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  • 201.
    Munkhammar, Emelie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pettersson, Susanne
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Komplementära behandlingsmetoder och dess effekter på postoperativ smärta2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
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  • 202.
    Muratovic, Ajla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Atanasovski, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vuxnas erfarenheter av sexuella övergrepp i barndomen där förövaren är en förälder: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A quarter of all child sexual abuse occurs within the family. The sexual abuse can be both physical and mental and is characterized by the child's dependency is taken advantage of by an adult or a significantly older child. The child becomes a victim of actions it can't understand and is not mature for.

    Aim: The aim of this study is to describe adults' experiences of sexual abuse in childhood where the perpetrator is a parent.

    Method: A literature review with both quantitative and qualitative articles was selected. Eleven articles were analysed for differences and similarities. The result of the analysis was divided into three themes and seven subthemes.

    Result: The result shows that of those who participated and was included in the studies, the majority stated that they did not dare to tell anyone about the sexual abuse in their childhood.

    Conclusion: When the perpetrator of sexual abuse is a parent, the child is exposed not only to the abuse but also for betrayal. Studies show that children who have been exposed by a parent feel more betrayed than those who become victims of an unknown perpetrator.

  • 203.
    Nilsson, Stefan
    et al.
    Göteborgs universitet.
    Finnström, Berit
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mörelius, Evalotte
    Linköpings Universitet.
    Forsner, Maria
    Högskolan Dalarna.
    The Facial Affective Scale as a Predictor for Pain Unpleasantness When Children Undergo Immunizations2014In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, p. 628198-Article in journal (Refereed)
    Abstract [en]

    Needle fear is a common problem in children undergoing immunization. To ensure that the individual child’s needs are met during a painful procedure itwould be beneficial to be able to predictwhether there is a need for extra support.Theself-reporting instrument facial affective scale (FAS) could have potential for this purpose.The aim of this study was to evaluate whether the FAS can predict pain unpleasantness in girls undergoing immunization. Girls, aged 11-12 years, reported their expected pain unpleasantness on the FAS at least two weeks before and then experienced pain unpleasantness immediately before each vaccination. The experienced pain unpleasantness during the vaccination was also reported immediately after each immunization. The level of anxiety was similarly assessed during each vaccination and supplemented with stress measures in relation to the procedure in order to assess and evaluate concurrent validity.The results show that the FAS is valid to predict pain unpleasantness in 11-12-year-old girls who undergo immunizations and that it has the potential to be a feasible instrument to identify children who are in need of extra support to cope with immunization. In conclusion, the FAS measurement can facilitate caring interventions.

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  • 204.
    Nilsson, Stefan
    et al.
    University of Borås, Faculty of Caring Science Work Life and Social Welfare Borås Sweden.
    Forsner, Maria
    Dalarna University Falun, School of Education Health and Social Studies Nursing and Health Care Sweden.
    Finnström, Berit
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mörelius, Evalotte
    Linköping University Norrköping, Department of Social and Welfare studies Division of Health Activity and Care Sweden .
    Relaxation and guided imagery do not reduce stress, pain and unpleasantness for 11- to 12-year-old girls during vaccinations2015In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 104, no 7, p. 724-729Article in journal (Refereed)
    Abstract [en]

    Aim: Relaxation and guided imagery is a distraction technique known to reduce discomfort during paediatric medical procedures. We examined whether its use decreased the stress experienced by 11- to 12-year-old girls receiving the human papilloma virus vaccination, as well as the intensity and unpleasantness of any pain. Methods: A randomised crossover trial was conducted with 37 girls. During the first vaccination, each girl was randomised to receive either relaxation and guided imagery or standard care. They then received the other form of care during the second vaccination. Salivary cortisol was measured before each vaccination, and 30 minutes after it was administered. The girls reported pain intensity and pain unpleasantness before and directly after each vaccination and stress after each vaccination. Results: On a group level, relaxation and guided imagery did not decrease cortisol levels, self-reported stress, pain intensity and pain unpleasantness. Salivary cortisol levels decreased significantly in both groups during the second vaccination. Conclusion: Relaxation and guided imagery did not prove beneficial during the vaccination of 11- to 12-year-old girls and is not recommended as a regular nursing intervention. However, further research is needed into effective techniques to help children who experience pain unpleasantness in connection with needle procedures. ©2015 Foundation Acta PÊdiatrica.

  • 205.
    Nordqvist, L.
    et al.
    University West, Department of Nursing, Health and Culture.
    Thorn, S.
    University West, Department of Nursing, Health and Culture.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Difficulties experienced by men during the first year after their myocardial infarction and fatigue2015In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 14, no S1, p. S46-S46, article id 125Article in journal (Refereed)
  • 206.
    Nunstedt, Håkan
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Mona
    Gebremariam, Tomas
    Föräldrars strategier för atthantera relationen med sin psykisktsjuka son eller dotter2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 2, p. 10-15Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe strategies that parents use in managing their everyday relationship with their mentally ill son ordaughter.Background: When a son or daughter is suffering from mental illness, the parents’life arenas become affected. To help individuals with a lackof coping strategies handle the stress that can arise in mental ill health situations, it is important to develop more knowledge about howparents handle everyday life with their son or daughter with mental illness.Methods: Qualitative interviews with open-ended questions were conducted with ten parents. The data were analysed through manifest contentanalysis.Findings: Three categories were found, all with subcategories: finding power in everyday life; the need for external support; and preparednessfor coping.Conclusion: The management strategies the interviewed parents used consisted of gaining power every day by taking out moments to dispeltheir thoughts, and by creating both an openness in the family and the opportunity to practice leisure activities to temporarily distancethemselves from the relationship with their son or daugher with mental illness. They also mentioned the need to be prepared to handle differentsituations that may arise. In this regard, both routines and flexibility are important management strategies for these parents. When ason/daughter is receiving treatment at a psychiatric ward, support from health professionals is important for parental management strategies

  • 207.
    Nyblom, Frida
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vreva, Haris
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av lidande och hopp vid cancersjukdom: - En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Cancer is one of the most common reasons why people die in the world. Being diagnosed with a cancer disease means that the future might be uncertain for the patient. A common cancer disease causes patients several kinds of life suffering. It is therefore of importance that the patient finds some sort of hope in the suffering to be able to manage the situation. Aim: The aim of this study was to illuminate patients' experiences of hope and suffering during a cancer disease. Method: The study has been conducted as a qualitative literature review in which existing research has been used. Results: The patients experienced suffering in form of powerlessness, being seen as a burden, physical changes and the nurse's negative impact. Hope was experienced in form of belief in treatment, to believe in God, family support, to dare to focus on the future, nurse's positive impact and to have a positive approach. The result of this study is presented in two main themes named "suffering as experience of darkness" and "experiences of finding the light in the darkness". Conclusion: Suffering causes patients negative experiences but when patients find hope in their suffering the negative experiences transforms into positive experiences. Nurses has a big role in patient's experiences of suffering and hope. To engender hope or to maintain hope it´s important that nurses treats patients as a human being with body, soul and spirit.

