diabetes usually had good knowledge of self-care but had difficulty to perform it. The result indicates that to support older people with diabetes to self-care, nurses need more knowledge how to involve and support older people in their care, create support-groups and meeting others with the same diagnosis, and develop a person-centred action plan.

  • 235.
    Berg, Henric
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Patrick
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors syn på hur de kan stödja närstående till patienter i behov av palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care treatment is a common phenomenon to many registered nurses. When caring for a patient palliatively, the nurse should also care for the ones closest to the dying patient. Previous studies have shown that nurses are uncertain on how to support these relatives and that some nurses even see them as a burden. The aim of this study was to describe nurses’ views on how they can support the ones closest to the patients that need palliative care. The method used is a literature study, aiming at contributing to evidence based care grounded in analysis of qualitative research. Two electronic databases, Cinahl and Pubmed, were used for searches. Inclusion criteria were: studies should be written in the English language, no older than ten years, qualitative, presenting data in palliative care setting for adult patients only, and written from a registered nurse’s perspective. Eleven studies were included. Four themes emerged on how nurses give support: Facilitate presence, Involve the ones closest to the patient, Care for the ones closest to the patient and Meet informational needs. The conclusion is that the nurse should care for the ones closest to the patient as unique human beings and strive to fulfil individual nursing needs.

  • 236.
    Bergbom, Ingegerd
    et al.
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ringdal, Mona
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Developing and evaluating an instrument to measure Recovery After INtensive care: the RAIN instrument2018In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 17, no 1, article id 5Article in journal (Refereed)
    Abstract [en]

    Measuring and evaluating patients' recovery, following intensive care, is essential for assessing their recovery process. By using a questionnaire, which includes spiritual and existential aspects, possibilities for identifying appropriate nursing care activities may be facilitated. The study describes the development and evaluation of a recovery questionnaire and its validity and reliability.

  • 237.
    Bergbrant, Rikard
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hulkkonen, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur närstående påverkas av att leva med en person med psykisk ohälsa2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In society today, mental illness is a growing problem. Relatives of a person with mental illness are often adversely affected by the person's condition. Knowledge exists to help a person suffering from mental illness but not as much importance is attached to helping them handle the situation. As nurses, we must not only help the person with mental illness but also the relatives. What is missing is to recognize the needs of the relatives and gain a deeper understanding of how to better support and prevent ill-health.

    Aim: The aim of the study is to illuminate the relatives to a person with mental illness and how they are affected

    Method: This paper is a literature review founded on 12 articles with a qualitative approach based on Friberg's (2012) five-step method.

    Results: Relatives living with a mentally ill person, carry a burden of guilt, shame and are faced with ignorance from family and society. This is enhanced by the lack of knowledge of relatives and stigmatization. Being available around the clock effects the relatives negatively such as their health, work and economics. Their future plans were limited, they had to re-priorities and adapt their lives to the mentally ill person. It was a burden for relatives and thoughts of suicide often came to mind.

    Conclusion: The life and health of relatives became affected drastically, they needed more support and knowledge from the health care services. The health care services must improve their individual support.

  • 238.
    Bergegårdh, Linnea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Saifelddine, Manal
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av bröstcancer: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is developed through multiple mutations in important genes that effect the central life process. The risk of developing breast cancer increases by the numbers of relatives that have been affected. Breast cancer appears in different cellular tissues and sizes depending on the stages that are titled with the numbers zero to four. At the survey of diagnosis, the women can go through several feelings. The treatment is costumed to fit the individual and can consist of several components that can give a lot of side effects, influence the life situation and create suffering on several levels. Aim: The aim was to illuminate the woman´s experiences of breast cancer. Method: A literature-based method is used. The studies´ result were analyzed by a qualitative content analysis of a five steps method. Results: The results are presented in four main themes; Loss, Hope, Fear and Anxiety and Security where Loss contains four subthemes while the rest of the themes consist of three subthemes each. Conclusion: The conditions for feeling safe and hope in the situation for the women with breast cancer are faith and support from the family and the environment. This support was not obvious in every family in the world.

