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  • 201.
    Ayewubo, Celestine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patel, Archana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av livet efter hjärttransplantation2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a person needs heart transplantation it means that they are suffering from a serious heart failure, and in order to survive they need to undergo surgery for a new heart from a dead person. A lot of the patients don't know what to expect from the surgery and life after the transplantation but their fear of that will not overshadow the chance they have to take somebody's else's heart and begin to live a new life. The transplantation can be a difficult thing to understand and handle without help. It becomes very important for the nurse to have knowledge of the patients' experiences to adjust an individual care in the future.

    Aim: The aim of the study was to describe patients' experiences of life after heart transplantation.

    Method: A five-step model was used described by Friberg (2012) to contribute to evidence-based nursing with basis in analysis of qualitative research, for the analysis of ten scientific qualitative articles.

    Results: The findings that emerged from the analysis shows that they can be applied to the nursing profession. The findings formed three themes: New life, Existential thoughts, and Spiritual aspects, with subthemes.

    Conclusion: After the heart transplantation there is no guarantee that the patients wellbeing will improve. It is important that nurses have knowledge in this field so they can care for the patients' and help them to regain their physical and mental health.

  • 202.
    Azimi, Salma
    et al.
    University West, Department of Health Sciences.
    Olsson, Mariola
    University West, Department of Health Sciences.
    Specialistsjuksköterskors upplevelser av att skatta och lindra smärta hos nyfödda och spädbarn med icke-farmakologiska omvårdnadsåtgärder: En integrativ litteraturstudie2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Pain is something that all people experience at some point and is caused by discomfort. In addition, not all people find it easy to express pain. Newborns and infants do not have the verbal ability to express pain. It is therefore important that specialist nurses have the ability to interpret young child's signals of pain and carry knowledge that can relieve young child's pain by using non-pharmacological methods. 

    Aim: The purpose of this study was to describe specialist nurses' experiences of pain assessment and pain relief in neonates and infants with non-pharmacological nursing measures. 

    Method: The work has been carried out in the form of an integrative literature study including a total of 10 articles, using both qualitative and quantitative approach. 

    Results: Three themes emerged after the analysis process: To identify and assess pain, To promote non-pharmacological methods for pain relief and Obstacles to non-pharmacological pain relief methods. These indicate that specialist nurses lack knowledge of how to relieve the young child's pain and there are factors that prevent the specialist nurse from performing certain non-pharmacological nursing interventions. 

    Conclusion: The results of the study show that specialist nurses need more knowledge in detecting and treating pain with non-pharmacological nursing interventions. The results of the study showed that clear routines and national guidelines are needed to relieve pain in newborns and infants and to ensure equal treatment

  • 203.
    Aziz, Baskcha
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    El Saidi, Sara
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Erfarenheter av kontakt med vården för kvinnor som utsatts för könsstympning2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Female genital mutilation is a violation of human rights and is considered as a violation and an infringement of the integrity of women and children. Female genital mutilation can cause physical and psychological consequences, which means that many women need care. The problem with care has been showed to be a lack of knowledge among care staff. International and regional human rights conventions have recognized female genital mutilation as one of the most common forms of violence against women and girls in many African states. Aim: the aim is to describe women with female genital mutilation`s experiences of contact with care. Methods: A systematic literature review based on scientific publications was conducted. Systematic searches were done in Cinahl, PubMed and PsychInfo. Analysis resulted in categories and subcategories to clearly present women´s experiences. Results: Women's experiences of contact with care resulted in the main categories; a desire to be understood, the complexity of communication and the significance of the treatment for the experience of the care meeting. The women drew attention to the care staff's lack of knowledge and understanding about genital mutilation, experienced prejudices and stigmatization in care as well as shortcomings and difficulties in communication to the care staff. These experiences contributed to many women refraining from seeking care. Conclusion: In summary, the women experienced that additional knowledge and training is needed among the care staff for them to be able to contribute with good and relevant care adapted to everyone, regardless of the individual's conditions.

  • 204.
    Azizi, Marielle
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Singstrand, Nicole
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med ulcerös kolit: En litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Ulcerative colitis is a chronic inflammatory bowel disease that affects rectum and colon, and goes in periods of remission and relapse. 

    Aim: The aim of the study was to describe patients’ experiences of living with ulcerative colitis.

    Method: The method was a literature study based on ten qualitative articles found from the databases Cinahl and PubMed. The articles were analyzed using a five- step method. 

