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  • 201.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Patients experience of fast track: ”operates on Tuesday and getting home at Thursday2008In: 17th Biennial Congress of the World Council of Enterostomal Therapists, Ljubljana, 2008, 2008Conference paper (Refereed)
    Abstract [en]

    Background

    Today is length of staying at the hospital only some days even after large surgery. In the literature it is well-known how many days the patients stayed at hospital, how much pain they had after surgery and how many days they felt sick. But we didn't know the patients experienced the first hours at the nursing ward after surgery and who get through the first time at home after early getting home.

     

    Aim

    The aim was to describe patients experience of ”early getting home” after intestine surgery.

     

    Patients and method

    Seven women and three men who had been operated with large intestine surgery was included in the study. They was stay between two and four days after surgery at the hospital. After the patient getting home a nurse had a telephone call after a couple of days. They have a visit at outpatient clinic visit by three to five weeks later at the surgeon. At the same time interviews were making about 30 minute, the interview was typewriter exactly. The analyse method was on data was phenomenology.

     

    Result

    The patients felt trust to the caregivers, but the strongest supports were experienced from the relatives who had involved and engaged in their situation. The study showed that all patients trusted in caring, staff and doctors but they also said that they didn’t ha any other choice. The patients experienced the treatment from the nursing staff often as good. Throw the caregivers attention the patients felt that they had been seen and felt confirmed. The patients experienced fear and worry which come from loosing their control over the situation. The patients described health was the same as quality of life, to be with family or to have friends and be active in life.

     

    Conclusion

    All patients who had relatives support at home experienced their early getting home as positive. The following telephone call home from nurses were imported and was a part of satisfaction, but the largest support they had were the relatives who had involved in their situation.

  • 202.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Rektalcancer och sexualitet2009In: Patientkanalen, ISSN 1403-7149, no 2, p. 12-14Article in journal (Other (popular science, discussion, etc.))
  • 203.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sexualitet och fertilitet vid inflammatorisk tarmsjukdom2008Other (Other academic)
  • 204.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stoma therapist education on internet2008In: Proceedings with congress programme, 2008Conference paper (Refereed)
    Abstract [en]

    Internet is a good help and save time in the daily work for most of us registrar nurses. In the stoma therapist (ET) education where students often live in different places, is internet education a good alternative. In a digital classroom as community on internet the student collect tasks, send answers, have contact with the teacher and other students in the course. It is like a classroom and with a webb camera or video a lesson can be hold. The lessons can also be prerecorded so the students can look on it any time. The big different and advantage from a real classroom this community is opened 24 hours a day. Advantage and another positive effect is that student and teacher can communicate and answer the task when it suites them best.

    To participants an internet course does not mean less work, all communications must be written and read. This will take more time then verbally communication. One important thing, all communication is written, so it hade to be clear to avoid misunderstanding. To learn and understand each other the student and teacher have to have a two way communication.

    The practical educations can the students carry through on the hospital in the home city with support from the local ET- nurse and the practical examination can be done with instruction from the ET- course. When the students report the examination paper to other students they have to comment and discuss the result in the community. All students most give written comments and ask questions to the other students. The student can not “be seated” quiet, all comments and answers has to be documented. All students become attend.

    The stoma therapist education in a community on internet has great opportunities and is a good alternative.

  • 205.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stoma-related complications after stoma construction in emergency surgery.2009In: 10th European congress for nurses with interest in stomacare. Portugal, Porto, June 14-17, 2009., 2009Conference paper (Refereed)
    Abstract [en]

    PURPOSE; Prospectively longitudinal study of the frequency and type of stoma-related complications after stoma construction in emergency surgery. METHOD; 153 patients were operated acutely with a colostomy, ileostomy or loop-ileostomy formation between April 2003 and March 2005 at the Sahlgrenska University Hospital in Gothenburg, Sweden. The postoperative follow up took place in the ward and another five times two years after discharge. On these occasions diameter, height and shape of the ostomy were recorded. Peristomal skin problems, necrosis, leakage due to low ostomy, stenosis, granuloma, prolapse and peristomal hernia were evaluated. Use of convexity appliance was also documented. RESULTS were based on 144 patients 85 women and 59 men with a median age of 67 (range 23-98) years. The ostomy diameter size was postoperatively on the ward median 34 (r 22-80) mm but had reduced to 25 (r 22-60) mm in two weeks. Postoperatively on the ward 31% of colostomy was oval, and 24% of the ileostomy. After 12 months was 21% of the colostomy oval. Irrespective of ostomy types the most common complication was skin problems, most frequent in those with loop ileostomy (48%) hernia was most common in patients with colostomy (26%) at 12 months of follow-up. A patient may have developed more complications such as necrosis of stomin as the cause of this even skin problems. The patients with ileostomy used convexity appliance common in 6 month (67%) and the patients with colostomy in one year (29%). CONCLUSION This study shows that while skin problems dominated in ileostomy patients (48% in loop ileostomies) peristomal hernia was the most common complication in colostomy patients (26%). Early stoma nurse assistance in the acute phase and regular postoperative follow-up subsequently is very important.

  • 206.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Stomiteknik- och terapi i ett historiskt perspektiv2008In: Stomi- och tarmopererad : Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, p. 17-22Chapter in book (Other academic)
  • 207.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    To be an ostomate or not to be, is the question!2012Conference paper (Refereed)
  • 208.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Vårdvetenskap och Hälsa Sahlgrenska Akademin Göteborgs Universitet.
    Concerns and Quality of life in patients with rectal cancer preoperatively and and six months postoperatively2008In: Proceedings with congress programme; Biennialcongress of the world council of Enterostomal Therapists. Slovenia. 2008., 2008Conference paper (Refereed)
    Abstract [en]

    Background: The concerns of patients with rectal cancer are not well known. Prospective studies following patients pre and postoperatively are rare.

    Aim: The aim of the study was to assess worries and concerns, Quality of life (QOL) preoperatively, one, three and six months postoperatively in patients operated for rectal cancer with a stoma.

    Methods: Patients operated for rectal cancer between April 2003-March 2005 were asked to participate in the prospective study. Sixty-four patients participated with a median age of 67, range 30-87, (F/M = 25/39). Fifty patients were operated with a colostomy and 14 patients with a loop-ileostomy. Worries and concerns were assessed using Rating form of patient concerns (RFIPC).  Patients´ definition of QOL as well as perceived QOL and health on a visual analogue scale was evaluated.

    Results: The overall concern was greater on all items (RFIPC) preoperatively than six months postoperatively. Greatest concerns preoperatively were fear of cancer and being a burden (or dependent on others) followed by, dying early, the uncertain nature of the disease, loss of bowel control, producing unpleasant odour, being operated on, and having an ostomy.  

    Patients perceived health improved from preoperatively until six months postoperatively whereas QOL was perceived similar preoperatively as six months postoperatively. Patients´ definitions of QOL concerned mainly family, friends, social life and health.

    Conclusion: Knowledge of the specific responses of these patients could be useful in assisting health professionals to understand better patients´ fears and uncertainties as well as determine issues for which counselling might be of value.