  • 208.
    Odén, Emilia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Persson, My
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Icke-medicinska strategier i omvårdnadsarbetet för att främja sömn: en litteratur studie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Poor sleep is a growing issue in society. Sleep deprivation can have a negative impact on physical and mental health. Hypnotics are a common way to treat sleep deprivation, however there is a risk of developing addiction. The nurse’s role is to promote sleep by care action.

    Aim

    The aim is to identify non-medical strategies for promoting sleep.

    Method:A literature review was performed based on qualitative research. The key findings were identified and compiled into themes.

    Results:Six themes were identified: ‘Sleeping environment’, ’Mind games and distraction’, ‘Routines and planning’, ‘Rest, relaxation and stress relief’, ‘Activity’ and ‘Support’.

    Conclusion: The nurse could promote the care recipient’s sleep by applying other care recipient’s strategies. There is a lack of research regarding care actions that are used by nurses to promote sleep, further study is necessary

  • 209.
    Olausson, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Rutqvist, Annika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskors arbetsmiljö på vårdavdelning och dess inverkan på patienternas omvårdnad2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The working environment is of great significance for the health of individuals. Nurses can be negatively affected by the workload being too high. This in turn can lead to higher risks in the nursing care of patients.

    Aim:

    To highlight circumstances that affect the work environment of nurses, on the hospital ward, and its impact on the nursing care of the patients.

    Method:

    A literature review based on Friberg's (2012) model. The databases CINAHL and PubMed were used for literature searches and resulted in ten articles, seven quantitative and three qualitative articles. The results from these articles were analysed and formed the different themes of the main findings.

    Results:

    The result showed a number of circumstances that affected the working environment of nurses on a hospital ward. Staffing level, manager and leadership, organization and routines and relations where all circumstances that could lead to feelings of frustration, anxiety, stress and lack of control which in turn influenced the quality of patient care.

    Conclusion:

    Shortage of staff, manager and leadership are significant circumstances that affect the working environment and health of nurses on a hospital ward as well as having an influence on the quality of the care given to the patients.

  • 210.
    Olofsson, Frida
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Green, Karolina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Upplevelsen av att vara riskperson för Huntingtons sjukdom2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Huntington's disease (HD) is a neurodegenerative disorder with a hereditary of 50 percent. In Sweden the prevalence of HD is 4,7 – 5,6 per 100 000 population. The onset of the disease starts with cognitive impairment and later on it effects the motor skills. Today there is no cure.

    Aim:

    The aim of this study was to describe the experience of being at risk for Huntington's disease.

    Method:

    The study was designed as a literature review with the aim to compare similarities and differences.

    Results:

    The results showed that a person living at risk for HD is affected in life before the time when the onset starts. Living at risk means that a person have to decide to take the genetic test or not. It's a decision that is hard to make but can be helpful in future questions as making a family.

  • 211.
    Olsson, Agneta
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Göransson, Elisabet
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Åtgärder vid risk för undernäring hos äldre: Ur ett omvårdnadsperspektiv2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Despite decades of research that has yielded greater knowledge of malnutrition among the elderly and the sick, disease- and age-related malnutrition still occurs. A good nutritional status prevents disease, increases the quality of life and reduces the suffering of the elderly. Malnutrition can be prevented and avoided if appropriate measures are taken in time. As care responsible, the nurse has a large part of the responsibility in nutrition care for the elderly.

    Aim:

    To compile evidence-based measures when risk of malnutrition in the elderly - from a nursing perspective.

    Method:

    A literature review was made out of ten quantitative articles.

    Results:

    In two of the three studies with nutritional drink as the intervention, there was a significant increase in body weight and BMI. Intervention with an energy-enriched diet and/or extra meals showed a significant increase in BMI in three of the four studies. Also MNA increased in three of four other studies in the same category.

    Conclusion:

    It emerged in the result of the studies that nutritional drink, energy-enriched diet and/or extra meals as well as multi-interventions, all had effects on different parts of the nutritional status. The best effect on body weight and BMI were seen in studies of nutritional drink, energy-enriched diet and/or extra meals. In several of the studies also the members of the control group benefited positively, probably because of increased attention. This suggests that it is possible to prevent and treat older people at risk of malnutrition with simple care measures.

  • 212.
    Olsson, Caroline
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Persson, Kathrine
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av sin cancersjukdom2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Every year 55,000 people in Sweden are facing a cancer diagnosis, a diagnosis that alters the patient's life-world. Many patients survive thanks to good research and good treatments, and that the disease is detected early. The treatment is tough and intense and affects the patient in several ways, both at body and soul. It is important that as a nurse showing support and thus prevent that unnecessary care suffering arises.Aim: The aim of this study was to describe patients´ experiences of daily life from the time around their cancer diagnosis to treatment.Method: In order to capture the patient's experience in a life-world perspective four biographies were analyzed based on Dahlborg- Lyckhages inductive method of analysis. The biographies were written by patients at different stages of their cancer disease.Results: The result of the analysis became five different themes: denial, anxiety, hope, sorrow and struggle. The themes highlight the patient’s experiences and feelings from the cancer diagnosis to treatment. All themes indicated that the support of the nurse and the patient's family was important to the patient. After receiving the cancer diagnosis the patient started an internal struggle for survival, which lasted with the patient during the course of disease.Conclusion: Nurses encounter patients with cancer every day, regardless of department or workplace. It is therefore important that nurses and other healthcare staff increase their understanding of patients´ experiences. A better understanding may lead to a health care that can be improved for these patients.

    Keywords:

    Background:

    Every year 55,000 people in Sweden are facing a cancer diagnosis, a diagnosis that alters the patient's life-world. Many patients survive thanks to good research and good treatments, and that the disease is detected early. The treatment is tough and intense and affects the patient in several ways, both at body and soul. It is important that as a nurse showing support and thus prevent that unnecessary care suffering arises.Aim: The aim of this study was to describe patients´ experiences of daily life from the time around their cancer diagnosis to treatment.Method: In order to capture the patient's experience in a life-world perspective four biographies were analyzed based on Dahlborg- Lyckhages inductive method of analysis. The biographies were written by patients at different stages of their cancer disease.Results: The result of the analysis became five different themes: denial, anxiety, hope, sorrow and struggle. The themes highlight the patient’s experiences and feelings from the cancer diagnosis to treatment. All themes indicated that the support of the nurse and the patient's family was important to the patient. After receiving the cancer diagnosis the patient started an internal struggle for survival, which lasted with the patient during the course of disease.Conclusion: Nurses encounter patients with cancer every day, regardless of department or workplace. It is therefore important that nurses and other healthcare staff increase their understanding of patients´ experiences. A better understanding may lead to a health care that can be improved for these patients

     

  • 213.
    Olsson, Jenny
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Notemyr, Jessica
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Namibian registered nurses' perception of Tuberculosis care2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Namibia, the infectious lung disease Tuberculosis is still a major public health threat. The Registered Nurses play an important role in educating and informing both the patients but also their relatives and the general public.

