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  • 201.
    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.))
  • 202.
    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.

  • 203.
    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.

  • 204.
    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.

  • 205.
    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.

  • 206.
    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

  • 207.
    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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  • 208.
    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.

  • 209.
    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.

  • 210.
    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.

  • 211.
    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.

  • 212.
    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

  • 213.
    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.

  • 214.
    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.

  • 215.
    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.

  • 216.
    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)
  • 217.
    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

  • 218.
    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.

  • 219.
    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)
  • 220.
    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.

  • 221.
    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.       

  • 222.
    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.

  • 223. 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)
  • 224.
    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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  • 225.
    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

  • 226.
    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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  • 227.
    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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  • 228.
    Aspegren, Moa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wik, Joanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans uppfattning av nutritionsansvaret för patienten: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Nutrition plays an important role in the lives of all people, both for health and for illness. Malnutrition has a negative impact on the human body, especially in the case of illness, as both mortality and complications increase in this condition. The Nurse has the highest level of nursing responsibility for the patient, where nutrition is an important part. Aim The purpose of this literature review was to describe how nurses perceive their nursing responsibility for the patient’s nutrition on a somatic ward.  Method The research method was a literature review based on articles with both qualitative and quantitative stirring. Articles were analyzed according to Friberg (2012). Four themes submerged from the analysis: lack of knowledge, barriers to nutritional care, nurses’ attitudes, and nursing role.   Results The Nurse generally considered that the nutrition of the patients was within their area of responsibility, however, they felt that they did not have enough knowledge to meet the needs, both in terms of nutrition knowledge and the national assessment tools available. After receiving education in nutrition, the nurse felt safer in this role. Time and staff shortages in combination with competing tasks were considered barriers to effective nutrition care. Attitudes towards nutrition and shortcomings in collaboration between occupational categories were also considered as obstacles. Conclusion More knowledge is needed about nutrition along with a distinct accountability for nurses. Also a better working interdisciplinary between doctors,  nurses and dietitians. Nurses also wanted better meal options and more flexible time for patients to eat.

  • 229.
    Asplund, Charlotta
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hallgren, Magdalena
    University West, Department of Health Sciences, Section for nursing - graduate level.
    "En tickande bomb": Sjuksköterskors upplevelser av att vårda hotfulla och våldsamma patienter i psykiatrisk slutenvård2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Inpatient aggression is common as a phenomenon in psychiatric inpatient care. Inpatient aggression arises for several reasons. It disturbs the nurses in their work assignments and causes negative emotions, which can be reflected in the interaction with the patients.

    Aim: To describe nurse's experiences of caring for aggressive patients in psychiatric inpatient care

    Method: An interview study was conducted with eight nurses at two psychiatric clinics at a hospital in a big town in Western Sweden. The material was analysed through qualitative content analysis.

    Results: The analysis resulted in four main categories. The first category is uneasiness, with subcategories: to feel anxiety, to feel stress, to feel sad and to feel offended. The second category is fear, with subcategories: to feel fear for the aggressive patient and to feel fear for others sake. The third category is powerlessness, with subcategories: to lose control, to feel frustration and to work with a ticking time bomb. The fourth category is work to create security policies with subcategories: understanding the patients' situation and courage to remain in an aggressive encounter.

    Conclusion: Inpatient aggression is often associated to symtoms and/or drug abuse, which also was confirmed in our study. In most scenarios the nurses had a deeper understanding for the patients behavior and thereby a higher tolerance towards inpatient aggresion. The nurses claimed that beeing available to the patients was very important, since that created an atmosphere of security for both parties and it was assumed a presumtion for a good caring relationship.

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  • 230.
    Aspång, Agnes
    et al.
    University West, Department of Health Sciences.
    Bylund, Sofia
    University West, Department of Health Sciences.
    Livet efter sepsis: En litteraturöversikt om patienters upplevelse av sin livssituation efter att ha överlevt sepsis2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Sepsis, a life-threatening response to infection, represents a substantial global health concern. Each year, about 48,9 million people are affected by sepsis. While survival rates have improved, sepsis survivors often experience numerous challenges after discharge from the hospital. Therefore, the aim of this study was to describe patients’ experience of their life situation after surviving sepsis. A literature review was carried out using Friberg’s four step model for analyzing quantitative and qualitative research. The data were collected from seven quantitative and four qualitative studies.