    Learning objectives:To increase the knowledge of factors influencing life in patients with rectal cancer and a stoma. How to implement aspects of concerns and QOL in the care of patients with rectal cancer and a stoma.

  • 209.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Persson, Eva
    Framtida forskning2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, p. 217-222Chapter in book (Other academic)
  • 210.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlsson, Eva
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Persson, Eva
    School of Health Sciences, University of Borås, Borås.
    Lindholm, Elisabet
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy,.
    Long-Term Adjustment to Living With an Ileal Pouch-Anal Anastomosis2011In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 54, no 2, p. 193-199Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to describe long-term adjustment to life with an ileal pouch-anal anastomosis after surgery for ulcerative colitis, to investigate the relationship of pouch function to adjustment, and to explore factors affecting quality of life.

    METHODS: A total of 369 patients treated between 1982 and 1993 were included in the study. Questionnaires designed to assess bowel (pouch) function (Oresland score) and disease-specific adjustment (Swedish version of the Ostomy Adjustment Scale), plus open-ended questions regarding quality of life, were sent by mail. Open-ended questions were analyzed with qualitative content analysis.

    RESULTS: A total of 252 patients (84%) returned the disease-specific adjustment questionnaire (141 males/111 females); median age, 51 (range, 26-77) years; median follow-up, 15 (range, 10-21) years after construction of the ileal pouch-anal anastomosis. High adjustment ratings were found for all statements, with the maximum median score of 6 on 28 of the 36 items. Items with the lowest ratings (median score, 5) pertained to things one would do if not for the IPAA, feeling free to travel, ability to enjoy sexual activities, comfort with body image, ability to laugh about awkward situations, confidence in the appliance, and whether the surgery helped with decisions on what things are most important in life. Participants with the lowest adjustment scores had low bowel function scores (P < .0001). Open-ended quality of life questions were answered by 150 patients (59.5%). The most important areas for quality of life were health, family, restroom access, and friends. Five categories emerged from the qualitative content analysis: living a "normal" life, food restrictions, physical limitations, influence of restroom access on social life, and being dependent on medical care.

    CONCLUSIONS: Most participants had adjusted well to life with an ileal pouch-anal anastomosis and considered life to be normal. Good public restrooms were important for quality of life. Improving pouch function may help patients adjust to the postoperative state, but deeper understanding of reasons for poor adjustment despite good pouch function is needed.

  • 211.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Lindholm, E
    Oresland, T
    Börjesson, L
    Long-term outcome after ileal pouch-anal anastomosis: function and health-related quality of life2007In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 50, no 10, p. 1545-52Article in journal (Refereed)
    Abstract [en]

    PURPOSE: This study was designed to investigate long-term pouch function and health-related quality of life in a single, large cohort of patients with ileal pouch-anal anastomosis for ulcerative colitis. METHODS: Data from 370 patients were included in the study. Thirty-nine patients (11 percent) did not have a functioning pouch (failures) but were included in the health-related quality of life analyses. Pouch function (Oresland score) and health-related quality of life (Short Form-36) were evaluated by postal questionnaires. A total of 88 percent of the patients with a functioning ileal pouch-anal anastomosis returned the questionnaires vs. 76 percent of the failures. Median follow-up time after ileal pouch-anal anastomosis was 15 years vs. 11 years after failure. An age-matched and gender-matched reference sample (n = 286) was randomly drawn from the Swedish Short Form-36 database. RESULTS: Median bowel frequency was six per 24 hours: 76 percent emptied the reservoir at night, 23 percent had urgency, 12 percent had evacuation difficulties, and 17 percent experienced soiling during the day. Fifty-two percent of the males and 32 percent of the females suffered from soiling at night. More than one-half of the patients had occasional perianal soreness, 6 percent considered the pouch to be a social handicap, and 94 percent were satisfied with their pouch. Patients with a functioning ileal pouch-anal anastomosis did not differ from the reference sample on any Short Form-36 domain, except for a reduced score in General Health (P = 0.02). Pouch function was positively correlated to health-related quality of life. Patients with pouch failure had reduced health-related quality of life in most domains. CONCLUSIONS: Patients' satisfaction is high and functional outcome is good after ileal pouch-anal anastomosis. Poor pouch function affects health-related quality of life negatively. Patients with failure after ileal pouch-anal anastomosis are substantially limited in a variety of health-related quality of life domains.

  • 212.
    Berndtsson, Ina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Persson, Eva
    Carlsson, Eva
    Sexualitet och fertilitet2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, 1:1, p. 187-208Chapter in book (Other (popular science, discussion, etc.))
  • 213.
    Berndtsson, Åsa
    et al.
    University West, Department of Nursing, Health and Culture.
    Dahl, Carina
    University West, Department of Nursing, Health and Culture.
    Stödjande och hindrande faktorer i sjuksköterskans samtal med svårt sjuka och/eller döende patienter2005Independent thesis Advanced level (professional degree)Student thesis
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  • 214.
    Berntsson, Ann-Kristin
    et al.
    University West, Department of Nursing, Health and Culture.
    Johansson, Hannah
    University West, Department of Nursing, Health and Culture.
    Sjuksköterskors upplevelse av att vårda patienter på avdelningar där kurativ och palliativ vård bedrivs parallellt: en intervjustudie2004Independent thesis Advanced level (professional degree)Student thesis
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  • 215.
    Berntsson, Cecilia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Delic, Talita
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ökad vårdkvalité inom rättspsykiatrin - handledningens förtjänst: En empirisk studie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Earlier research has shown that clinical supervision was beneficial for caregivers within forensic psychiatric care. Clinical supervision enabled caregivers to develop their professional skills, reduce anxiety and conflicts, develop and improve relationships with co-workers and patients. Clinical supervision could be used as a method to develop quality of care. Clinical supervision seemed to have a positive effect on nursing care, although some reasearchers claimed that more empirical studies were needed to evaluate the positive effects of clinical supervision. The aim of this study was therefore to examine in what way clinical supervision of caregivers inpacts the care and the quality of care in forensic psychiatric units. An empirical study with qualitative semi-structured interviews was preformed. Data regarding the experience of clinical supervision and clinical supervisions' inpact on care and quality of care was analysed by the means of qualitative analysis. By this analysis six themes were identified. The result of the study indeed shows that clinical supervision is beneficial for caregivers and their professional skills. The result also shows that clinical supervision could benefit inpatient relationships, inpatient care and improve the co-operation in the staff group. The study shows that for example trust, communication, empathy and acceptance could improve by clinical supervision, but the result also shows that some of interwievees thought that these elements of care were not effected by clinical supervision in any way. These elements were seen as basics of the care. Thus the different thoughts of clinical supervision, the study shows that clinical supervison has a positive effect on the quality of care.