    Aim: This study aims to describe the experiences of Registered Nurses in Namibia and how they consider the care given to patients with Tuberculosis including their beliefs of which factors that could affect the patients' health and adherence to treatment.

    Method: Six qualitative semi structured interviews were conducted with six registered nurses at the Tuberculosis unit at a public State Hospital in Namibia. All collected data was analyzed through a qualitative content analysis.

    Results: The result consists of one overall theme, three main themes, and eight underlying themes. The overall theme is; Managing Tuberculosis care - an uphill struggle, the three main themes are; Challenges for the nurse, Patient related challenges and Challenges for society.

    Conclusion: The result showed that the Registered Nurses found it important to provide quality in the care relationship and to educate patients to promote health and adherence. This was important since the patients with tuberculosis faced a lot of difficulties related to the disease; like social exclusion, other difficult side effects and the struggle with poverty. Substance dependence was another factor associated with poverty which further problematized the caring process. Lack of experienced Registered Nurses and lack of beds in the hospital were also perceived challenges

  • 214.
    Ottosson, John
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Jurakic, Marina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av att leva med cancerrelaterad smärta: En litteraturstudie2013Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cancer-related pain is a major problem worldwide. Studies indicate that patients do not get an adequate pain relief. This creates a large suffering and results in major problems for the patient and their families. In order to minimize this kind of suffering caregivers need to understand how cancer-related pain is experienced by these patients, what it does to them and how it impacts their daily life.  

    Aim: The aim of this study was to describe patients´ experience of living with cancer-related pain.

    Method: The method used for this study was a qualitative literature study. Nine articles from 2002 to 2012 and from five different countries were analyzed.

    Results: The results of this study are presented in four main themes and ten subthemes. The main themes were: A feeling of powerlessness; Fears that limit; A change in daily life and Seeking for meaning and an end to the suffering. All themes and subthemes give a description of patients´ experience of living with cancer-related pain.

    Conclusion: It is a great suffering to have cancer and it is even a greater suffering experiencing pain on a daily basis. Despite this, some patients still could see their situation as something positive and wellbeing was created. The nurses’ role in this kind of situations is essential in order to understand what the patient is experiencing, how it impacts on the patient and its life and how wellbeing can be formed.

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  • 215.
    Pennbrant, Sandra
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Skyvell Nilsson, Maria
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Öhlén, Joakim
    University of Gothenburg, Sahlgrenska Academy, Institute of Health Care Sciences.
    Rudman, Ann
    Karolinska Institutet, Department of Clinical Neuroscience.
    Mastering the professional role as a newly graduated registered nurse2013In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 33, no 7, p. 739-745Article in journal (Refereed)
    Abstract [en]

    Professional development is a process starting during undergraduate education and continuing throughout working life. A new nurse's transition from school to work has been described as difficult. This study aims to develop a model describing the professional development of new nurses during their first years of work. To develop this model, constant comparative analyses were performed. The method was a qualitative study of survey data on 330 registered nurses. The results showed that mastering the professional role was the result of an ongoing process building on the nurse's experiences and interactions with the surrounding environment. The professional developmental process involves the following interrelated sub-processes: evaluating and re-evaluating educational experiences, developing professional self-efficacy and developing clinical competence. These sub-processes are influenced by the following factors: social values and norms, healthcare organization, management of new nurses, co-workers, patients and significant others and the nurse's own family and friends. These factors affect professional development directly, indirectly or as mediating influences and can lead to possible outcomes, as new nurses choose to remain in or leave the profession. The results underscore the importance of developing a professional nursing role within the new working context. To facilitate this professional development, new nurses need support from their nursing-school educators and their healthcare employers. The model described here will be the subject of further measurement and testing. © 2012 Elsevier Ltd.

  • 216.
    Persson, Hanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Öhlin, Charlotta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Organtransplantation- Patientens upplevelser och erfarenheter i väntan på ett nytt organ: En litteraturbaserad studie baserad på analys av kvalitativ data2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Organ transplantation is often the best treatment to maintain as high quality of life as possible of the affected patient. At the state of organ failure, transplantation can in certain circumstances be the only possible treatment. The time waiting for an organ can be life changing for the patient, while in many cases it is the best treatment for maintaining a good quality of life. Aim: The purpose of this study was to elucidate the patient's perceptions and experiences of waiting for a new organ. Method: A literature-based study based on the analysis of qualitative data. Results: This study resulted in a main theme, which was named The struggle for survival, and three related subthemes identified; To alternate between hope and despair, To live in a limited life situation and To be in need of support. The results illustrates how many participants experienced the time waiting for a transplantation as long and uncertain which in turn created many mixed feelings among the participants. These feelings combined with the unpredictable future, create multiple forms of suffering among the participants. Conclusion: It appears that the nurse plays an important role when it comes to supporting the patient. The support consists mainly of sharing information with the patient, but also by giving the patient emotional support. The nurse can through his or her support help to relieve the patient's suffering. In order to support the patient in the most efficient manner requires that the nurse has knowledge and understanding regarding the patients' life situation in order to as much as possible facilitate his or her waiting.

  • 217.
    Petersen, Emelie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    La Fleur, Jessica
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hur personer med psykisk ohälsa upplever bemötandet inom primärvården: En litteraturöversikt2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Mental illness has increased in Sweden and the individuals seeking care expect to be met with respect. The way patients perceive themselves to be treated by health care professionals plays a central part to care and treatment of patients, and the patients experience will decide how future care will proceed. The majority of complaints from patients with mental illness suggest that the way they are treated in health care is inadequate. For people with mental illness it is crucial how they perceive themselves to be treated since poor treatment can lead to reluctance in seeking future help. Aim: The purpose of this study was to describe how people with mental illness perceive themselves to be treated in primary health care. Method: A literature review was chosen as a method and data was collected from seven articles, both qualitative and quantitative. Results: The results were analyzed and compiled into three main themes; (1) To feel exposed to generalization, (2) To feel respected and (3) To feel involved. The subthemes describe experiences of; focus on medicine, one size fits all, lack of knowledge, to be listened to, humanity, attitudes, time, information and dialogue. Conclusion: There are both positive and negative experiences of how patients perceive themselves to be treated in primary health care but the negative experiences are predominant. This study can lead to an increased understanding and knowledge of how the primary care professionals should treat people with mental illness and which actions should be avoided.

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  • 218.
    Petersén, Elin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Viberg, Julia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskans upplevelser av vårdrelationen vid vård av patienter med blodburen smitta2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The number of blood borne infections is constantly increasing. Previous research has discovered attitudes and discrimination in the caring relation among nurses towards patients with blood borne infections. Nurses want to keep a distance from patients with blood borne infections, this can be derived from fear and lack of knowledge.

    Aim:

    To explore nurses' experience of the caring relation towards patients affected by blood borne infection.

    Method:

    A literature study based on ten qualitative studies.

    Results:

    In the result, five sub themes were found that described the caring relation. Emotional stress, powerlessness, attitudes, lack of knowledge/fear and knowledge/security were areas that nurses described as either encouraging or inhibiting the relation towards patients with blood borne infections. Uncertainty and lack of knowledge among the nurses were factors that lead to fear of getting virus infected.