    The analysis revealed two themes and eight subthemes: (1) Difficulties adjusting to new living conditions, (2) A challenging recovery process. The first theme had four subthemes: Changed quality of life after sepsis, Physical limitations in everyday life, The challenge of becoming dependent on others and The importance of social relationships. The second theme had four subthemes: A mental struggle to return to a normal life, Traumatization and fears of relapse, The importance of recovery, and Educational and informational gaps.

    Among sepsis survivors, various problems and challenges have been identified that impact their daily life. Numerous survivors suffered from persistent residual symptoms primarily related to physical, psychological, and cognitive domains. Survivors were widely dissatisfied with the information and education about sepsis and its aftermath provided by the healthcare system. Further research is needed to clarify the long-term consequences of sepsis survivorship, and to improve the healthcare guidelines and interventions aimed at improving the well-being of this patient group

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  • 231.
    Assmundson Haag, Emma
    et al.
    University West, Department of Health Sciences.
    Lienos, Signe
    University West, Department of Health Sciences.
    Vårdnadshavares upplevelse av stöd vid sina barns cancersjukdom: En litteraturstudie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Annually, approximately 400,000 children worldwide are diagnosed with cancer. The disease often requires extensive resources and long-term treatment. Cancer diseasesinvolve significant adjustments for the family as well as substantial burden on the society. For the most of families, a cancer diagnosis engenders an intense sense of uncertainty regarding thefuture and a range of previously inexperienced emotions. In many cases, the emotional strain necessitates comprehensive support from health care professionals to cope with the impact of the disease.

    Aim: The aim of this study was to describe how guardians of children with cancer experience the support from the health care.

    Method: A literature study based on qualitative research. Nine articles were analysed with Friberg's five-step model.

    Results: The study's results illustrate how guardians experience the support from health care professionals, both positive and negative experiences were presented. The results were divided into two main themes with several sub-themes.

    Conclusion: The way information is conveyed to guardians is crucial in determining their satisfaction with the health care professionals. The relationship that exists between guardians and health care professionals is also meaningful. The authors conclude that nurses should adapttheir approach to disseminating information and communication based on the recipient and their condition. Nurses should also strive to enable participation and exhibit a family-centred approach towards their patients and the guardians. 

  • 232.
    Astonson, Emma
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Smith, Hanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vad som påverkar sjuksköterskans beslut vid smärtskattning och smärtlindring av barn: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Pain assessment and pain relief in children has traditionally remained a subject where research has been lacking. In recent years this has changed, but new knowledge about pain in children and how to relieve it still isn’t used in full capacity in clinical practice.

    Aim

    The aim of the review was to assess what’s affecting the nurse’s decision when doing pain assessment and relieving pain in children.

    Method

    A systematic literature overview study based on nine articles, both qualitative and quantitative. The results of the nurse’s decision when doing pain assessment and relieving pain in children were divided in to themes and subthemes.

    Results

    Many things can affect how the nurse decides how to do her pain assessment and the following pain relieving in children. Three themes came up and were named knowledge, organizational structure and attitudes.

    Conclusion

    The nurses need more knowledge about pain and children and how to assess and manage the pain. Guidelines might help nurses make the right decisions when doing pain assessment and relieve pain in children

  • 233.
    Ataya, Ranim
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sheikh, Naima
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att belysa sjuksköterskans upplevelser av att kommunicera med patienter via tolk: en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There have been great waves of immigration in Sweden during the recent years. In many researchers works there have been shown that the language is the most important way to communicate with others specially when they need to contact healthcare. In these cases, nurses need to communicate with the immigrants through an interpreter to be able to provide a good care.

    Aim: The aim of this study was to highlight the nurse´s experiences of communicating with patients through an interpreter.