  • 216.
    Berntsson, Eva
    University West, Department of Nursing, Health and Culture.
    Svenska eller modersmål: synpunkter på det svenska språket som verktyg - för att integreras2007Independent thesis Basic level (degree of Bachelor)Student thesis
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  • 217.
    Berntsson, Kerstin
    University West, Department of Nursing, Health and Culture.
    Skolkultur: -en studie av läroplan 942010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ämnet för denna studie är skolkultur. Syftet är att analysera Läroplanen för det svenska obligatoriska skolväsendet, Lpo 94, med särskilt fokus på den ideologi som går att finna, samt hur skolans kultur - här i fråga om individsyn, kunskapssyn och pedagogiska tradition påverkar synen på elever och utformandet av undervisningen. Studien är en innehållslig idéanalys. Det empiriska materialet består av Lpo 94 och mediapresentationer där det framgår hur Lpo 94 kan tolkas och förverkligas. Mediamaterialet är hämtat under hösten 2007 i en västsvensk kommuns lokaltidning och från den aktuella kommunens hemsida. Analysen visar på att Lpo 94 fastslår en värdekonservativ undervisning med ett särskiljande. Individsynen är en autonom individ som går att definiera, vilket innebär rationalistiska synsätt. Kunskapssynen innebär att värden ses som objektiva och jämförbara med kunskap, vilket innebär objektivism. Den pedagogiska traditionen med barnet i centrum är fastslagen i det statligt bindande styrdokumentet, vilket innebär att den pedagog som sätter ämneskunskaper i centrum blir motarbetad och hamnar i ett utanförskap i en organisationskultur med gemensamt tänkande och handlande. Resultatet visar på att Lpo 94 tillvaratar rationalistiska synsätt och objektivism, vilket aktuella kulturvetenskapliga teorier radikalt tar avstånd till.

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  • 218.
    Berntsson, Linda
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Grundberg, Else-Marie
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Varför inte MajaLasses?: En genusanalys av serien om LasseMajas detektivbyrå2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this thesis is to do a gender analysis of six books from the series about LasseMajas detektivbyrå (LasseMajas detective bureau). These books are all very popular in the genre of childrens books. Our material consists of six LasseMaja books which are randomly chosen

    . The method we have chosen in our review of the material is text analysis. The main theoretical base in our thesis is gender, but we have also chosen to use the terms stereotypes, performativity, heteronormativity and masculinity to be able to reach a deeper analytical level. What we discovered is that although these books at first seems to be quite good in the aspect of not placing men and women in stereotypical roles, they actually do contain a certain amount of stereotypes and has a way of depict the character Lasse as a typical boy and the character Maja as a typical girl. However we did notice that the character Maja was more inclined to be cross-boundary and become a sort of tomboy.

  • 219.
    Berntsson, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Josefsson, Johanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att leva med ett barn som drabbats av cancer – ett syskons perspektiv: En litteraturbaserad studie grundad på analys av kvalitativ forskning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Every year, in Sweden, 250 children and adolescents below 15 years of age are diagnosed with cancer. Over 75% of those diagnosed are cured. Cancer affects not only the child but the whole family. Siblings of the affected child can easily suffer from a lack of attention.

    Aim:

    This study aimed to illuminate siblings' experiences of living in a family with a child affected by cancer.

    Method:

    A literature-based study based on nine qualitative studies.

    Results:

    The result showed that it was important for siblings to have someone close and not be alone, they needed to feel a community. Not to know and not to understand what has happened made them to feel grief, fear, stress and jealousy. Many siblings felt an insecurity because of a feeling of being forgotten, neglected and a feeling of loneliness due to the changes in everyday life.

    Conclusion:

    Parents to a child with cancer have often prioritized the sick child and the needs of the siblings, are left aside. Because the siblings often get sidelined they feel an insecurity when their everyday living get different. If the siblings get a positive experience from this period of illness, this may lead to a positive experience in life which make it easier to process what was happened.

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  • 220.
    Billme, Ulrika
    University West, Department of Nursing, Health and Culture.
    Sex sportchefers uppfattningar om mental träning i elitserien i ishockey2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Inledning:Den professionella ishockeyspelaren har ishockey som sitt jobb och befinner sig i en stark tävlingsmiljö där man hela tiden blir värderad. Om man inte presterar tillräckligt bra som ishockeyspelare kan man förlora sitt jobb. Ishockeyspelare tränar otroligt mycket fysik och teknik, men denna starkt prestationsbaserad miljö kan också innebära en mental belastning. 

    Syfte:

    Syftet med studien är att undersöka uppfattningar om mentala färdigheter i elitserien i ishockey, samt hur man inom samma fält betraktar vikten av att arbeta med mental träning.

    Metod:

    Min empiriska studie innefattar intervjuer med sex sportchefer i elitserien i ishockey. Av det insamlade materialet har tre kategorier skapats och analyserats.

    Resultat:

    Jag fann att mentala färdigheter är något man finner som väldigt viktigt för ishockeyspelare i elitserien. För att klara av den tuffa prestationsmiljön behöver man framförallt ett gott självförtroende och en bra inställning. Man måste också ha bra sociala egenskaper för att kunna fungera bra i ett lag. Klubbarna arbetar med mental träning till viss del både genom idrottspsykologer anslutna till klubben och genom ett dagligt, naturligt arbete inom organisationen. Jag fann också att mental träning är ett relativt nytt fenomen i ishockey, och att det därför finns ett visst motstånd för att utöka arbetet med det.

    Nyckelord:

    Ishockey, elitserien, idrottspsykologi, mental träning.

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    Sex sportchefers uppfattningar om mental träning i elitserien i ishockey
  • 221.
    Bivall, Märta
    et al.
    University West, Department of Nursing, Health and Culture.
    Berntsson Nilsson, Helen
    University West, Department of Nursing, Health and Culture.
    Att leva med kroniskt obstruktiv lungsjukdom:  Patienters beskrivning av sitt dagliga liv. 2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background;

    Chronic obstructive pulmonary disease (COPD) is a lung disease characterized by airway obstruction. Common signs of COPD are the slow process and shortness of breath on exertion. The most important treatment is to quit smoking. Most nurses, regardless of where they work, will meet these patients, often when the patients are having respiratory disorders. Aim;

    the aim of this study was to illuminate how patients with COPD describe the daily life based on how he/she experience and cope with the disease. Method;

    The study was designed as a literature review with aim to critically review and compile the results from ten qualitative and two quantitative articles. Results;

    Five themes emerged from the analysis of the articles, describing experiences of limitations, dependency, frustration, loss and life threatened. These experiences steered the patient's way to manage their disease. The management process could include changes in behavior, avoiding activities, symtom relief, adaption or acceptance. Conclusion;

    The main limitation was perceived as breathlessness, and the management of the disease was directed to mitigate this to try to live as unlimited as possible. 