    Conclusion:

    Lack of knowledge, stigma, helplessness and fear is main factors that influence the caring relation between nurse and patient. Nurses experience lack of support when it comes to caring for patients with blood borne infections, this leads to unsureness and negative attitudes among the nurses.

  • 219.
    Pérez, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nygren Hansson, Ida
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Individers erfarenheter av hur migrän påverkar det dagliga livet: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Migraine is a comprehensive endemic disease who is affecting both women and men, but with higher prevalence among women because of hormonal factors. Risk factors for the disease are female gender, hereditariness, depression and socio-economic factors. Migraine can be triggered by factors like stress, menstruation, irregular routines for sleep and unbalanced meals and diet. Migraine is a condition that causes a big suffering for the affected individuals.

    Aim

    The aim of this study was to describe individuals' experiences of how migraine is affecting the daily life, out of the aspects like working life, family life and social life.

    Method

    A literature overview was maintained, and eight qualitative studies and two quantitative studies between the years 2003- 2014 were analyzed.

    Results

    The analysis of the articles lead to one main theme; "Guilt, compensating and restrictions" and seven subthemes "Not being able to perform their best", "Met with incomprehension", "Not being able to take care of home and children", "Not enough", "Avoiding activities", "Always be prepared" and "Living with restrictions".

    Conclusion

    Migraine is affecting the daily life among these individuals in a great extent. The disease makes it hard to perform well at work. The individuals where met with incomprehension which made them feel questioned. It was though for the individuals to take care of their home and family. The restricted life that they had and not being able to participate in activities caused isolation. All of this caused feelings of guilt.

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  • 220.
    Rasas Abou, Safaa
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnors upplevelser vid förlust av bröst på grund av bröstcancer.2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Breast cancer is a disease that is common in Sweden and in the whole world. This is a serious and progressive disease. Without proper treatment, the disease can lead to death. The goal of the treatment is to remove the cancer tumour. Living without a breast or losing a breast often implies going through a crisis, leading to changes in the patient's life, as well as a changed body image.

    Aim

    The aim of this study was to describe women's experiences of losing a breast because of breast cancer.

    Method

    A qualitative literature study was performed, based on eight qualitative articles. The articles were found from two different databases, Pub Med and Cinahl and two articles were found unsystematic. All articles were reviewed critically by the author.

    Results

    The results show two main themes: "How it has been and how it has become" and "The need for processing". The two themes generated six subthemes: "Why me", "The feeling of a loss, something is missing", "To appreciate life", "Caring for oneself and others", "The need to tell and share to be understood" and "Need of support".

    Conclusion

    The result showed that the women's experiences differed. Most of the women experienced loneliness and loss of femininity. The group of women who did not experienced their body as foreign had support from their family and tried to move on.

  • 221.
    Rehnström, Karin
    et al.
    University West, Department of Nursing, Health and Culture, Avd för vårdutbildningar på grundnivå.
    Sundberg, Pia
    University West, Department of Nursing, Health and Culture, Avd för vårdutbildningar på grundnivå.
    Moralisk stress hos sjuksköterskor: en littearturöversikt2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Moral distress is an increasing concern among nurses in their workplace. Previous research has suggested that moral distress is associated with ethical climate and job dissatisfaction. Economic restraints in the organization have led to loss of nurses from the workplace. Aim: To examine nurses experience of moral distress and their causes. Method: The study was a literature review. Twelve articles were used in the study. They had both qualitative and quantitative approaches. The articles were published between 2000-2011. Results: Three themes emerged from the articles: Powerlessness, meaninglessness and feeling unsafe. The main cause of these feelings was due to understaffing and working with nurses I consider unsafe. Another cause was to perform tasks that I consider meaningless for the patient and cause more harm than good. Conclusion: Moral distress is common among nurses in health care. It can be elicited from different kinds of situations encountered in the work environment.

    Keywords:  experience, job satisfaction, moral distress, nursing, occupational stress

     

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  • 222.
    Reimertz, Annelie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kristiansson, Kajsa
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Det kostar på: sjuksköterskors upplevelser av att arbeta med palliativ vård2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:Studies have shown that working in palliative care poses high demands on nurses. They must be present in the encounters with the dying patient, yet remain a professional approach. To enable profound palliative care, support is needed. Aim: The aim of this study was to highlight the experiences of nurses working in palliative care. Method: Literature review according to Fribergs (2006) method of analysis based on nine qualitative articles. Findings: The core themes that emerged were: The experience of responsibility, the experience of inadequacies, the multidimensional emotional experiences. The nurses felt responsible to provide adequate palliative care and experienced powerlessness when this was not possible to obtain. The nurses lacked support from doctors and management. They felt privileged in enabling pain relief to their patient in their final stage of life

  • 223.
    Roslund, Heléna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Micha, Sofia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att vänta i ingenmansland: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Many patients need emergency care in Sweden, leading to an increased amount of patients waiting in the emergency departments. This affects a reduced percolation in the emergency department, an increased waiting time for the patients, especially those patients with low priority. Research about how patients' experience the waiting time is limited and more information is needed. This information could provide valuable knowledge of how the care can be improved during waiting.

    Aim:

    The aim of study is to examine patient's experience of waiting in the emergency department. Method: A literature-review based on qualitative and quantitative articles, analyzed according to Friberg (2012).

    Results:

    The analysis led to one overall theme; "to wait in no-man's-land", consisting of four subthemes; "expectations of the emergency department", "to receive information" "not to be seen" and "physical and psychological environment". All of the subthemes describe factors that affect the patient's experiences of waiting in the emergency department. The patient's expectations on the emergency department also affect the experience of waiting and during the waiting time it was important to gain information about what to expect. Both the relation with the nursing staff so as the environment played a crucial part of how wait was experienced. Conclusion: A long uneventful wait can cause suffering for the patient and the nursing staff can prevent unnecessary suffering with a welcoming attitude, information and by creating a peaceful environment.

  • 224.
    Rudebou, Jenny
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Andreasson, Tobias
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vad och hur vi rapporterar: Litteraturöversikt om rapportering mellan sjuksköterskor på vårdavdelning2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Communication within institutional care is of great importance. The nurse who provides the oral report shall ensure that it is about the patient´s problem(s) and situation. The nurse´s responsibility is to see to that the correct information is given to the person concerned and also to make sure that this message has been received by the nurse who is to continue the attendance.

    Aim

    The purpose of this study was to highlight the oral hand over report which occurs at changes of staff within institutional care. - What is the content of the report? - How is the report carried through? Method Literary survey containing 13 scientific articles. The chosen articles were analysed and reviewed. Thereafter, we broke down the articles into smaller pieces in order to facilitate our understanding of them and sort out the most important parts. We processed the articles based on our two questions posted under the aim: what is being said and in what way?