    Results: First theme that emerged was ”the changed life and body” with the subthemes ”lack of control over the body” and ”adaptions to the new life situation”. The second theme was ”an understanding of the disease” with the subthemes ”the need for information” and ”the importance of support”. 

    Conclusion: The conclusion of the study is that patients’ experiences a lack of information about how the disease will look like and how it will come and affect daily life. It came to the conclusion that social support and increased knowledge is an important factor. Therefore, nursing can be of great importance here in presenting the information about the disease.

  • 205.
    Baatz Asplund, Catarina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lundgren Andersson, Ann-Katrin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors attityder och erfarenheter av att arbeta med patienter med en ohälsosam alkoholkonsumtion: En empirisk studie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year 3.3 million people die in the world due to harmful use of alcohol. Alcohol is a public health problem in Sweden as well, where one in ten people considered having risky drinking habits. Research shows that excessive alcohol consumption leads to the development of alcohol-related illnesses. Nurses' dialog with patients is important to support them to change unhealthy habits. What experiences have nurses about discussion concerning the patients' drinking habits?

    Aim: The purpose of this study was to investigate nurses' attitudes to, and experiences of, dialog with patients about their alcohol use habits.

    Method: A descriptive cross-sectional study was conducted with the help of a questionnaire.

    Results: Most nurses felt that they have a good knowledge and were secure in their work with patients who have unhealthy alcohol consumption. They asked the patients about their drinking habits and used the AUDIT screening form for mapping unhealthy consumption.

    Conclusion: Nurses in specialist psychiatric services have a good knowledge of the causes of alcohol problems and can provide consultative support. Their experience of success helping patients with alcohol problems varies.

  • 206.
    Babai, Kustan
    et al.
    University West, Department of Health Sciences.
    Mohamed, Barwaqo Farah
    University West, Department of Health Sciences.
    Arbetsrelaterad stress hos sjuksköterskor2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Work-related stress occurs when work requirements exceed the person's ability to control a work situation. Stress is a defense mechanism that the body triggers to survive when experiencing threats, mental or physical exertion. Work-related stress is a recurring problem in the nursing profession. The cause of work-related stress is different and depends on various factors such as lack of time, lack of cooperation among colleagues, or insufficient resources in organizations.

    Aim

    The purpose is to investigate what causes work-related stress in nurses.

    Method

    A literature review based on a qualitative and quantitative method where ten articles were analyzed according to Friberg's (2017) five-step model.

    Results

    The results of the literature study draw attention to causes of work-related stress among nurses. The results were divided into two main themes and sex sub-themes. The cause of work-related stress was to work under high load, to work under time pressure, not being able to influence their work, to be in conflict, becoming discrimination and not having enough knowledge.

    Conclusion

    The discussion highlights how work-related stress affects nurses' health and the consequences of stress. Work-related stress is a problem that requires knowledge and experience of the nurses. In addition, organizational structure plays an important role in preventing stress among nurses.This means that the organization contributes with sufficient resources and opportunities that can facilitate the nurse's work.

  • 207.
    Backlund, Linus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Grundvall, Fredrik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Omvårdnad av anhöriga till traumapatienter: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 208.
    Backman, Emma
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Existentiella funderingar och att omvärdera livet efter intensivvård: spelar ålder eller kön någon roll?2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background. Patients cared in intensive care units found the care stressful both physically and mentally. They suffered from altered memory images, hallucinations and even an altered body. During the physical and mental recovery, which can be affected by gender or age, existential questions were raised. Aim. The aim of this study was to investigate whether age and gender influenced patients' existential ruminations and their views of revaluation of life after being treated for critical illness in intensive care. Method. Quantitative method with comparative analysis between-subjects with longitudinal design, based on the RAIN-instrument. Two factors, “Existential ruminations” and “Revaluation of life”, were compared based on the age groups <65 years and >65 years and between women and men. Analyzed data was collected at six and 12 months after discharge from intensive care. Results. Existential thoughts: The group <65 years had recovered less regarding “Existential ruminations” both after six months (p. <0.05) and 12 months (p. <0.05) compared with the group > 65 years. No differences were seen regarding gender. No differences in the result were seen regarding women and men. Revaluation of life: The group <65 years to a large extent experienced “Revaluation of life” both after six months (p. <0.05) and after 12 months (p. <0.05) compared with the group> 65 years. After six months, no difference was seen between women and men, but after 12 months, women had largely revalued life (p <0.05). Conclusion. The recovery after intensive care was affected by age and to some extent by gender. Existential ruminations and how patients experienced revaluation of life after intensive care is an area that needs to be highlighted more during the patient's recovery to increase patients' ability to achieve health. Further research in this area is needed. 