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  • 222.
    Bjelland Guillermard, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture.
    Sjöberg, Katarina
    University West, Department of Nursing, Health and Culture.
    Barnmorskan ur ett pedagogiskt perspektiv: en studie om samspelet mellan barnmorskan och blivande förstagångsföräldrar2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Efterfrågan på föräldrastöd ökar i form av behov av fler träffpunkter, stöd i att kritiskt granska information och professionell rådgivning. Samhället erbjuder en mängd olika resurser av föräldrastöd däribland barnmorskans arbete vid mödrahälsovården, vilket bland annat innebär att ge blivande föräldrar stöd genom information, utbildning och rådgivning inför föräldraskapet. Syftet med studien är att undersöka barnmorskans upplevelse av sitt förberedande arbete med blivande förstagångsföräldrar inför föräldraskapet. Studiens teoretiska utgångspunkt är lärande och förändringsprocesser ur ett sociokulturellt perspektiv. Undersökningen baseras på en kvalitativ intervjustudie med inspiration av fenomenologi. Åtta kvinnliga barnmorskor intervjuades. Datamaterialet har analyserats med kvalitativ innehållsanalys. I resultatet framkom två huvudteman; barnmorskans roll och pedagogiska färdigheter och barnmorskans upplevelse av blivande föräldrar. De två huvudteman genomsyras av vikten av att möta människan där den är och skapa medvetenhet, vilket är essensen i barnmorskornas upplevelse av sitt förberedande arbete med blivande förstagångsföräldrar.

     

     

     

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  • 223.
    Bjärne, Erica
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Björsell, Torbjörn
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskans erfarenhet av att identifiera kvinnor som utsatts för våld i nära relationer2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There is a perceived lack of knowledge among nurses when it comes to identifying women suffering from intimate partner violence (IPV).

    Aim: The aim of this study is to highlight nurses' experiences in the identification of women who are victims of IPV.

    Method: The study is a literature overview containing both qualitative and quantitative research articles. Nine articles, four qualitative and five quantitative, were analyzed according to Friberg’s (2012b) method.

    Results: This study shows two themes: flaws and strengths; with five sub themes; lack of education, lack of guidelines, stereotyping, confidence in the nurse-patient relationship and intuition.

    Conclusion: Conclusions were that nurses are lacking education in how to identify a patient woman who is suffering from IPV. Lack of guidelines concerning IPV was also a problem for many nurses. Many nurses also were stereotyping women suffering from IPV. A confidence building nurse-patient relationship was seen by many nurses as something positive in the identification of IPV. Intuition was something that many nurses used in the identification of IPV.

  • 224.
    Bjärne, Martina
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hagström, Tova
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Tonåringars upplevelse av att ha drabbats av cancer: en analys av bloggar2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study is to describe teenagers' experience of being diagnosed with cancer. A cancer diagnosis very dramaticaly changes the lives of a teenager and its relatives. Cancer is a loaded word that most people associate with death and the teenager and its relatives generally react with despair and anxiety towards. Adolescence is a very emotionally difficult period with many physical and psychological changes, and it is therefore particularly difficult to suffer from a serious illness like cancer during this period. The method used when conducting this study is qualitative content analysis of various blogs written by teenagers living with cancer and resulted in six categories. The result of this study shows that the analyzed teenagers have similar feelings and experiences, although they are described in various ways. Constant fear and living in uncertainty are considered to be particularly difficult. Teenagers who have cancer develope a different outlook on life and value small things differently. The teenagers included in this study have often felt alone in their situation and that no one understands them. Blogs have been used as a form of therapy where the teenagers can express their feelings. A nurse can inform and encourage patients to use blogs both in order to read about people in simular situations and also as a forum to express their own feelings.

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    Tonåringars upplevelse av att ha drabbats av cancer
  • 225.
    Björk, Amanda
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Axelsson, Frida
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Friskvårdssatsning på arbetsplatsen: En studie kring hälsotester samt införandet av träning på arbetstid2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to investigate if a healthcare intervention in form of health dialogue, fitness test and training on working hours created any new knowledge among the participants and if so, what wisdom did it create. This was a collaboration together with Gothenburg city, where the healthcare intervention was implemented on workplaces within meal service. This thesis was done to do a follow-up of the already implemented healthcare intervention. The study for this paper was formed by a qualitative objective and 16 interviews provided a foundation for the study’s result. An inspiration of phenomenography approach formed the study’s objective that was to catch the participant’s experience. At the compilation of the material and the analysis was the Interpretative Phenomenological Analysis (IPA) used. A part of the result that appeared was that the participants overall thought that the healthcare intervention was good because it was adaptable from all of the participant’s capabilities and therefore everyone could learn something from this, in one way or another. The individuals have gotten an increased knowledge of the impact of small workouts and that everyone has something to gain regardless of previous physical status. A change and experience of the healthcare intervention have resulted in a tighter group cohesion and a better working climate.

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  • 226. Björk, Maria
    et al.
    Jenholt Nolbris, Margaretha
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att vara barn och möta sjukdom2012In: Att möta familjer inom vård och omsorg / [ed] Eva Benzein, Margaretha Hagberg, Britt-Inger Saveman, Lund, 2012, p. 191-206Chapter in book (Other (popular science, discussion, etc.))
  • 227.
    Björkman, Antonia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hult, Ulrika
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Traumaomhändertagande på akutmottagningen: Upplevelser ur patientens perspektiv2012Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    A trauma is a potential life threatening state which demands special resources and optimal care. Trauma doesn't just mean physical violence against the body, it can also put the patient in a psychological crisis. The trauma care in the emergency department is a short and intensive assessment between the patient and the emergency staff, where there is a risk that the patient may feel exposed and uncomfortable. For the nurse to be able to provide security and meet the patients' needs of well-being during the trauma care, the nurse has to try to understand the patients' needs and experiences. Aim: The aim of this study was to illuminate the patient's experiences during trauma care in the emergency department. Method: The study is implemented as a literature review where nine earlier studies were analyzed for the purpose to investigate knowledge which is available in this area. The results of the patient's experiences were divided in to themes and subthemes. Result: Three themes emerged from the result. Communication with subthemes I receive no information and I relieve information. Relatives' with the subtheme my relatives are present. I got taken care of with subtheme they touch me, they see me, the room is full of people and I am being examined. Conclusion: There were similarities and differences in the patients' experiences. Patients found it important to receive information and they felt secure when the trauma team were with them and showed them compassion. Experiences of family presence during trauma care showed differences between men and female patients. The experiences that have emerged in this study still show patterns that can give nurses more understanding and awareness for the patient experiences. It's hard to draw any reliable conclusions about the results. This is because of the lack of research in this area.

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  • 228.
    Björkqvist, Lena
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Klasson, Kristina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Att skapa trygghet: Distriktssköterskors erfarenheter av att vårda äldre personer i hemmet2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    That an older person feels safe when he or she is cared for in his/her home is of great importance to the quality of care. The aim of the study was to describe how district nurses provide security to older people who are cared for in their ordinary home. The study is based on nine interviews with district nurses. The study was analyzed using a qualitative content analysis. The analysis resulted in the theme: "To see the whole person behind the disease", which includes five subthemes: "To build trust and relationship", "To meet the person's needs", "To see and strengthen the patient's own resources", "To be with the patient" and "Being available, show competence and interest in the patient". The results revealed that district nurses felt that security was created by acknowledging the individuals who were cared for at home. Security was also created by showing an interest and commitment to the person. By being confident in their own profession conveyed trust to the patient. The conclusions drawn are that the district nurses have to face people as individuals and see each person and the person's needs and strengthen his/her resources.