    Method: The method was a literature-based review on the content of eight articles with qualitative design.

    Results: The results of this study showed two main themes: expectations of the interpreter and the interpreter's place in the care meeting. The result show that nurses experience the interpreter as an asset and that the interpreters' attitude can have an enormous impact on the meeting with patient.

    Conclusion: The usage of interpreters can be difficult however with enough education on how to use an interpreter properly, can nurse structure up the meeting. A nurse must know how to successfully collaborate with the interpreter and that is not something that you simply learn in one day. That is why health-care organisations must give enough education to nurses on how to lead and operate a meeting with the interpreter and patient.

  • 234.
    Athlin, Elsy
    et al.
    Karlstad University, Department of Nursing.
    Larsson, Maria
    Karlstad University, Department of Nursing.
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    A model for a national clinical final examination in the Swedish bachelor programme in nursing2012In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, no 1, p. 90-101Article in journal (Refereed)
    Abstract [en]

    Aim To describe the development and evaluation of a model for a national clinical final examination in the bachelor nursing education.

    Background After the transfer of nursing education to the academy, concerns have been raised among nurses, nurse leaders, lecturers and researchers about the nursing students clinical competence at the entrance to professional life.

    Methods During 2003 to 2005, a collaborative project was carried out between four universities and adjunctive health-care areas supplying clinical placements in Sweden. A two-part examination was agreed upon comprising a written theoretical test and a bedside test. An assessment tool for the bedside test was created. Nursing students, nurses and clinical lecturers participated voluntarily in the evaluation.

    Results The model was highly appreciated, and its relevance, usability, and validity were considered quite good for the assessment of nursing students clinical competence at the final stage of their education. Several deficiencies were revealed, which led to further development of the model.

    Conclusions and implications for nursing management The development and first evaluation of the model proved encouraging for further use, but it needs further evaluation. Involvement of nursing managers is necessary in order to satisfy new demands on competence and staffing of clinical nurses.

  • 235.
    Attar, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av tvångsvård: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Admitting psychiatric patients against their will is a criticized form of care. Decisions stating that a patient needs to be hospitalized under coercion are based on their incapability to voluntarily participate in their care. Former patients reported that coercive care led to lower satisfaction with their care. Although most former patients experienced negative care, there where patients that understood their care. Previous studies stated a need to examine how patients experienced being under coercive care and subjected to coercive measures such as seclusion, mechanical restraint and forced medication.

    Aim: This study aimed to illuminate adult psychiatric inpatients experiences of coercive care.

    Method: A literature-based study based on analysis of ten qualitative scientific studies.

    Results: 3 themes with 10 subthemes emerged from the analysis; interpersonal relationships, lack of influence while under coercive care and good coercion. The results showed that negative experiences of coercion were often linked to the actions of the mental health care staff. The relationship to the staff could contribute to their experiences being negative or positive. Patients also stated that they felt powerless and experienced loss of autonomy during coercive care. Good coercion was experienced when they felt seen and taken seriously.

    Conclusion: Patients expressed both negative and positive experiences of coercion. Patients wished for better adjusted information and opportunities to participate. They also expressed the need for trusting and supportive relationships to the mental health care staff. This could lead to greater understanding for their coercive care.

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  • 236.
    Atthayasai, Jarutsri
    et al.
    School of Nursing, Rangsit University, Pathumthani 12000 (THA).
    Chatchumni, Manaporn
    School of Nursing, Rangsit University, Pathumthani 12000 (THA).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Mazaheri, Monir
    Department of Nursing Sciences, Sophiahemmet University, 11486 Stockholm (SWE); Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14152 Stockholm (SWE).
    Surgical Nurses’ Perceptions of Strategies to Enhance Pain Management Proficiency: A Qualitative Study2023In: Nursing Reports, ISSN 2039-439X, E-ISSN 2039-4403, Vol. 13, no 2, p. 923-933Article in journal (Refereed)
    Abstract [en]