    Results

    The purpose of this report was to transfer information from one shift in personnel to the next in order to ensure an efficient and safe care of patients. Handover reports were often given orally and one negative element was the lack of time provided to finish the reports. This resulted in too many shortenings and special/certain socialised knowledge was needed to be able to understand these. Conclusion The purpose of this report is to transfer information from one shift in personnel to the next in order to ensure an efficient and safe care of patients. The report was the only opportunity to talk or discuss problems with the other colleagues. The hand over could provide for a forum where experiences, thoughts and emotions might be discussed. The nurses receive information which helps them in their preparation for future caring of patients

  • 225.
    Rudolfsson, Gudrun
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Den perioperativa dialogen: en gemensam värld2007Doctoral thesis, comprehensive summary (Other academic)
  • 226.
    Rudolfsson, Gudrun
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patients' and nurses' experiences of the perioperative dialogue: two grounded theory studies2004Licentiate thesis, comprehensive summary (Other academic)
  • 227.
    Rudolfsson, Gudrun
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Buskerud and Vestfold University College, Kongsberg.
    Barbosa da Silva, António
    Ansgar College and Theological Seminary, Kristiansand, Norway.
    Experiences of Spirituality and Spiritual Values in the Context of Nursing: An Integrative Review2014In: Open Nursing Journal, E-ISSN 1874-4346, Vol. 8, p. 64-70Article in journal (Refereed)
    Abstract [en]

    Spirituality is often mistakenly equated with religion but is in fact a far broader concept. The aim of this integrative review was to describe experiences of the positive impact of spirituality and spiritual values in the context of nursing. The analysis was guided by Whittemore and Knafl’s integrative review method. The findings revealed seven themes: ‘Being part of a greater wholeness’, ‘Togetherness − value based relationships’, ‘Developing inner strength’, ‘Ministering to patients’, ‘Maintaining one’s sense of humanity’, ‘Viewing life as a gift evokes a desire to ‘give back’’ and ‘Achieving closure − life goes on’. It is difficult to draw definite conclusions, as spirituality involves many perspectives on various levels of awareness. However, spirituality was considered more inclusive, fluid and personal. Furthermore, it emerged that spirituality and spiritual values in the context of nursing are closely intertwined with the concept of caring.

  • 228.
    Ruff, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hellgren, Ulla
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Det goda telefonmötet: En litteraturstudie om sjuksköterskans telefonrådgivning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Annually, nearly six million calls are made to the Swedish Healthcare Direct and these calls are answered by registered nurses. Over recent years it has become more common for patients to enter their way into the healthcare system this way. The nurses who handle the calls are guiding the callers to the right area of practice for their problems.

    Aim:

    The aim of the study was to study nurses' experiences of working with tele-nursing.

    Method:

    A literature review based on published research on tele-nursing was performed. Twelve qualitative articles were selected which reflected various approaches of tele-nursing.

    Results:

    The results from the study were presented in two themes: "The good dialogue" and "The given conditions" comprising five sub-themes.

    Conclusion:

    Tele-nurses' major concerns are the absence of visibility for which the tele-nurses develop strategies to compensate. The way to question, listen to the answers and perceive the unspoken words are very important for the outcome of the call. It takes time to hear the caller's full story which is in conflict with the tele-nurses limited time per call.

  • 229.
    Rydell, Marie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lindeblad, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser i mötet med sjuksköterskan vid ett akut omhändertagande på en akutmottagning: – en kvalitativ litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background 
The number of patients visiting the emergency departments have increased in recent years. As the emergency departments being central in the hospital organisation, it is important that the care provided is of good quality. The emergency departments are often characterized by short and rapid encounters. It is the nurses’ responsibility to make sure that the patients receive the care needed.Aim 
The aim was to describe patients' experiences in an acute care at the emergency department.Method 
The method used was a qualitative literature study based on Friberg’s (2006) model. Eight qualitative articles were analyzed and key findings were put together to form a new result. Results 
Two themes emerged: 'the caring encounter' and 'the non-caring encounter'. The results showed that the most important thing was for the patient to be seen by the nurse as a whole person in order to become involved with their own care. Conclusion 
It is important for the nurse to have an understanding for the patients' experiences and it is a challenge to build a caring relationship during the short and rapid encounters. The caring relationship between the nurse and the patient is essential for the outcome of the care given.

  • 230.
    Rydin, Nicole
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Alexandersson, Sofia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskans arbete att motivera patienter till livsstilsförändringar vid diabetes typ II2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Lifestyle changes are one of the first steps in order to prevent or treat diabetes type II. Lifestyle changes have been shown to be difficult to fulfill, and therefore, nurses’ motivational work is an important part of the changing process. Aim: The aim of this study was to describe how nurses can motivate patients with type II diabetes to make necessary lifestyle changes. Method: A literature review based on both qualitative and quantitative studies was conducted. Nine articles were analyzed and similar content was divided into themes and subthemes. The result was divided into two perspectives: patient-perspective and nurse-perspective. Results: The patient-perspective resulted in three themes; structure in everyday life, encouragement and perception of quality of life. Subthemes were created from the theme encouragement. The nurse-perspective resulted in four themes: goal setting, tools, support and education. Subthemes were constructed from the theme education. The main findings were that nurses can motivate patients to make lifestyle changes by supporting them and providing them with knowledge. By giving the patients strategies for solving problems, and help them to create goals, the nurses can help motivate patients to make lifestyle changes. Conclusion: The present study shows that patients are more likely to accomplish successful and sustainable lifestyle changes if they learn ways to solve problems and are encouraged and helped to accomplish daily routines. Support and education from a nurse during the changing process appear to be vital for patients with diabetes type II

  • 231.
    Rådén, Emelie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Wallenius, Jenny
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hur patienter med hiv upplever bemötandet från vårdpersonal2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During the 1980s, the fear of HIV spread over the world. Health professionals'attitudes to patients with HIV, was negatively impacted because of their fear to be infected.Patients with HIV have therefore,during disease history's first two decades, experienced stigma and discrimination in the response from health professionals. Because of the increasing knowledge of HIV it is of interest to study patients' contemporary experiences of the encounter with health professionals. Aim:To explore how patients with HIV experiencing the meeting with health professionals. Method:Literature study with seven qualitative and three quantitative articles. Results:Two themes were found; to be discriminated and to be powerless and extradited. To be discriminated describes that patients in several cases been treated differently than others, by health professionals.To be powerless and extradited describes that patients are not allowed tobe involved in their care and they have distrust to health care providers.Conclusion:Patients with HIV experience discrimination, excessive precautions and ignorance which cause a care suffering. It is important that the nurse is aware of the deficiencies in the treatment to work towards a good care relationship.There is a great need for further research regarding to explore how patients with HIV experiencing the treatment from health professionals.

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  • 232.
    Saatchifard, Neda
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser efter en laparoskopisk Gastric bypass2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Obesity (BMI 30 kg/m2) is a big global health problem today and can lead to several diseases, and high risks of mortality. The most common performed obesity treatment is a laparoscopic Gastric Bypass. There are recommendations that should be followed to reduce the risk of complication and side effects after surgery.

    Aim:

    The aim was to describe patient’s experiences after a laparoscopic Gastric Bypass.