  • 229.
    Björnkvist, Caroline
    et al.
    University West, Department of Nursing, Health and Culture.
    Janshed, Hanna
    University West, Department of Nursing, Health and Culture.
    Studenters kost- och motionsvanor vid Högskolan Väst relaterat till kön och institution2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study was to examine if there were any differences between students’ dietary and exercise habits depending on sex and affiliated institution at University West. The study was based on 323 questionnaires, relevant literature and scientific works as theses, reports and articles. The results were analyzed from a sociological perspective. Dependent on sex or institution affiliation differences were found of dietary and exercise habits. Female students at University West in many respects indicate somewhat better dietary and exercise habits than male students did. In addition, small differences between the frequency of male and female students’ exercise were found. According to the Swedish guidelines for dietary and exercise students from the Department of Nursing, Health and Culture reported more healthy habits than students in average. Opposite to this finding, students from the Department of Economics & Informatics, showed the least compliance to the Swedish guidelines. Students from the Department of Engineering exercised least frequently compared to students from the other examined institutions at University West.

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    Studenters kost- och motionsvanor vid Högskolan Väst relaterat till kön och institution
  • 230.
    Bladh, Amanda
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vouros, Rebecca
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vårdarens betydelse i flickors kamp mot anorexia nervosa: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A desire to be beautiful enough from the eyes of society by losing weight is something that many girls struggle with. Anorexia nervosa is a disease that affects the individual both physically and mentally and is because of that difficult to treat. Even though the disease is difficult to treat health professional's should behave consistently and strive to create a mutual relationship in which individuals have confidence and affirmation.

    Aim: To illuminate the health professional's importance for girls' recovery from anorexia nervosa.

    Method: A literature review was chosen to this study and an analysis was made of eleven systematically searched articles and one unsystematic searched article. All articles were qualitative.

    Result: The analysis of the results revealed three themes: (1) Support to a better wellbeing, (2) The caring relationship, (3) Control and power. Six subthemes emerged: Motivation and participation, Health professional's response, Difficulties in the relationship, Structure and rules and Authority of care.

    Conclusion: The study confirms a number of ways that the health professional and the interpersonal relationship are significant for individuals suffering from anorexia nervosa. The results may contribute to an increased awareness and knowledge of individuals' perception of the health professional, which can facilitate and develop active health professional's understanding of individuals suffering from anorexia nervosa and how the health professional can support individuals to a better wellbeing.

  • 231.
    Blomberg, Linda
    et al.
    University West, Department of Nursing, Health and Culture.
    Gustafsson, Erika
    University West, Department of Nursing, Health and Culture.
    Behov och erfarenheter hos närstående till personer med depression2004Independent thesis Advanced level (professional degree)Student thesis
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  • 232.
    Blomberg, Simon
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lundberg, Anitha
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hivpositiva patienters upplevelser i mötet med sjukvården2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 233.
    Blomgren, Annelie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Engström Andreasson, Annika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans strategier för att hjälpa patienten till en god egenvård: En kvalitativ innehållsanalys2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    People with a chronic illness such as asthma / COPD (chronic obstructive pulmonary disease), diabetes and congestive heart failure/hypertension are now a days returning to home from hospital a lot earlier than before and therefore need more support, advice, and help from the primary care nurse to be able to manage the disease

    Aim:

    The aim of the study was to describe the nurse´s strategies in the meeting with the patient in order to create the best preconditions for a good self-care.

    Method:

    A qualitative study was set up. Eight nurses with specialist responsibility within the area of asthma / COPD (chronic obstructive pulmonary disease), diabetes or congestive heart failure/hypertension were interviewed. The interviews were analyzed according to a qualitative content analysis.

    Results:

    From the analyzed interview material four categories with each three sub-categories emerged. The four categories that appeared was: To be based on the patient´s needs, to see the whole individual, to reach the patient through means and to move forward when things does not work out as planned. Common for these four categories is the rule of the nurse guiding the patient in the realization of a good self-care.

    Conclusion:

    All nurses in the study stresses the importance of seeing and meeting the patient on his level, in order to be able to support, help and provide the tools needed for the realization of a good self-care.

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  • 234.
    Bohlin, Karl Johan
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Wall, Petra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Närståendes upplevelser av sjuksköterskans stöd i samband med plötsligt dödsfall: En litteraturbaserad studie grundad på analys av kvalitativ forskning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden about 19000 people fall victims of sudden death every year. This covers around 20% of all deaths. Relatives are those who are closest to the patient, regardless of the type of relationship. When a patient suddenly dies this affects the relatives and they can suffer from high risk of complicated grief reactions or crises. Being the nearest professional contact in these situations, the nurse has an important role in supporting and guiding the relatives.

    Aim: The aim of this literature review was to nominate the relatives' needs of support from the nurse when a loved person suddenly dies.

    Method: The literature review was based on seven articles with a quality approach.

    Results:The analysis resulted in four themes; "to be seen and confirmed", "information", "take farewell" and "follow-up ".

    To be able to give support both mentally and physically, it is important for the nurse to give proper attention to the relatives. The nurse supports according to individual circumstances, giving clear and concise information. With privacy, peace and quiet the nurse may create the conditions for a dignified farewell. Afterwards, when the shock phase subsides, many questions need to be answered and a follow-up meeting is important.

    Conclusion:

    As nurses we will meet with relatives of patients who have suddenly died. Our results are, however, useful in all types of care, not only in cases of sudden death. The nurse´s attention to the relatives is an important factor in health care. Knowledge about the benefits of taking care of relatives in a situation of sudden death is, currently insufficient. Knowledge of the reactions of relatives who are confronted with sudden death needs to be further explored and existing research needs to be conducted / implemented in health care.

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  • 235.
    Bohm, Hanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ottosson, Erika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ett stormande hav – ett liv med bipolär sjukdom: En självbiografistudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness affects approximately 20-40% of the population in Sweden. To be able to meet these patients in a good way you need to understand the complexity of everyday life for a person with bipolar disorder. Each year about 1500 people commits suicide, of which about 90% has some form of mental illness.

    Aim: The aim of this study was to elucidate the experiences from people living with bipolar disorder. Method: The study was based on narratives, which in this case means analysis of autobiographies. Three autobiographies, written by people with bipolar disorder, were analyzed using Dahlborg-Lyckhage's method for inductive narrative analysis. Results: Four categories and ten subcategories emerged which describes positive and negative experiences about how it is to live with bipolar disorder. Negative experiences of healthcare result in powerlessness, anxiety and mental lability, whereas positive experiences of healthcare result in hope.

    Conclusion: As a nurse it is very important to keep in mind how complex it is to live with bipolar disorder. As a nurse you need to remember how important it is to understand and support the patients and their relatives.