  • 239. Bergfors, P G
    et al.
    Höglund, T
    Samuelson, Gösta
    Winberg, J
    Lasarettsvecka i pediatrik : Försöksverksamhet  under grundutbildningen: [Hospital week in pediatricsExperiments in medical education].1974In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 71, no 22, p. 2237-8Article in journal (Refereed)
  • 240.
    Berggren,  , Simon
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dauod, Lidia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Familjers upplevelse av att ha ett cancersjukt barn: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately 300 children are affected by cancer each year in Sweden, however the prognosis has been significantly improved. The disease isn't only affecting the child but even the family of the child and therefore, a family focused care should be applied. The disease creates a suffering for the entire family and the nurse then has the task of reducing that suffering.

    Aim: The purpose of the study was to highlight family experiences of having a child with cancer.

    Method: In this literature study ten qualitative articles, that shed light on the chosen subject, have been processed. The articles were analyzed using Friberg's five-step model.

    Results: The analysis resulted in four themes and 13 sub-themes. The four themes were; chaos and uncertainty, change of relationships within the family, change of everyday life and change of attitude towards life. The cancer diagnosis in the child affected everyone in the family, which caused a change in the everyday life for all members. The pursuit for information was constant among these families. Their everyday lives became chaotic when a whole series of emotions tested their relationships. The family members had a change of perspective of life, and priorities were redirected after the child’s diagnosis.

    Conclusion: The families face many emotional difficulties in connection with the child being diagnosed with cancer, and they need the support from nurses to handle these difficulties. The need for information is great among these families and therefore nurses need to be able to provide the information that families need to reduce their suffering.

  • 241.
    Berggren, Hanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nygren, Emma
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnors upplevelse av sexualitet efter avslutad behandling av gynekologisk cancer: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background; Gynecological cancer is a common term for cancer in the female genitals and 2013 there were about 2800 women in Sweden that was diagnosed. This form of cancer and the treatment that is used, affects the sexuality and also the fertility of the women.

    Aim; The purpose with the essay was to illustrate the experience of the sexuality after the treatment of gynecological cancer.

    Method; The method used in the essay was a systematic translation of different literature. Of all the articles used there were eight that was qualitative, two quantitative and one was a combination of both methods. The analytic process was accomplish with the support of the Friberg (2006) analytic method.

    Results; The analysis resulted in two categories; Physical changes after the treatment and the treatments impact on the sexuality of the women. The physical changes that occurred because of the treatment was recurring and it showed that it was primarily surgery that hurt the woman body. It was also shown that the biggest impact that the treatment had on sexuality was pain and reduced desire for sex. And it also showed that sexuality got a new meaning for the women and they found new ways to express their feelings towards their partner.

    Conclusion; It was showed that the sexual experience primarily was affected by the physical consequences that the treatment had and not only because of the cancer itself. And it can because of this conclution be of significance that the nurse focus on the effects of the treatment, like vaginal anatomy and physical and psychological effects to be able to support the womans sexual well-being

  • 242.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Etisk undran i omvårdnadshandledning2014In: Hermeneutik i vårdpraxis: det nära, det flyktiga, det dolda / [ed] Erna Lassenius & Elisabeth Severinsson, Malmö: Gleerups Utbildning AB, 2014, p. 187-196Chapter in book (Other academic)
  • 243.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Etiska kärnbegrepp i omvårdnadshandledning2009In: Omvårdnadshandledning: ur etiskt och tvärdisciplinärt perspektiv / [ed] Barbosa da Silva, António, Berggren, Ingela Nunstedt, Håkan, Lund: Studentlitteratur , 2009, 1., p. 193-209Chapter in book (Other academic)
  • 244.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Omvårdnadshandledning i teori och praktik2009In: Omvårdnadshandledning: ur etiskt och tvärdisciplinärt perspektiv / [ed] Barbosa da Silva, António,Berggren, Ingela, Nunstedt, Håkan, Lund: Studentlitteratur , 2009, 1., p. 23-43Chapter in book (Other academic)
  • 245.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Vårdandets etik2010In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, p. 125-144Chapter in book (Other academic)
  • 246.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vårdandets etik2019In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 151-171Chapter in book (Other academic)
  • 247.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Barbosa da Silva, António
    University of Stavanger.
    Severinsson, Elisabeth
    University of Stavanger, Department of Health Studies.
    Core ethical issues of clinical nursing supervision2005In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 7, no 1, p. 21-8Article in journal (Refereed)
    Abstract [en]