    To describe surgical nurses’ strategies for enhancing their pain management proficiency.A qualitative design was used to conduct the study. The participants were forty surgical nurseswho had at least six years of nursing experience in caring for patients with pain. They responded toopen-ended questions based on a review of the policy documents concerning the main elements ofthe pain management programme to be implemented by surgical nurses. Three key themes emergedfrom the surgical nurses’ suggested strategies: partnering, disrupting, and becoming familiar withpain management competency concerns. Surgical nurses’ strategies in acute and chronic painmanagement nursing units included solving patients’ problems and promoting and enhancing painstrategies to address health challenges in organisations. The themes presented in the results includeenhancing pain management in nursing competencies. State-of-the-art healthcare technologies arebeing applied to pain management. Surgical nurses’ strategies should improve the quality of nursingcare, especially post-surgery recovery time. It is recommended to engage patients, their families, andmultidisciplinary care teams in other healthcare fields.

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  • 237.
    Augustsson, Linnéa
    et al.
    University West, Department of Health Sciences.
    Classon, Sofie
    University West, Department of Health Sciences.
    Kvinnors upplevelser av att leva med endometrios: den dolda sjukdomen2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a disease in which endometrial tissue grows outside theuterus. This often causes women with endometriosis a lot of pain and suffering. It takes about 10 years before women are diagnosed and there is currently no curative treatment. Aim: The aim was to describe women's experiences of living with endometriosis.

    Method: This was a literature-based study based on eight qualitative scientific research articles.

    Results: The results are presented in four main themes and the findings show that the women experience limitations in their everyday lives. The women had various encounters with the healthcare system but often felt that their symptoms were normalized by the health care staff and that their knowledge about the disease was low. The women had several strategies for dealingwith the disease and needed information and support to manage their situation.

    Conclusion: The lack of knowledge leads to suffering among women with endometriosis. In order to provide good care and support, nurses need increased knowledge about endometriosis and how it affects women's lives.

  • 238.
    Avdagić, Mesud
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Att förmedla trygghet: En studie om distriktssköterskor och derasrelation till patienter2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background One of the main demands on Swedish and global health care in general is to meet the patient’s need for safety. By general health care law this also comprises district nurses’ field of responsibility. Although there are numerous studies describing the concept of safety and its different shapes, no research could be found exploring how safety is, or supposed to be, mediated by district nurses’ in a Swedish context. Research about this is therefore needed. Aim The aim of this qualitative study was to explore how district nurses’ mediate safety to their patients. Method Qualitative data were collected from seven district nurses’ by means of semi structured interviews. Thereafter, a concept analysis was carried out. Results Responses revealed that district nurses’ consider themselves mediate safety through a variety of ways. Five major categories emerged: (1) complaisance’s; (2) competence; (3) patient participation; (4) same caregiver; (5) personal characteristics. Conclusion District nurses’ mediate safety through a combination of general attitudes and concrete acts. Preconditions are bound to each district nurse’s individual ability to give a good complaisance, his/her competence and ability to involve patients in treatment and care. Other, less pronounced, are bound to the district nurse’s ability to create continuity in contact with patients’ and his/her personal characteristics.

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  • 239.
    Avellán, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Örtendahl, Linda
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Livskvalitet hos kvinnor med urininkontinens: En kvantitativ studie2014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Urinary incontinence is a major health problem that affects many women. It usually affects quality of life in a negative manner which may cause suffering for the women. The purpose of this study was to investigate in what ways urinary incontinence had an impact on quality of life among women seeking help in primary health care. The method used was a quantitative non-experimental cross-sectional study. Data was collected from two different health centres in the region and totally 187 women were asked to participate in the study. A validated instrument, Incontinence and quality of life (ICIQ-UI-SF), was used for data collection and one additional question was constructed. In total 132 women (71 %) participated in the study. The result showed a median age of 75 years (range 36-94 years). Furthermore, the study showed that urinary incontinence had a greater negative impact on quality of life of the younger women compared to the older women. Frequency, quantity and severity of urinary incontinence had a great impact on the quality of life of the women. Fifty percent of the women had not been treated for the urinary incontinence. The treated women had a significantly lower average age. Urinary incontinence treatment did not have any significant impact on the quality of life of the women in the study. Worth noting was that treated younger women experienced significantly less quality of life compared to untreated younger women. Despite urinary incontinence treatment the women experience worse quality of life which could indicate that the women are under-treated. To be able to help women with urinary incontinence it is important that health care personnel are aware of how these women experience their quality of life.