  • 236.
    Bolinder, Therése
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnors upplevelser av sjuksköterskans bemötande i samband med ett missfall innan graviditetsvecka 162015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    A miscarriage counts as a women´s disease which brings the women into contact with a gynecological ward or emergency room. There she usually meet nurses that takes care of her. Pre-vious studies show that the nurse treatment during and after a miscarriage plays a big part how well women can cope a miscarriage.

    Aim

    This study aims to describe women´s experience of nurse´s treatment during miscarriage before the 16th week of pregnancy.

    Method

    A qualitative literature review was performed, based on eight qualitative articles. The articles were found from two differ-ent databases, Cinahl and Pub Med. Four articles were found unsystematic. All articles were re-viewed critically by the author.

    Results

    The result show four main themes: "Absence of support", "Absence of respect", "Making invisible" and "Nurses understanding". The four main themes gen-erated eight sub themes: "Perfunctory treatment", "Lack of empathetic treatment", "Not being taken seriously", "Inaccessible treatment", "Not being seen", "Being left alone", "To show honesty" and "To show dedication".

    Conclusion

    In this study a big need of being treated with empathy and taken seriously was identified. The women experience the nurses treatment inadequate. The nurse´s treat-ment to women who experience miscarriage must be improved, to satisfy the women´s different di-mensions of needs.

  • 237.
    Bolmgren, Margareta
    et al.
    University West, Department of Nursing, Health and Culture.
    Westin, Alexandra
    University West, Department of Nursing, Health and Culture.
    Healthy Cities - What makes the difference at a local level?: an analysis on factors for success in creating healthy public policy2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The World Health Organization (WHO) states that working intersectorally and internationally with health issues is crucial in creating a change towards healthy public policy at a local level. Healthy Cities is one of the programmes where WHO uses a health governance approach (governing through networks) to try to reach this objective. The aim of this bachelor thesis is to identify the factors that make member cities of the WHO European Healthy Cities Network successful in reorienting local public policy towards healthy public policy. An analysis of nine documents corresponding to the selection criteria set up by the authors was conducted. These documents consisted of reports published by WHO on the Healthy Cities programme, but also of independent research articles and one thesis published on other networks similar to Healthy Cities. Also, further data was collected through telephone interviews with contact persons in four member cities. The interviews were transcribed word by word. Both data (documents and interviews) were analysed using a qualitative content analysis.

     

    The results show that the four key “elements for action” (political commitment, leadership, readiness for institutional change and intersectoral collaboration) crystallized by WHO for creating healthy public policy were mainly confirmed in this research study. Therefore, the authors draw the conclusion that WHO has succeeded in making the member cities commit to the Healthy Cities philosophy and in spreading the idea of health governance in Europe. However, additional factors were found both in the document analysis and in the interviews. When looking at the top four frequently occurring factors in the documents, community participation and status were highlighted. The two additional factors found in the interview data was holistic thinking and systematic, goal-oriented work. Also, the importance of political commitment was questioned by a minority of the respondents. This might indicate that the four key “elements for action” crystallized by WHO might not have as big of an effect in creating change at a local level as has been made out by WHO. Furthermore, respondents stated that difficulties existed in translating theory into practice at a local level. This might indicate that potential changes made in the member cities after joining the Healthy Cities programme are mainly ideological. Despite this, the attitudes among the respondents towards membership in the WHO European Healthy Cities Network were overall positive, and even though difficulties still exist, the respondents maintained that Healthy Cities enables them in taking the next step towards healthy public policy at a local level.

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  • 238.
    Boman, Åse
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Fathers involved in children with type 1 diabetes: finding the balance between disease control and health promotion2013Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background:

    Type I diabetes is a chronic disease that places great demands on the child and family. Parental involvement has been found to be essential for disease outcome. However, fathers’ involvement has been less studied, even though high paternal involvement has been correlated with less disease impact on the family and higher quality of life among adolescents.

    Aim: The overall aim of the study was to explore and analyze constructions of fathers’ involvement in their child’s everyday life with type 1 diabetes from an ecological and health promotion perspective. Four specific aims were applied: 1) explore and describe discourses in health care guidelines for children with type 1 diabetes in Nordic countries, focusing on parents' positioning (I), 2) analyze how Swedish pediatric diabetes teams perceived and discussed fathers’ involvement in the care of their child with type 1 diabetes, and to discuss how the teams’ attitudes toward the fathers’ involvement developed during a focus group process (II), 3) explore and discuss how fathers involved in caring for their child with type 1 diabetes experience support from their pediatric diabetes team in everyday life with their child (III), and 4) analyze how involved fathers to children with type 1 diabetes understand their involvement in their child’s daily life and to discuss their perceptions from a health promotion perspective (IV).

    Material and methods: A qualitative and inductive approach was applied. Data were collected and analyzed during 2010-2012. The sample consisted of three pediatric guidelines originating from Norway, Denmark and Sweden (I), three Swedish pediatric diabetes teams (PDTs) (II), and 11 (III) and 16 (IV) fathers of children with type 1 diabetes who scored high involvement on the Parental Responsibility Questionnaire. Data were collected through repeated focus group discussions with the PDTs (II), online focus group discussions (III) and individual interviews (III, IV) with the fathers. Three analysis methods were applied: analysis of discourses (I), Constructivist Grounded Theory (II, III) and content analysis (IV).

    Findings: The findings illuminated the complex interaction between the pediatric guidelines, the PDTs and the fathers. Fathers highly involved in their child’s daily life experienced different levels of tension between the general recommendations and their personal experiences of living with a child with type 1 diabetes (III). The fathers regarded their involvement in their child’s diabetes care as additional to their general parenting, and a fine balance was identified between a health promotion perspective and a controlling involvement. The common denominator between the highly involved fathers was their use of parental leave (IV). The PDTs initially perceived fathers’ involvement as gendered and balanced on the mother’s agement, but as focus was set on fathers’ engagement the PDTs increased their awareness of this and started to identify and encourage their engagement II). At the macro-level, parents’ voices were diminished in Nordic pediatric diabetes guidelines in favor of an expert discourse (I).

    Conclusions: Fathers’ involvement concerning a child with type 1diabetes is constructed in a complex way, based on an interaction between the fathers’ perceptions of their additional involvement and the support provided by the PDTs; the PDTs’ perceptions of the fathers’ involvement; and how parents/fathers are constructed in pediatric diabetes guidelines. In order to promote the health and well-being of children with type 1 diabetes, fathers’ involvement needs to be taken into account in the pediatric guidelines as well as in clinical practice. 

