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  • 201.
    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.

  • 202.
    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.

  • 203.
    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

  • 204.
    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.

  • 205.
    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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  • 206.
    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.

  • 207.
    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.

  • 208.
    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.

  • 209.
    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.

  • 210.
    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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  • 211.
    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.

  • 212.
    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

  • 213.
    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

  • 214.
    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!

  • 215.
    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.

  • 216.
    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.

  • 217.
    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.))
  • 218.
    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.

  • 219.
    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.

  • 220.
    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.

  • 221.
    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.

  • 222.
    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.

  • 223.
    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

  • 224.
    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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  • 225.
    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.

  • 226.
    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.

  • 227.
    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.

  • 228.
    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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  • 229.
    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.

  • 230.
    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.

  • 231.
    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

  • 232.
    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.

  • 233.
    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.

  • 234.
    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.

  • 235.
    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)
  • 236.
    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

  • 237.
    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.

     

     

     

  • 238.
    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.

  • 239.
    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)
  • 240.
    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.

  • 241.
    Arvidsson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hernevik, Sabina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sociala mediers påverkan på ungdomars psykiska häls: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The increasing prevalence of mental illness among adolescents has become a burden to health care. Simultaneously the use of social media has become pervasive among adolescents. How does the increased use of social media affect the mental health among adolescents?      Aim: The aim of this study is to investigate how the use of social media effects adolescents´ mental health. Method: Both qualitative and quantitative data was collected and used in a literature overview with the analysis method of Friberg through a descriptive summary of the area. Ten articles was used. Results: The use of social media can both promote and counteract the mental health among adolescents. Thus it can create a sense of context and connection it can also contribute to stress, impaired sleep quality, development of eating disorders and also to a lower selfesteem.   Previously mental illness was shown to be fortified by the use of social media.    Conclusion: The prevalence of mental illness was associated with a high usage of social media.       

  • 242.
    Arvidsson, Angelica
    et al.
    University West, Department of Health Sciences.
    Karlsson, Emmy
    University West, Department of Health Sciences.
    Sjuksköterskans erfarenheter av att möta existentiella frågor hos patienter i palliativ vård: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: 90,000 patients die every year in Sweden, of which 80 percent are in need of palliative care. Nurses working in palliative care are supposed to care for the physical, psychics and existential needs according to the World Health Organization (WHO). Existential questions and concerns often become relevant at the end of life, existential questions such as what is the meaning of life, death and debt may occur. The existential questions can cause suffering to the patient, and it is significant that nurses can respond to patient's questions and concerns.

    Aim: The aim of this literature-based study was to describe nurses' experiences of facing existential questions of patients in palliative care.

    Method: A method of a five-step model was performed and based on analysis of ten qualitative scientific articles. The articles research was carried out through the databases PubMed, Psycinfo and Cinahl. The analysis resulted in two main themes and four subthemes.

    Results: The main themes were: Create security and trust, Perceived conditions and obstacles at work. Nurses experienced insecurity and inadequacy to communicate about the existential questions with the patient. This was based on discomfort, lack of time and experience.

    Conclusion: Education together with knowledge, caring communication and person-centered approach is important for the nurse to be able to face patient's existential questions. To gain experience the nurse needs to be brave enough to engage in conversations with the patients.

  • 243. Arvidsson, Barbro
    et al.
    Skärsäter, IngelaUniversity West, Department of Nursing, Health and Culture, Division of Nursing.
    Psykiatrisk omvårdnad: Att stödja hälsofrämjande processer.2006Collection (editor) (Other academic)
  • 244.
    Arvidsson, David
    et al.
    University West, Department of Nursing, Health and Culture.
    Ryding, Christian
    University West, Department of Nursing, Health and Culture.
    Kan utnyttjandet av betald friskvård samvariera med den upplevda arbetsmotivationen?: en studie på anställda i Trollhättans Stad2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Denna studie berör friskvårdsförmåner och dess utnyttjande, som anställda kan få betalda av sin arbetsgivare samt hur detta utnyttjande kan påverka arbetsmotivationen. Detta sker inledningsvis genom en beskrivning av friskvård mer generellt, därefter följer en skildring kring skapandet av arbetsmotivation samt dess utformande. Vårt syfte med denna studie var först att undersöka utnyttjandet av betald friskvård och den upplevda arbetsmotivationen hos de anställda i Trollhättans Stad. Efter denna kartläggning var syftet att identifiera hur det differentierade utnyttjandet kunde samvariera med den upplevda arbetsmotivationen.