    Clinical nursing supervision enables supervisees to reflect on ethically difficult caring situations, thereby strengthening their professional identity, integrating nursing theory and practice, and leading to the development of ethical competence. The aim of this study was to develop an understanding of the core ethical issues of clinical nursing supervision, using previous research as well as philosophical analysis of the theories of three moral philosophers: Harald Ofstad, Richard Hare and Carol Gilligan. The ultimate aim of this study was to develop a general model for ethical decision-making and to establish its relevance for clinical nursing supervision. The findings highlight four important values for the development of a basis for ethical decision-making. These values are caring, dignity, responsibility and virtue.

  • 248.
    Berggren, Ingela
    et al.
    University West, Department of Nursing.
    Bégat, Ingrid
    University West, Department of Nursing.
    Severinsson, Elisabeth
    University of Oslo, Institute of Nursing Science.
    Australian clinical nurse supervisors' ethical decision-making style2002In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 4, no 1-2, p. 15-23Article in journal (Refereed)
    Abstract [en]

    This paper explores clinical nurse supervisors' ethical styles with regard to supervision in healthcare. Eighty-six registered nurses, all with experience of supervising clinical nurses and students in nursing, completed a specifically designed questionnaire. A qualitative interpretative content analysis identified three core themes: (i) 'Is it safe?'; (ii) 'Is it right?'; and (iii) 'Is it kind?', describing the clinical nurse supervisors' ethical styles. The first core theme 'Is it safe?' covered the supervisors' rules, codes and values that guide their supervisory actions, as well as two sub-themes: (i) empowerment and (ii) integrity. The second core theme 'Is it right?' described the supervisors' responsibility and advocacy as well as the ethical dilemmas experienced in the supervisory process. The third core theme 'Is it kind?' included the supervisors' relationships with patients, professionals and supervisees. The results demonstrate the value of offering a support system, such as clinical supervision, which helps nurses to explore their professional identity for the benefit of the patients.

  • 249.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlstrom, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Decision making within a community provider organization2010In: British Journal of Community Nursing, Vol. 15, no 12, p. 611-617Article in journal (Refereed)
    Abstract [en]

    Aim: To explore community nurses' experiences of decision making within the community provider organization. Background: Recent changes in health care with an increasing number of patients being cared for outside of institutions can put considerable pressure on the nurse with respect to decision making. Methods: In-depth interviews were performed with 6 registered nurses in two communities. The interviews were analysed by means of phenomenological hermeneutics. Results: The community nurses' experiences of decision making were interpreted as spiders or octopuses, consultants and troubleshooters. The subthemes were; networking and structuring, responsibility, availability and knowledge, assessment power, information selection, avoiding rules and bypassing managers. In accordance with hermeneutical phenomenology, the findings were discussed and explained with reference to Ofstad's philosophy of freedom to make decisions. Conclusion: In their decision making, community nurses are committed to finding administrative solutions that satisfy patient needs.

  • 250.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Ho, Agnes Yin Kwan
    Diabetes empowerment related to Pender's Health Promotion Model: A meta-synthesis2010In: Nursing & Health Sciences, ISSN 1441-0745, Vol. 12, no 2, p. 259-267Article in journal (Refereed)
    Abstract [en]

    Diabetes self-management is a challenge for both clients and health-care professionals. Empowerment plays a vital role in helping clients to achieve successful self-management. This study adopted a meta-ethnographic approach. Nine qualitative studies were synthesized in order to contribute to a deeper understanding of what clients perceive as being important in an effective empowerment strategy for diabetes self-management. Four central metaphors that influenced empowerment were identified: trust in nurses' competence and awareness, striving for control, a desire to share experiences, and nurses' attitudes and ability to personalize. The lines-of-argument synthesis suggested the need for an evaluation system to appraise clients' diabetes knowledge, health beliefs, and negative emotions, as well as the outcome of interventions. Based on Pender's Health Promotion Model, this study emphasizes the fact that health-care professionals need to understand and address modifiable behavior-specific variables. The study suggests that an effective empowerment strategy would be to use activity-related affect, as well as interpersonal and situational influences, as a means of facilitating and enhancing clients' health-promoting behaviors.

2345678 201 - 250 of 2094
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