  • 240.
    Awome, Josefin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Fekete, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av familjecentrerad omvårdnad när ett barn vårdas på sjukhus2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a child is cared for in hospital, the child's well-being and ability to influence its own care must be taken into consideration. Children should not be separated from their parents unless the purpose is to protect the child. Children are entitled to a relative's presence and participation throughout the care period. The environment affects the child's experience of health and well-being during hospitalization. The presence of the family is of great importance and creates a well-being that gives the child security, harmony and an inner calm. 

    Aim: The aim of this study was to highlight nurses' experiences of family-centered care when a child is admitted to hospital.

    Method: The method was a literature-based study that contributes to evidence-based care, eight scientific articles with qualitative data were analysed using Friberg's five-step model. The method was used to compile and analyse previous research into a new whole and to use the identified scientific knowledge into practically useful knowledge.

    Results: Three main themes and ten subthemes were identified. The first theme describes the relationship between the nurse and the family. The subthemes were; The importance of the family, Creating a trusting relationship, Involving the family in the child's care, The family may hinder family-centration. The second theme describes the importance of communication. The subthemes were; Need for communicative skills, Nurses' retention of certain information, Cultural barriers. The third theme describes lack of resources preventing family-centration. The subthemes were; Insufficient material and infrastructural resources, Insufficient human resources and Lack of knowledge about family-centering.

    Conclusion: Family's presence is of great importance to the child, that the nurse should be able to involve the family in the child's care and create a trusting relationship with the family. Nurses' approach is meaningful to how the family's participation in the child's care is perceived. The family can be seen as an obstacle or an advantage to the nurse's work. The nurses acknowledge that they need more knowledge about family-centered nursing in its entirety, and how to work with the family.

  • 241.
    Ax Hansson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Derdziak, Anna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Närståendes behov av stöd då de vårdar eller stödjer en person med långvarig psykisk sjukdom2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: To illuminate relatives need of support when caring for or supporting a person suffering from mental illness

    Background: Relatives of a person suffering from mental illness have different needs. It has for the past few years merely been little improvements in the relative's situation.

    Methods: Focus group interviews with fourteen relatives. Data were analyzed through manifest content analysis.

    Findings: Three categories were found: Functioning contact channels to the psychiatric health care organization, Need of an active support from the psychiatric health care organization and Need of support from community resources.

    Conclusion: The relatives need more attention and understanding for their situation. The support of relatives must be designed and monitored individually. A collaboration or a well-functioning relation with the psychiatric nurses, other professionals working in the health care organisation and social services gives a mutual respect and trust which in turn leads to that the relative is confirmed as an important resource in the care of the mentally ill person. The relatives need an increased support and understanding from the community.

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  • 242.
    Ax Olofsson, Fanny
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lamme, Beatrice
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes erfarenheter av stigma kring en familjemedlem med schizofreni: en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The relatives of patients with schizophrenia have a big part of the caring for the patient. Schizophrenia is an illness which is highly connected to stigma from other people, usually because of lack of knowledge. Earlier studies have shown that stigma also affects the relatives to the patient and can make the illness from both perspectives worse. Earlier studies are usually based on the patient's experiences but since the relatives have a big part in the care, their experience of stigma is in need to be studied.

    Aim: The aim of the study was to illustrate relatives' experience of stigma around a family member with schizophrenia.

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

    Results: Three themes with six subthemes emerged from the analysis: To feel guilt and shame, To be met differently and To be met by lack of understanding and support. Family members experienced many negative feelings around stigma from the people around them. The stigma was explained as a consequence of lack of knowledge around the illness which expressed itself by being left out, being met in a humiliating way and by a feeling that they had to keep the illness a secret.