     Studien grundar sig på en kvantitativ undersökning i enkätform, vilken har utförts inom den offentliga verksamheten i Trollhättans Stad. Av de 440 stycken utskickade enkäterna fick vi totalt in 282 stycken, vilket gav undersökningen en svarsfrekvens på 64 procent. Könsfördelningen hos respondenterna i undersökningen var 78 procent kvinnor och 22 procent män. Bland våra respondenter kan det utläsas att det generellt existerar en positiv upplevelse kring att Trollhättan Stad som arbetsgivare väljer att erbjuda någon form av friskvård till sina anställda. Dock är inte utnyttjandet av dessa lika stort i relation till respondenternas positiva attityder till friskvård. Dessutom uppvisas en generell tillfredsställelse i upplevd arbetsmotivation, vilket delvis exemplifieras genom en hög meningsfullhet och motivationsnivå bland respondenterna. Resultatet påvisar genomgående att det existerar tendenser, som uppvisar att regelbundet friskvårdsutnyttjande är en faktor som kan samvariera med den upplevda motivationen hos de anställda på en arbetsplats. Däremot får dessa tendenser ses som relativt svaga då det är komplicerat att identifiera kausaliteten mellan dessa ämnesområden.

     Vi menar att eventuella insatser för att förbättra de kommunanställdas utnyttjande av betald friskvård, främst bör inriktas på de som mer sällan eller aldrig väljer att utnyttja någon form av betald friskvård. Detta då det troligen hade gett störst effekt på organisationens verksamhet, då ett brett utnyttjande av samt positiva attityder till friskvårdsförmånerna, är en god förutsättning för en främjande arbetssituation. Dessutom menar vi att det krävs ett långsiktigt strategiskt arbete för att uppnå denna främjande arbetssituation, vilket i sig skulle kunna bidra till en ökad arbetsmotivation för den enskilde individen.

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  • 245.
    Arvidsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Sarah
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur är det att leva med stomi?: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year, several people in Sweden undergo an ostomy operation. Inflammatory bowel disease and cancer are some of the reasons for stoma is inserted. Living with a stoma can affect the person´s experience of health and suffering as well as the view of their own body. As a nurse, it is important to have knowledge and be able to support affected people with a stoma i na professional way.

    Aim: The aim of this study was to describe adult people's experiences of living with a stoma.

    Method: A literature-based study based on qualitative research was conducted. Eleven scientific articles were reviewed, analyzed and compiled into a result.

    Results: The result was based on two themes and six subthemes. The first theme was: Body function and appearance, with the three subthemes: Loss of body control, body control using strategies, varied feelings and behavior related to the appearance of the body. The second theme was: Impact on social life, with the three subthemes: Significant support and guidance from healthcare, mixed feelings in front of returning to work and difficulty with intimate relationships.

    Conclusion: Living with a stoma is associated with both positive and negative experiences and varies from person to person. Increased support and information from nurses give people with stoma a greater opportunity to adapt to their new life.

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  • 246. Arvidsson Lenner, R
    et al.
    Carlgren, G
    Carlgren, G
    Hardell, LI
    Johansson, B
    Jonsson, G
    Samuelson, Gösta
    Sandström, B
    Food and nutrient intake in Swedish diabetic children1989In: Näringsforskning, Vol. 33, no 4, p. 149-53Article in journal (Other academic)
  • 247.
    Askarian, Zahra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans erfarenhet av undervisning om egenvård hos utlandsfödda patienter som har astma2014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Asthma disease is a public health problem. The incidence of asthma can vary depending on the patient's ethnicity. There is a risk for patients who have language difficulties with non-Swedish background that do not always tell you about the extent of their problems, and/or to express their symptoms differently and or do not complete their treatments or the recommendations given on self-care. The language barrier can make following self-care advice difficult, even compliance to taking their medicine in a correct fashion. The nurse's perception of the patient lived situation, knowledge and to see the patient as a whole, can increase the nurses' knowledge and compliance in giving relevant information to the patient which he/she understand. This will in turn strengthen the patient's capability to follow advice and complete their prescribed health care regime. Purpose with study was to describe the nurse’s experience of teaching on self-care in patients with non-Swedish background with asthma. The study is based on qualitative method. Sex nurses interviewed in this study January and February 2014 in Gutenberg in Sweden. Inductive qualitative content analysis is used. The Results of this study are presented in three categories: experience of communication on self-care, experience of patient's self-care and experience of follow-up patients. I believe that nurses with a better understanding of patient who have a non-Swedish background can achieve higher compliance from the asthma patient which in turn can lead to effective self-care outcomes