    Method:

    A qualitative method with a content analysis was used, six interviews with open questions has been analysed. Participants in the study were four women and two men (age 35-56 years old) who had undergone a laparoscopic gastric bypass.

    Results:

    At the text analysis the following four categories were revealed: "A whole new life situation", "Knowledge", "Compliance" and "Support needed". These categories describe patient’s experiences after a Laparoscopic Gastric bypass and are shown in eight subcategories: "Health and self-image", "Complications and side effects", " Searching for information", "Healthcare professionals knowledge"," Motivation for change", "Responsibility for new functioning routines", "Treatment and relationship" and "Follow-up".

    Conclusion:

    Even after gastric bypass surgery, losing weight requires motivation and changes in a person's behaviour. Patients who seek information have better effect of surgery, and also fewer problems with known side effects. There is need for more research in this area in order to develop more knowledge about Gastric Bypass Surgery and care of these patients.

  • 233.
    Sahlberg, Emma
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Tornström, Helena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnors upplevelser av att leva med livmoderhalscancer: en litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year half a million women get diagnosed with cervical cancer. Cervical cancer affects women in several aspects of life and is the cause of many different experiences, both physical and psychological.

    Aim: The aim of this study was to illuminate women with cervical cancer and their experiences in daily life.

    Method: A literature review has been made of study five qualitative and five quantitative articles. Articles were analyzed by searching for similarities and differences. The studies were published between 2000 and 2013.

    Results: The results of the study appeared in three categories: The physical experience of cervical cancer, the psychological experience of cervical cancer and the social experiences of cervical cancer. The result showed that diarrhea, worry and anxiety were the most common problems experienced by women living with cervical cancer.

    Conclusion: The results of this study showed that the physical side effects of cervical cancer had an essential consequence on the psychological and social life of the affected women

  • 234.
    Samuelsson, Sarah
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Willén, Charlotta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Bratt, Ewa-Lena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Nurses' experiences of caring for sick children in community home healthcare: Caring for sick children in community home healthcare2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim:

    To illuminate nurses' experiences of caring for sick children community home healthcare.

    Background:

    There is an international consensus that children with different types of medical

    conditions, to an extent as far as possible, should receive care in their homes. Home healthcare allows the family to stay together when the child is undergoing treatment and thus reduces the strain on the family. Children as a patient group is a relatively new phenomenon in community home healthcare in Sweden and represents a fairly small part of the community nurse responsibilities, which make it difficult to accumulate experience and practice.

    Design:

    The study used a qualitative, descriptive design.

    Methods:

    Individual interviews were conducted with twelve nurses working in community healthcare

    in the western parts of Sweden. Qualitative content analysis was used to analyse the data.

    Results:

    One overall theme, "to feel confident in order to create confidence", two main themes,"to

    build a trusting relationship with the family" and "to feel confident in the role as caregivers", emerged

    together with six subthemes. The nurses aimed at creating a trusting nursing relationship and

    working closely with the parents. The feeling of confidence in their role as caregivers was closely connected to the level of support and knowledge the nurses received.

    Conclusion:

    Many nurses felt unsecure due to the task of caring for children in community home

    healthcare. However, most nurses experienced the situation as manageable with peer support and distinct collaboration with the hospital. Guidance and education was called for in order to experience greater confidence in the professional role as caregivers.

    Relevance to clinical practice:

    The implication of the study may contribute to efforts being made to extend and improve cooperation between remitting pediatric clinic and community healthcare

  • 235.
    Sandbeck, Cecilia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Veer, Malin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Upplevelsen av ej tillgodosedda behov hos kvinnor som drabbats av bröstcancer: En litteratur studie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Breast cancer is a serious disease that 1300 to 1400 women are diagnosed with in Sweden every year. This means that most nurses will meet women who is affected by breast cancer in their working life. The women have needs that they feel is unfulfilled and the caregivers have to improve their individual caregiving.

    Aim

    The purpose of this study is to highlight the experience of the unmet needs of women affected by breast cancer.

    Method

    A literature review based on 11 articles of qualitative data.

    Results

    The women had several needs that they felt were unmet. The following four themes emerged: "the need to find their identity" which was that the identities were affected by the disease. "The need for information" and "the need for support" that was about women experiencing the needs of information and support in their illness. The last theme "The need to survive" is about that the women wanted support, the will to fight, and to survive the disease.

    Conclusion

    The conclusion of this study shows that women with breast cancer had needs that did not get fulfilled. The need for survival was a big part of the women’s struggle with breast cancer. The women had a need for more information and support from the healthcare and from their relatives. The women also had a need to separate the illness from their identity

  • 236.
    Schröder, Ida
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Thorsson, Alexandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Den kroniska smärtan – min vän: En litteraturbaserade studie grundad i kvalitativ forskning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background –

    The definition of chronic pain is when the patient has had the pain for at least three months. Chronic pain is involved in different kinds of diseases such as fibromyalgia, arthrosis and rheumatoid arthritis. Pain is a subjective experience and because of that, it becomes difficult for nurses to asses and understand patient's experience of pain.

    Aim –

    The aim of this study was to describe patient's experiences of living with chronic pain related to musculoskeletal disorders and neuropathic pain.

    Method –

    A literature-based study based on analysis of eight qualitative articles was conducted.

    Results –

    The study showed five main categories and eleven subcategories. The main categories were learning to manage the pain, adapt everyday life, powerlessness by meeting incomprehension for the pain, strengthened energy by feeling support and understanding and having a positive attitude to life.

    Conclusion –

    Despite suffering from chronic pain the patients found that a positive attitude was essential to help them focus on strengths rather than weakness. It was also important to find ways to handle the pain and make it bearable. Having supporting and understanding relatives was essential for the patient. The family gave the patient strength to cope with the pain and a meaning in life. The patients experienced that their pain were questioned by health professionals. Patients also believed that it is important to understand as a health professional.

  • 237.
    Simson, Zofia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    What about substance abuse?: a minor field study on Namibian substance abuse care2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
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  • 238.
    Sjöström, Erik
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Karlsson, William
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av psykos: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Preconceptions about the mentally ill patient is common in today's socie-ty. Psychosis is a condition which heavily affects the patient's thoughts and contact with reality. Psychosis is rarely described from the patient's perspective and how it is to live with this condition. Further knowledge about the condition is essential when customiz-ing the care. Aim: The aim of this study was to illuminate patients' experiences of psy-chosis Method: The study has been conducted as a literature overview in which both qualitative and quantitative research have been analyzed. Results: Psychosis had a big impact on patient's social relationships and their ability to be a part of social activities. Common experiences also showed that patients wanted more information and knowledge about the condition. Negative experiences arose when little or no infor-mation was given. Not being involved in your own care was frequently described as negative by the patients. Stigma and a feeling of shame were frequently identified by the patients. Conclusion: Psychosis affects many aspects of life. Experiences that emerged varied but common was that social life was affected and that more knowledge, information and participation in the care were desired. The nurse has a great opportunity to influence the experiences that have emerged. Relatives have an important role in the life of the patient and the nurse should therefore ensure to include the family in the care if possible.