    Conclusion: The relatives expressed a lot of negative feelings around stigma from other family members, friends and the community. The stigma led to isolation and the feeling of being left out, humiliated, inferiority, grief and fear. By understanding how stigma impact on the relatives the study could lead to a better understanding and knowledge around their situation.

  • 243.
    Axelsson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Baatz, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med Akut Myeloisk Leukemi: En litteraturbaserad studie om den vuxne patientens upplevelse2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year around 350 people in Sweden gets the disease acute myeloid leukemia(AML). AML is a severe form of cancer. The rapid course of the disease means that intensive treatment needs to be started as quickly as possible and patients usually feel they have an uncertain future. The treatment with chemotherapy also gives a lot of side effects that affect people´s everyday life. This study contributes with an understanding of how the patient with AML experiences their situation.

    Aim: The aim of this study was to illuminate the patients experience of living with acute myoeloid leukemia.

    Method: A literature-based study was conducted by analyzing qualitative articles. The search was performed in the database Cinahl and Pubmed and 9 articles have been analyzed with Friberg´s five step model.

    Results: Two main categories where identified: to face the disease and to meet a new everyday life. Seven sub-themes where identified: shock of getting the diagnosis, concerns about the future, the importance of information, treatment and feelings of limitations, fear of infection,changed identity and social role, finding strategies and the importance of support.

    Conclusion: AML affect people´s life a lot and feelings of anxiety and worry is common, and people with AML feels that their identity changes with the disease. Support from the people around is important and also support from the nurse is valuable. It´s also important that the nurse has knowledge about hope, because it´s important that the patients feel hope despite asevere disease

  • 244.
    Axelsson, Andrea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Friman, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxnas erfarenheter av att leva med ADHD: En litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background ADHD is a disability with symptoms like inattention, impulsivity and hyperactivity. The symptoms can make everyday life difficult for the adults with ADHD. In Sweden, 2,5% of the adult population is expected to have ADHD. Previously, the diagnosis has been noted as a disability that is only found in children. This has meant that many adults have not received the help they need.

    Aim The aim of this study was to describe adults´ experiences of living with ADHD.

    Method The method chosen for this study was to contribute to evidence-based nursing with ground in analysis of qualitative research. By using this method, experiences from adults living with ADHD could be described. Eight articles were analysed from which three main themes och ten sub themes arose.

    Results The result showed that living with ADHD both is about handling a life with limitations and strengths caused by its symptoms. It also showed how the symptoms impact the everyday life and the experience of failure in both social life and work life. It is important for adults with ADHD to gain self awareness and awareness from others. It is also described how adapting the environment can help the adult with ADHD.

    Conclusion It is important for adults with ADHD to get good knowledge about the diagnosis, to get support and that both healthcare professionals and relatives are well informed about the need and support.

  • 245.
    Axelsson, Christer
    et al.
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Herlitz, Johan
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Karlsson, Anders
    Ambulance Service Sothern,Älvsborg Hospital,Borås,Sweden..
    Sjöberg, Henrik
    Ambulance Service Sothern,Älvsborg Hospital,Borås,Sweden..
    Jiménez-Herrera, Maria
    Nursing Department,Universitat Rovira I Virgili,Tarragona,Spain.
    Bång, Angela
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Jonsson, Anders
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Bremer, Anders
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Andersson, Henrik
    University of Borås, Faculty of Caring Science,Working Life and Social Welfare,The Prehospital Research Centre of Western Sweden,Borås,Sweden.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Law, Economics, Statistics and Politics.
    Ljungström, Lars
    Infektion Disease Department,Skaraborg Hospital,Skövde,Sweden.
    The Early Chain of Care in Patients with Bacteraemia with the Emphasis on the Prehospital Setting2016In: Prehospital and Disaster Medicine, ISSN 1049-023X, E-ISSN 1945-1938, Vol. 31, no 3, p. 272-277Article in journal (Refereed)
    Abstract [en]