  • 248.
    Askland, Daniel
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ahmad Sadik, Nawsaid
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patientutbildning för personer med bipolär sjukdom: Upplägg och innehåll av utbildningar inom psykiatrisk öppenvård2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    To suffer from bipolar disorder can cause significant distress. Bipolar disorder causes severe shifts in mood. The person can, apart from having a normal mood, experience depressive episodes or a highly elevated mood – hypomania or mania. Psychoeducation as a complement to medicine treatment can help persons manage their disorder and reduce severe changes in mood. Little is known about psychoeducation programs in the country as a whole. Knowledge about these programs can be useful for evaluation and can contribute to valuable insights. The aim of this study was to survey the setup and content of psychoeducation programs for people with bipolar disorder in outpatient care in the country. To accomplish this a cross-sectional study was made through a web-based questionnaire sent to staff involved in outpatient psychoeducation. The Swedish National Quality Register for Bipolar Disorder – BipoläR contributed with contact information to the outpatient clinics. All 234 clinics involved were linked to BipoläR, 56 answers were returned resulting in the following information: Most of the psychoeducation programs were group-based. The major part used programs designed by themselves. Nurses were the most frequently staff involved. The mean amount of time for education delivery was 12 hours. The psychoeducation content was rich in important aspects related to the disorder. The programs were delivered through lectures and discussion. The conclusion of this study was the emphasis on group-based programs developed at the clinics, the quality content of programs and the possible need for more evidence-based programs.

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  • 249.
    Asovic, Olena
    University West, Department of Health Sciences.
    Äldres erfarenhet av social distansering under COVID-19 pandemin: En beskrivande litteraturöversikt2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Elderly people are vulnerable and belong to the high-risk groups of becoming seriously ill from COVID-19. Because of this, they also become more vulnerable in society due to COVID-19 restrictions. The government has used social distancing as a restriction to prevent the spread of COVID-19. People in general, and more specifically elderly people, were asked to stay at home to minimize the risk of becoming seriously ill for their own sake, and as not to overload the healthcare system. Social distancing had a negative impact on their health and well-being. Aim: To explore elderly's experience of social distancing during the COVID-19 pandemic. Method: The method used was a literature review, using qualitative and quantitative research.Results: Two overarching themes emerged: Psychological strain and facing a new reality, with four sub-themes: Increased loneliness, Negative emotions, New challenges and Coping strategies. Conclusions: The social distancing, related to the COVID-19 pandemic, has had a negative impact on the health of older people. Elderly people have suffered from loneliness, lack of well-being and have become isolated from society during the pandemic. They were encouraged not to burden the healthcare system and all their health promotion activities had been suspended due to the pandemic. Many elderly people have multiple illnesses and have previously experienced loneliness, which also worsened during the pandemic. The results showed an increased experience of loneliness and psychological burden. To cope with their new reality and challenges within, some older people found digital ways of socializing with each other and their relatives. It is important that society targets these high-risk groups to minimize their loneliness, depression, and subsequent increased morbidity. Keywords: COVID-19, elderly, loneliness, mental health, social distancing.

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  • 250. Asp, NG
    et al.
    Hallberg, L
    Hallmans, G
    Samuelson, Gösta
    Reutersvärd, AL
    Iron nutrition in health and disease: Referat från ett internationellt symposium1996In: Scandinavian Journal of Nutrition, ISSN 1102-6489, Vol. 40, no 2, p. 76-80Article in journal (Refereed)
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