  • 239.
    Skyvell Nilsson, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Nilsson, Kerstin
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Samuelsson, Bo
    Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg.
    Pilhammar, Ewa
    Insitute of Health Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Attitudes Emphasizing in the Clinical Supervision of Medical Students: An Ethnographic Study in Sweden2012In: The Open Medical Education Journal, E-ISSN 1876-519X, Vol. 5, p. 5-11Article in journal (Refereed)
    Abstract [en]

    Introduction: Medical student's professional attitudes are expected to be developed in medical school, and particularly during clinical education. In this study we focus on supervision in order to describe the attitudes emphasized in the clinical education of fourth-year medical students taking a surgical course.Methods: An ethnographic approach was applied where observation and interviews were conducted. Nine medical students and twelve supervisors at a teaching hospital in Sweden participated. Field notes were made during observation as well as interviews; these were transcribed and analysed qualitatively.Result: The analysis resulted in six topic areas describing the attitudes emphasized. The medical students were expected to be: 1) Informed and effective decision makers, 2) Sensitive to patients' needs and expectations, 3) Communicative, 4) Authoritative and patriarchal, 5) Adaptable to organizational demands, and 6) Mindful of nurse's knowledge and requests.Conclusions: This study reveals that the attitudes emphasised during supervision are: dualistic and complex to learn, developed by a former generation and influence student learning. Students need support in order to handle the state of tension that exists in the attitudes emphasized. Medical students might experience difficulties in adopting some attitudes belonging to a former generation. There is a need for competence development among supervisors concerning how students may experience the attitudes emphasized in supervision.

  • 240.
    Skyvell Nilsson, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Pilhammar, Ewa
    University of Gothenburg.
    Wenestam, Claes-Göran
    Kristianstad University College, School of Teacher Education.
    Pedagogical Strategies Used in Clinical Medical Education: An Observational Study2010In: BMC Medical Education, E-ISSN 1472-6920, Vol. 10, no 9Article in journal (Refereed)
    Abstract [en]

    Background:  Clinical teaching is a complex learning situation influenced by the learning content, the setting and the participants' actions and interactions. Few empirical studies have been conducted in order to explore how clinical supervision is carried out in authentic situations. In this study we explore how clinical teaching is carried out in a clinical environment with medical students.

    Methods:  Following an ethnographic approach looking for meaning patterns, similarities and differences in how clinical teachers manage clinical teaching; non-participant observations and informal interviews were conducted during a four month period 2004-2005. The setting was at a teaching hospital in Sweden. The participants were clinical teachers and their 4th year medical students taking a course in surgery. The observations were guided by the aim of the study. Observational notes and notes from informal interviews were transcribed after each observation and all data material was analysed qualitatively.

    Results:  Seven pedagogical strategies were found to be applied, namely: 1) Questions and answers, 2) Lecturing, 3) Piloting, 4) Prompting, 5) Supplementing, 6) Demonstrating, and 7) Intervening.

    Conclusions:  This study contributes to previous research in describing a repertoire of pedagogical strategies used in clinical education. The findings showed that three superordinate qualitatively different ways of teaching could be identified that fit Ramsden's model. Each of these pedagogical strategies encompass different focus in teaching; either a focus on the teacher's knowledge and behaviour or the student's behaviour and understanding. We suggest that an increased awareness of the strategies in use will increase clinical teachers' teaching skills and the consequences they will have on the students' ability to learn. The pedagogical strategies need to be considered and scrutinized in further research in order to verify their impact on students' learning.

  • 241.
    Solander, Claes
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nilsson, Caroline
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskans erfarenheter av att stödja patienter som erhåller palliativ vård: En litteraturstudie baserad på kvalitativ data2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Palliative care aims to relieve suffering and promote quality of life for the patient who suffers from incurable, progressive disease or injury and to support the family. The nurse function within palliative care is to offer support to patient and family and also to provide symptom management.

    Aim

    This study aims to explore the nurses' experiences of supporting patients obtaining palliative care.

    Method

    This literature study was based on eleven qualitative articles.

    Result

    Four main themes and ten subthemes emerged. The main themes were To create a relationship, To ensure the uniqueness of each individual, Being professional and To be affected by the work. Subthemes were To be there, To build bridges, See the person behind the disease, Adapt to the patient, Provide individual care, Knowledge-intensive, Leave work at work, "To be the spider in the web", Self-development and Feelings of stress.

    Conclusion

    The conclusion that can be drawn is that for nurses to work with palliative care is rewarding. The nurse, patient and family are drawn together. In order to provide good palliative care is a good relationship between nurse and patient required. It also turns out that the nurses themselves are in need of support and that the organizations fail at this point.

  • 242.
    Stenlund, Josef
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Svensson, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskors känslor inför mötet med psykiskt sjuka patienter: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Mental illness has become more common in our society. Studies have shown that patients with mental illness do not receive appropriate care. The reason for this has been showed to be stigmatizations and attitudes of nurses in the meeting with these patients

  • 243.
    Storm, Camilla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Bergström, Helena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Mötet med barn rädda för vaccinering2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Immunization is a common medical procedure that children experience during childhood. Many children experience fear of immunization, which can create problems for both children and their caretakers and meeting children, who fear immunization, can also become a difficult task for nurses. This indicates the need for more knowledge of what nurses and caretakers can do to reduce children's' fear of immunization. Aim: The aim with the study was to illuminate the encounter with children, who fear immunization, and their caretakers during the immunization procedure.

    Method: A literature review was performed, including searches performed in the databases CINAHL and MEDLINE. Thirteen articles were reviewed and analyzed with a method described by Friberg.

    Results: The results is presented by two main themes; "Communication during immunization" and "Collaboration during immunization". The result shows the importance for the nurse to create a relationship and trust through conversation, but it also highlights the influence of parent's attachment and parenthood, their physical presence and the use of distraction to reduce the child's fear. It shows that parents have an important role in interacting and helping the child during the immunization.

    Conclusion: In order to optimize the contact with children who fear immunization, it's necessary to create a positive interaction between nurse, parent and the child, through communication. With knowledge about how children experience the immunization and the influence of the parents, the nurse can guide parent and child to a successful immunization.

  • 244.
    Strand, Angelica
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Jessica
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ungdomars upplevelser av depression: en litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backround: Depression is a growing health problem all over the world and the age group that shows the most increase are the adolescents.

    Aim: The aim of this study was to describe adolescents' experiences of depression.

    Method: The method used in this study is a literature study which includes compiled research about the experience of depression in adolescents and has brought out themes of similarities.

    Results: Findings show that adolescents perceive and experience a great deal of feelings such as fear and loneliness in relation to depression. They suffer from the struggles of daily life and most of them express fears of being seen as mentally ill and therefor being perceived as different. Adolescents express the need of turning to something to help them cope with these strong feelings that depression brings forward. Isolation, distraction and self-harm are some of the examples of ways that adolescents describe in trying to cope with their depression. Findings also show that adolescents wish to be treated as unique individuals and for the carers to listen to their stories.