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    Fathers involved in children with type 1 diabetes
  • 239.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Bohlin, Margareta
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Eklöf, Mats
    University of Gothenburg, Gothenburg.
    Forsander, Gun
    University of Gothenburg, Gothenburg.
    Törner, Marianne
    University of Gothenburg, Gothenburg.
    Conceptions of Diabetes and Diabetes Care in Young People With Minority Backgrounds.2015In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 25, no 1, p. 5-15Article in journal (Refereed)
    Abstract [en]

    Adolescents with type 1 diabetes (T1DM) need stable self-care routines for good metabolic control to minimize future cardiovascular health complications. These routines are demanding, and might be particularly challenging in underprivileged groups. The aim of this study was to gain in-depth knowledge on the experience of adolescents with T1DM and a non-Swedish background regarding factors that might influence their ability to take care of themselves; in particular, factors that might influence diabetes management routines, their social situation, and the support they receive from caregivers. We interviewed 12 adolescents with T1DM and minority backgrounds. The results indicated resources and constraints in the adolescents' social context and in the health care organization. The adolescents developed conceptions that helped to explain and excuse their self-care failures, and their successes. These findings highlight the importance of integrating T1DM as part of the individual's personal prerequisites. We discuss implications for the organization of diabetes care for adolescents.

  • 240.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap NHV.
    Dahlborg-Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Swedish pediatric diabetes teams' perception of fathers' involvement: A Grounded Theory study2013In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 15, no 2, p. 179-185Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to analyze how Swedish pediatric diabetes teams perceived and discussed fathers' involvement in the care of their child with type 1 diabetes. It also aimed to discuss how the teams' attitudes towards the fathers' involvement developed during the data collection process. The Constructivist Grounded Theory design was used and data were collected during three repeated focus group discussions with three Swedish pediatric diabetes teams. The core category of the teams' perception of fathers' involvement emerged as: If dad attends, we are happy – if mom doesn't, we become concerned. Initially the teams balanced their perception of fathers' involvement on the mother's role as the primary caregiver. In connection with the teams' directed attention on fathers, in the focus group discussions, the teams' awareness of the importance of fathers increased. As a consequence, the team members began to encourage fathers' engagement in their child's care. We conclude that by increasing the teams' awareness of fathers as a health resource, an active health promotion perspective could be implemented in pediatric diabetes care.

  • 241.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Borup, Ina
    Nordic School of Public Health, Gothenburg.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Parents' discursive resources: Analysis of discourses in Swedish, Danish and Norwegian health care guidelines for children with diabetes type 12012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 2, p. 363-371Article in journal (Refereed)
    Abstract [en]

    The incidence of diabetes type 1 in children, the most common metabolic disorder in childhood, increases worldwide, with highest incidence in Scandinavia. Having diabetes means demands in everyday life, and the outcome of the child's treatment highly depends on parents' engagement and involvement. The aim of this study was to explore and describe discourses in health care guidelines for children with diabetes type 1, in Sweden, Norway and Denmark during 2007-2010, with a focus on how parents were positioned. As method a Foucauldian approach to discourse analysis was applied, and a six-stage model was used to perform the analysis. The findings shows a Medical, a Pedagogic and a Public Health discourse embedded in the hegemonic Expert discourse. The Expert discourse positioned parents as dependent on expert knowledge, as recipients of education, as valuable and responsible for their child's health through practicing medical skills. This positioning may place parents on a continuum from being deprived of their own initiatives to being invited to take an active part and could result in feelings of guilt and uncertainty, but also of security and significance. From this study we conclude that guidelines rooted in the Expert discourse may reduce opportunities for parents' voices to be heard and may overlook their knowledge. By broadening the selection of authors of the guidelines to include patients and all professionals in the team, new discourses could emerge and the parents' voice might be more prominent. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.

  • 242.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap.
    Hanås, Ragnar
    Uddevalla Hospital.
    If dad comes, we are happy - if mom fails to appear, we become desperate: A Grounded Theory study of Swedish diabetes teams perecption of fathers’ involvement in their child's everyday life2011In: 4th International Research Seminar on SALUTOGENESIS and meeting of the IUP-GWG-SAL: May 30-31, 2011, University West, Trollhättan, Sweden, 2011, p. 1-12Conference paper (Refereed)
    Abstract [en]

    Background: Since parental involvement is essential to the outcome of diabetes type 1 treatment in childhood and high paternal engagement in everyday life promote the child's health, it is of value to explore how professionals, the diabetes teams (DT), perceive fathers' involvement in their child with diabetes type 1.

    Method: The study design was Constructivist Grounded Theory and data was collected by Repeated Focus Groups discussions with three Swedish pediatric diabetes teams, between May 2010 and January 2011.

    Results: The core category for the diabetes teams' perception of fathers' involvement was If dad comes, we are happy – if mom fails to appear, we become desperate. The core category relied on three subcategories. Societal and cultural context where DTs perceived fathers involvement as having specific properties and specific areas of responsibility, Balancing where the DTs balanced the father's involvement against the mother's engagement and Becoming aware where the DTs raised awareness of the fathers from being a indistinct parents-unit till to identify and appreciate the father's engagement.

    Conclusions: Perceiving fathers as equal caregivers, and becoming aware of fathers as a health resource, could support an active health promotion perspective in pediatric diabetes care. 

  • 243.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordic School of Public Health NHV, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers' encounter of support from paediatric diabetes teams: the tension between general recommendations and personal experience2013In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 21, no 3, p. 263-270Article in journal (Refereed)
    Abstract [en]

    The purpose of this grounded theory study was to explore and discuss how fathers involved in caring for a child with type 1 diabetes experienced support from Swedish paediatric diabetes teams (PDTs) in everyday life with their child. Eleven fathers of children with type 1 diabetes, living in Sweden and scoring high on involvement on the Parental Responsibility Questionnaire, participated. Data were collected from January 2011 to August 2011, initially through online focus group discussions in which 6 of 19 invited fathers participated. Due to high attrition, the data collection continued in eight individual interviews. A semi-structured interview guide was used, and the fathers were asked to share experiences of their PDT's support in everyday life with their child. A simultaneous and constant comparison approach to data collection and analysis allowed the core category to emerge: the tension between general recommendations and personal experience. This core category illuminates how the fathers experienced tension between managing their unique everyday life with their child and balancing this to meet their PDT's expectations with regard to blood glucose levels. The core category was supported by two categories: the tension between the fathers'and their PDT's knowledge, whereby fathers reported discrepancies between their PDT's medical knowledge and their own unique knowledge of their child; and the tension between the fathers'and their PDT's goals, whereby the fathers identified differences between the familys' and their PDT's goals. As a dimension of the core category, fathers felt trust or distrust in their PDT. We conclude that to achieve high-quality support for children with diabetes and to enhance their health and well-being, involved fathers' knowledge of their unique family situation needs to be integrated into the diabetes treatment.

  • 244.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers of Children With Type 1 Diabetes: Perceptions of a Father's Involvement From a Health Promotion Perspective2014In: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 20, no 3, p. 337-354Article in journal (Refereed)
    Abstract [en]

    This study describes how fathers of children diagnosed with type 1 diabetes understand their involvement in their child's daily life from a health promotion perspective. Sixteen Swedish fathers of children living with type 1 diabetes were interviewed. Manifest and latent content analysis was used to identify two themes: the inner core of the father's general parental involvement and the additional involvement based on the child's diabetes. The former was underpinned by the fathers' prioritization of family life and the fathers being consciously involved in raising the child, and the latter by the fathers promoting and controlling the child's health and promoting and enabling the child's autonomy. The results highlight that the quality of the fathers' involvement is essential in the management of a child's chronic illness. It is important for pediatric diabetes health care professionals to assess the quality of fathers' involvement to promote the child's health.