    Purpose There is a lack of knowledge about the early phase of severe infection. This report describes the early chain of care in bacteraemia as follows: (a) compare patients who were and were not transported by the Emergency Medical Services (EMS); (b) describe various aspects of the EMS chain; and (c) describe factors of importance for the delay to the start of intravenous antibiotics. It was hypothesized that, for patients with suspected sepsis judged by the EMS clinician, the delay until the onset of antibiotic treatment would be shorter. Basic Procedures All patients in the Municipality of Gothenburg (Sweden) with a positive blood culture, when assessed at the Laboratory of Bacteriology in the Municipality of Gothenburg, from February 1 through April 30, 2012 took part in the survey. Main Findings/Results In all, 696 patients fulfilled the inclusion criteria. Their mean age was 76 years and 52% were men. Of all patients, 308 (44%) had been in contact with the EMS and/or the emergency department (ED). Of these 308 patients, 232 (75%) were transported by the EMS and 188 (61%) had "true pathogens" in blood cultures. Patients who were transported by the EMS were older, included more men, and suffered from more severe symptoms and signs. The EMS nurse suspected sepsis in only six percent of the cases. These patients had a delay from arrival at hospital until the start of antibiotics of one hour and 19 minutes versus three hours and 21 minutes among the remaining patients (P =.0006). The corresponding figures for cases with "true pathogens" were one hour and 19 minutes versus three hours and 15 minutes (P =.009).

    CONCLUSION: Among patients with bacteraemia, 75% used the EMS, and these patients were older, included more men, and suffered from more severe symptoms and signs. The EMS nurse suspected sepsis in six percent of cases. Regardless of whether or not patients with true pathogens were isolated, a suspicion of sepsis by the EMS clinician at the scene was associated with a shorter delay to the start of antibiotic treatment. Axelsson C , Herlitz J , Karlsson A , Sjöberg H , Jiménez-Herrera M , Bång A , Jonsson A , Bremer A , Andersson H , Gellerstedt M , Ljungström L . The early chain of care in patients with bacteraemia with the emphasis on the prehospital setting. Prehosp Disaster Med. 2016;31(3):1-6.

  • 246.
    Axelsson, Ida
    et al.
    University West, Department of Health Sciences.
    Nilsson, Maja
    University West, Department of Health Sciences.
    Personer med substansbrukssyndrom: upplevelser av integrerad intensiv beroendeöppenvård2023Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Comorbidity of substance use syndrome and other mental disorders is not uncommon, yet there are few treatments that meet the needs of the entire comorbidity. Currently, Swedish addiction care offers relapse prevention and the twelve-step program for people with substance use syndrome. Meanwhile, ACT (Acceptance and Commitment Therapy) and CBT (Cognitive Behavioral Therapy) have been shown to be effective psychotherapeutic methods for people with this type of comorbidity. At an outpatient clinic in western Sweden, individuals with the complex combination of substance use syndrome and psychiatric comorbidity are offered an integrated intensive treatment program. However, the problem is that integrated treatment interventions provided by addiction care for individuals with substance use disorder are scarce. 

    Aim: The aim is to describe how individuals with substance use syndrome experience the treatment offered at an integrated intensive outpatient addiction care unit in western Sweden.

    Method: Empirical study based on a mixed-method approach, where quantitative and qualitative data were analyzed to evaluate the experiences of the 59 clients who completed an integrated intensive outpatient program between 2015 and 2021. The clients answered the survey questions on the last day of the four-month treatment period. This work presents the results of the individual experiences using descriptive statistics and qualitative content analysis. 

    Results: In the results, it is evident that clients experienced the intensive integrated outpatient treatment positively. The treatment program included a strictly structured combination of group psychoeducational lectures, individual therapies, yoga, mindfulness, and acupuncture. The results of the quantitative section showed most of the clients were highly satisfied with their experience of the treatment program. The qualitative section revealed experiences of comfort among the clients, who felt seen and heard thanks to the commitment and secure and professional approach of the staff. The clients also felt that the knowledge they acquired during the program gave them a new chance in life. None of the clients were dissatisfied with their time in the treatment program. Three categories were derived from the qualitative material: Good relationships & a broad treatment program; Dedicated, knowledgeable staff who lead with warmth; Self-development through new experiences. 