    Conclusion: Care given to adolescents with depression needs to be more patient-focused so that the adolescents' own experiences and perceptions get more attention during treatment. Our conclusion is that more research is needed, focusing on the adolescents' own experiences of depression.

  • 245.
    Strandberg, Cornelia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Jonsson, Paula
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Upplevelser av att vara närstående till personer med alkoholberoende: EN LITTERATURSTUDIE2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    One of the western world´s foremost public health problems is alcohol addiction. There is no exactly definition of what alcohol addiction is, but the medical perspective of it as a disease dominate the picture of it. It´s not only the person with the alcohol addiction who is affected of it. Next of kin have to deal with physical and psychical problems and social alienation. The interaction goes both ways, between the alcohol addicted and the next of kin. It´s common for the next of kin to slip into codependency, to excuse the behavior and to take the blame for it.

    Aim:

    The aim of this study is to illustrate experiences of being next of kin to persons with alcohol addiction.

    Method:

    The bachelor´s thesis is a literature review based on both quantitative and qualitative research with a dominance of qualitative research. A total of thirty-one articles were selected out, where nine were analyzed.

    Result:

    The most experiences of being next of kin to a person with alcohol addiction are negative. The next of kin find their quality of life deteriorated in several areas because of the person with alcohol addiction. The surrounding can be both supporting and inhibiting. The result shows that an awakening can occur and that the next of kin can find quality in life and themselves again.

    Conclusion:

    To be a next of kin to an alcohol addicted person affects life negatively in many ways. The quality of life impairs with increased burden at home, on the economy and on parenting. The social environment can be supporting, but it can also give the next of kin the blame for the problematic alcohol consumption and the next of kin has to face shame and guilt. Despite the negative impact of the relatives, the next of kin regains life and identity.

    Knowledge of the next of kin´s experiences is meant to encourage professionals to pay attention to the negative effects of alcohol addiction in close relationships

  • 246.
    Strauss, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Östedt, Veronika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av att leva med fibromyalgi2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Fibromyalgia is a chronic pain disorder. It affects muscles and connective tissue. It's a very complex disorder that has no adequate treatment or cure. The research has progressed but there are still some questions to be answered. Quality of life for these patients is decreased and leads to suffering. Aim: The aim of this study was to illuminate patients' experiences of living with fibromyalgia. Method: A literature overview where nine different qualitative studies between the years 1998-2012 were analyzed. Results: The analysis of the articles lead to six subthemes "Accepted and adapted to the new life", "Experienced a new I", "Experienced changes in the work situation", Experienced changes in privacy", Experienced ignorance" and "Experienced incomprehension" which lead to three main themes "Experienced an identity change", "Experienced a sense of isolation" and "Felt frustration in meeting with health care" Conclusion: The disorder affects the patients both mentally and physically. More research needs to be done for more knowledge about the disorder in order to improve patients care and quality of life

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    fulltext
  • 247.
    Strömberg, Caroline
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kristiansson, Malin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    När livet tar en oväntad vändning: Den yngre kvinnans upplevelse av att leva med bröstcancer. En självbiografistudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Breast cancer is the most common cancer among women worldwide. This disease has many different impacts on younger women who have to face a whole variety of emotions, a change in life and an uncertain future.

    Aim:

    The aim of this study was to elucidate the younger women's experiences of living with breast cancer.

    Method:

    The method "To analyze stories" (narratives) was used in this working process. The study was conducted by analyzing the text from three autobiographies written by women who received their breast cancer diagnosis before the age of 45.

    Results:

    The study resulted in three categories with eight subcategories that reflected the younger womans experience of living with breast cancer. The three categories were: a recurrent concern, a changed life and a significant environment.

    Conclusion:

    Living as a young woman with breast cancer is associated with fears of various kinds. It affects how you view your body and life in general. Important is to understand is that family plays an crucial and irreplaceable roll as an aid and support. It is therefore essential as an professional, a nurse to understand and have a deeper knowledge on how younger women experience their illness in order to provide the best possible care with the aim to meet needs.

  • 248.
    Strömdahl, Alexandra
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hansson, Birgitta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Barns upplevelser av att bevittna våld i hemmet: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    It is estimated that one in ten children witness domestic violence. It is of importance that children grow up in a safe environment. When they grow up with domestic violence they can lose very important skills which can be hard to gain back. Children respond to domestic violence in different ways depending on their age. Aim: The aim of this study was to enlighten children's experiences of domestic violence in their home. Method: An analysis was made of four quantitative and eight qualitative articles to create this literature review. Result: Four themes emerged in the result; A reckless vulnerableness, Entrenched emotions, A deprived childhood and Need of help and support. All of the themes enlightens in different ways what children experiences when witnessing domestic violence. Conclusion: Children who have been witnesses of domestic violence are in great need of support and help so they are able to the events they have witnessed. When the nurse meet these patients, that possibly have been victims of domestic violence, is it of great importance not to neglect the children who might have been involved. It is important that the nurse who meets the exposed children have an open attitude so the children can speak out about what they have been through

    Download full text (pdf)
    fulltext
  • 249.
    Stålberg, Amanda
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nylén, Lisa
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Faktorer i den omgivande miljön och personliga egenskaper som påverkar barns psykiska hälsa: en litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Mental illness in children is a growing phenomenon. Every child has the right to the highest attainable standard of health and health care professionals have a duty to promote the process of the child by providing the best possible care. There are risk factors that pose a risk for the child to develop mental health problems and protective factors are factors that support the mental health and can counteract risk factors. Aim: The aim of this study was to explore factors in the surrounding environment and individual factors affecting mental health problems in children. Method: A literature review where eight quantitative studies and one qualitative study has been analyzed. Results: The study resulted in three categories which were social factors, factors within the family and individual factors. Social factors include the residential area's environment and conditions for the economy, jobs and education, factors within the family include family composition and functioning and mental illness among parents. Individual factors contained personal risk factors and mental illness. Conclusion: By health professionals have a better understanding of risk factors in children, medical professionals can work proactively with mental health. Working with health factors in the child means that caring has a more salutogenic perspective, which is to promote health

  • 250.
    Svensson, Hannah
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Westberg, Carolina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Aspekter som påverkar bemötandet av personer med alkoholmissbruk inom vården: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Alcohol abuse in Sweden has increased the past 20 years. Many patients who are seeking care experiences that they are being treated with closed-minded attitudes. Lack of knowledge in nursing care lead to patients feeling stigmatized. Alcohol abuse and mental illness is often occurred together and that's why more knowledge in this area is required.

    Aim:

    The purpose of this study is to describe which aspects that influences how people with alcohol abuse are treated in health care.

    Method:

    A literature review were used to analyze nine articles, four qualitative and five quantitative articles.

    Results:

    Three themes were created during the analyze. The first theme is educated and experienced staff promotes the patient's experience of care. The second theme is the importance of the relationship. The third theme is prejudices that lead to deficiencies in the treatment. The themes are presented as headlines in the result.

    Conclusion:

    The study reveals that persons with alcohol abuse and mental illness wanted to be treated with a professional attitude towards their problem. They also wanted a good relationship with the staff in health care

23456 201 - 250 of 264
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