  • 245.
    Borgede, Emma
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vuxna personers upplevelser av att leva med funktionsnedsättningen ADHD: - en självbiografistudie2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    ·ADHD  is a syndrome characterized by attention deficits, difficulty of concentration, restlessness and lack of control. The number of persons diagnosed with ADBD have increased over the past few years. One reason for the increase is believed to be that the knowledge has increased in recent years and more persons can be diagnosed . As a nurse it is important to know about ADHD and how it affects the persons with it.

    Aim. The purpose of this autobiography study was to describe the experience of adult persons living with the disability ADHD.

    Method. A qualitative approach was used for this literature review. In this study two biographies were analyzed. Qualitative content analysis was used with a manifest focus.

    Results The analysis of the biographies revealed two main categories; perceptions of lack of control and experiences of various emotions. The results shows that the person experience disorder in life, impulsiveness, difficulty of concentration, feeling different, anger and anxiety and being brave and curious.

    Conclusion To live with ADHD is something that effects the whole life for the person. To get the diagnosis is a relief and an explanation for their behavior. The authors of the biographies had both had a hard school time where extra help and support would have been valuable. The persons thinks that ADHD gives them both benefits and difficulties. Nurses can better help the persons by seeing each individual based on their own potential

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  • 246.
    Boström, Helena
    et al.
    University West, Department of Nursing, Health and Culture.
    Grensman, Ulrica
    University West, Department of Nursing, Health and Culture.
    Medveten beröring i omvårdnad av personer med demenssjukdom: en beröring som berör2005Independent thesis Advanced level (professional degree)Student thesis
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  • 247.
    Brantsing, Leif
    et al.
    University West, Department of Nursing, Health and Culture.
    Olsson, Åsa
    University West, Department of Nursing, Health and Culture.
    Barn, vuxna, språk och samhälle II2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte

    Vårt syfte är att undersöka hur det är med barns språkutveckling idag. Det framkomer ofta i

    den offentliga debatten att barnens språk blivit sämre, det gäller talet såväl som läs-och

    skrivkunnigheten. Hur förhåller det sig egentligen? Vi har därför valt att vända oss till

    förskole – och lågstadielärarna med vår fråga.

    Forskningsfrågan

    Hur är lärarens syn på barns språkutveckling?

    Metod

    Vår undersökning är kvalitativ med en fenomenografisk ansats. Den grundar sig på intervjuer

    med 9 förskollärare och 6 lågstadielärare. Samtliga intervjuer, förutom 2, är bandade. Här

    avböjde lärarna att låta oss banda intervjun. Intervjuformen har en lägre grad av både

    stadardisering och strukturering, eftersom vi önskar få klarlägga kvalitativa aspekter från den

    intervjuades livsvärld. Lärarna, som vi fått tillfälle att intervjua, är verksamma i Halland.

    Resultat

    Verkligheten är inte alltid lätt att fånga. Den är inte svart eller vit eller likadan för alla. Men

    utgår man från en kvalitativ metod med fenomenografisk ansats, får man räkna med att

    resultatet kanske inte blir entydigt. Det finns olika svar på vår forskningsfråga: hur lärarens

    syn är på barns språkutveckling. För somliga lärare upplevs språksvårigheterna som mer

    påtagliga, för andra handlar det mer om språkutveckling, dvs. stimulera barnet att utveckla ett

    mera rikt och nyanserat språk. Men gemensamt är, att alla har åsikter i frågan. Och det var ju

    egentligen lärarens syn på språkutvecling vi ville undersöka – inte få vårt eget tyckande

    bekräftat. Vi anser att detta är ett område, där det krävs en mer omfattande forskning. 

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  • 248.
    Brattberg, Kicki
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Graham, Erika
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    "För det sitter ju uppe i huvudet, det är jag ju helt övertygad om": En kvalitativ studie om lärandet i viktminskningsprogrammet ForMe2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to take part of the learning process that occurs amongst participants in the weight loss program ForMe. The program is based on a holistic concept combining diet and physical exercise with mental practice. The object of the study was chosen based on an interest in mental practice as an instrument for lifestyle change. A qualitative approach was used to answer the purpose and 9 participants have been interviewed to collect empirics. The study is inspired by a phenomenological perspective and a qualitative analysis.

    The result showed that the program has contributed in several lessons for the participants. It was also shown that the lessons were all based on our studied phenomenon lifestyle change. An increased awareness is seen as one of the biggest lessons and insight about the individual freedom to choose is also referred to as an essential lesson. It is also clear that the program has contributed with a variety of useful instruments for participants to use in their weight loss journey, and also in their everyday lives.

    It has been shown in our study that the holistic program ForMe is an effective method for weight loss. The study may therefore contribute to the research on effective methods for weight loss, with the aim of dealing with overweight and obesity as a public health problem.

  • 249.
    Bratteby, L-E
    et al.
    University Hospital, Department of Medical Sciences, Clinical Physiology.
    Sandhagen, B
    Hospital, Department of Medical Sciences, Clinical Physiology.
    Samuelson, Gösta
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Physical activity, energy expenditure and their correlates in two cohorts of Swedish subjects between adolescence and early adulthood2005In: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 59, no 11, p. 1324-34Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To assess physical activity and energy expenditure and to identify their correlates during adolescence and early adulthood. DESIGN: In a cohort study, total energy expenditure (TEE) and physical activity level (PAL) were assessed at 15 and 21 y from a 7-day activity diary and predicted BMR. The influences on TEE and PAL of body size, gender, sexual maturity, physical activity habits, sitting time, region, social conditions, employment, food habits, smoking and alcohol intake were examined in multivariate analyses.Subjects:71 male and 89 female subjects, living in two socioeconomically different regions of Sweden, a university region and an industrial region. SETTING: The university city of Uppsala and the industrial town of Trollhättan. RESULTS: At both 15 and 21 y, PAL and TEE were high, with gender, sitting time and physical activity habits as main correlates. At age 21 y, employment and the mother's educational level also appeared as significant correlates. The relations between the main variables and their correlates were more complex than at age 15 y, and the sitting time was reduced and the activity habits were changed. CONCLUSIONS: A reduction of daily sitting appears to be a major reason why high levels of physical activity and energy expenditure were maintained from 15 to 21 y of age in spite of changed and less frequent activity habits during this interval.

  • 250.
    Brattfors, Louise
    et al.
    University West, Department of Nursing, Health and Culture.
    Hjalmarsson, Marie
    University West, Department of Nursing, Health and Culture.
    Nilsson, Gabriella
    University West, Department of Nursing, Health and Culture.
    Cancersjuka personers känslor och behov inför döden: en litteraturstudie2004Independent thesis Advanced level (professional degree)Student thesis
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