    Conclusion: The clients in the study were satisfied or highly satisfied with the integrated intensive outpatient program, and they appreciated the variety of activities included in the program. Furthermore, the range of interventions for individuals with substance use disorder in psychiatric care needs to be examined and adapted to meet the holistic care needs of the individual. However, integrated treatment interventions for people with substance use syndromes is an area of development, in need of further research, knowledge and competence.

  • 247.
    Axelsson, Madeleine
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Olsson, Susanne
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ensamhet. En begreppsanalys: Den ensamhet som råder i den djupaste skog2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Loneliness can be experienced in different ways. By visualizing the dimensions of loneliness, healthcare professionals have a deeper understanding of what the concept of loneliness is. The purpose of this study was to analyze the meaning of the word loneliness through a concept analysis. The method used in this study was a concept analysis according to Peep Koort´s semantic method. Loneliness was defined according to etymological dictionaries as in the relationship to be lonely, for example,”A frozen trail that disappears in the loneliness of the forest”. In the definition of loneliness the analysis of the dictionaries resulted in several synonyms, three of which were chosen for further analysis. The most prominent synonyms was ”ödslighet” (desolation),” enslighet” (solitude) and ”isolering” (isolation). The theoretical definition of the outcome was discussed in a philosophical and health science perspective. The result showed both positive and negative aspects of loneliness. Loneliness can be a time of silence and reflection, but can also mean human suffering. From a scientific perspective, it is important to pay attention to the experiences of loneliness in patients and relatives in order to be able to provide appropiate support as a heathcare professional. In summary, loneliness can be illustrated by the metaphor ” The loneliness that exists in the deepest forest”.

  • 248.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Conscientiousness – an influential personality trait of adherence behaviour in persons with asthma and allergic rhinitis2011Conference paper (Refereed)
  • 249.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture.
    Personality and adherence to medication treatment2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Striving for improved adherence to medication treatment is of vital concern, as low adherence is a major obstacle in treating many prevalent chronic diseases. Several factors have been identified that seem to influence adherence behaviour, but limited research exists on the significance of personality for adherence to medication treatment. According to the Five-Factor Model (FFM), personality can be described in terms of five broad personality traits: Neuroticism, Extraversion, and Openness to experience, Agreeableness, and Conscientiousness. Reports on health-related quality of life (HRQL), asthma control and selfefficacy may also be influenced by personality. Therefore, the overall aim of the present research project was to explore the significance of personality traits in relation to adherence to medication treatment and asthma control, health-related quality of life and self-efficacy. 

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  • 250.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Personality and reasons for not using asthma medication in young adults2013In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 42, no 4, p. 241-246Article in journal (Refereed)
    Abstract [en]

    Objectives: To identify young adults' stated reasons for not taking asthma medication and to determine the significance of personality, asthma control and health-related quality of life in relation to these stated reasons. Background: Reasons for non-adherence to asthma medication treatment have previously been studied, but research on the significance of personality in relation to stated reasons for not taking asthma medication is limited. Methods: Young adults with asthma (age 22years; n=216) stated their most common reasons for not taking asthma medication and completed postal questionnaires on personality, asthma control and health-related quality of life (HRQL). Results: The most common reason for non-adherence was ". No perceived need" (n=141). Participants giving this reason for not taking asthma medication scored lower on the personality trait Negative Affectivity and reported both higher asthma control and higher mental HRQL. "Insufficient routines" was the second most common reason (n=66), and participants stating it scored higher on Negative Affectivity and reported lower asthma control. An increase in asthma control increased the odds of stating ". No perceived need" as the reason for not taking asthma medication. An increase in Negative Affectivity was associated with an increase in the odds of giving ". Insufficient routines" as a reason. Conclusions: The personality trait Negative Affectivity and perceived asthma control played a role in the young adults' stated reasons for not taking asthma medication, which indicates that these parameters are of importance to young adults' medication management. © 2013 Elsevier Inc.

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