  • 209.
    Backman, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vårdpersonalens och patienters erfarenheter av den terapeutiska relationen: en systematisk litteraturstudie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The relationships that are created between mental staff and patients are assumed to be of central importance, especially in psychiatric nursing. The interaction in this relationship can be a great source of support and promote the individual's recovery. However, the definition of the therapeutic relationship is multifaceted, and thus it also becomes difficult to develop or practice this. It is also not entirely clear how patients and the staff experience the therapeutic relationship. The purpose of the study is to provide an overview of the research on the experiences that patients and mental staff have of the therapeutic relationship in psychiatric nursing. Through a systematic literature study, a compilation of previous research of a total of thirteen articles was conducted. The results analysis generated a total of three themes and nine sub-themes, which shed light on relational factors, the role of the mental staff and environmental factors of importance for the therapeutic relationship. The conclusion is that both patients and mental staff experience good effects of relationships, but at the same time barriers emerge that can be linked to both the mental staff, the patient and the environmental factors. Continued research is important to determine how those barriers can be prevented.

  • 210.
    Bador, Kourosh
    et al.
    Agera Sweden ACT AB, Borås Sweden.
    Bador, Nima
    Agera Sweden ACT AB, Borås Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Partnership Interacts with the Association between Leisure-Time Physical Activity and Positive Affect2016In: Psychology, ISSN 2152-7180, Vol. 7, no 6, p. 768-775Article in journal (Refereed)
    Abstract [en]

    Background: Subjective well-being is a central concept of positive psychology, and is directly coupled with a high level of positive affect and a low level of negative affect. Positive affect is associated with enthusiasm, activity, hope and inspiration, while negative affect is associated with emotions such as anger, contempt, guilt, shame, fear, anxiety, depression, and stress. Physical activityis crucial for both physical and mental health and is positively associated with well-being. Gender and social factors (e.g., parenthood or partnership) have complex relations with well-being and affect. In the present study we aimed to 1) examine the association between leisure-time physical activity and affect and 2) investigate whether or not social factors interact with this association. Method: The study included information from 155 Swedish university students: 64 men (mean age 23 years) and 91 women (mean age 27 years). Students were asked to estimate their usual engagement in physical activity during their leisure-time by responding to the Godin Leisure-Time Exercise Questionnaire. They also reported the level of positive and negative emotions experienced during past weeks by completing the Positive Affect and Negative Affect Schedule instrument. Results: In the Swedish student population leisure-time physical activity correlated only with positive and not with negative affect. Students' gender, age or whether or not they had children did not influence this association. However, this correlation differed significantly between those who lived with a partner and those who were single. Conclusion: Leisure-time physical activityis positively correlated with an overall subjective well-being, and this correlation is modifiedby the social factor of partnership

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  • 211.
    Bador, Kourosh
    et al.
    AGERA KBT AB, Gothenburg, Sweden.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care2020In: Journal of Behavioral Health Services & Research, ISSN 1094-3412, E-ISSN 1556-3308, Vol. 47, no 1, p. 102-112Article in journal (Refereed)
    Abstract [en]

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

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  • 212.
    Bahramirad, Parisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med kronisk obstruktiv lungsjukdom (KOL): En kvalitativ litteraturstudie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic obstructive pulmonary disease (COPD) is a disease that has a negative impact on the patient's quality of life. In addition, the patient's experience of COPD and itsimpact on their quality of life is essential.

    Aim: To highlight patient´s experience of COPD and how it has affected their life.

    Method: A qualitative literature study based on data from ninescientific articles was performed.

    Results: The most important themes that emerged was the physical and mental impact of the disease on patients diagnosed with COPD. Breathlessness and other symptoms limited physical activities and caused feelings of social stigma, isolation,and anxiety. The patients also expressed needs for extended knowledge and information about the disease, a need that also was expressed by their next of kins.

    Conclusion: The study show that COPD has a negative physical and psychological effect on the patients’ wellbeing. The negative effects can though sometimes be eased by patient- centered care and individual strategies.

  • 213.
    Bahramvalady, Mozhgan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livskvalitet för patienter med kronisk obstruktiv lungsjukdom2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 214.
    Baic, Zeljka
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Självbestämmande hos personer i livets slut som bor i särskilda boenden: Sjuksköterskors upplevelser2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The goal of palliative care is to increase the quality of life for the person and their relatives and for the care to be designed in consultation with the patient. The number of people living in special housing and in need of palliative care is constantly increasing. Nurses who work with palliative care must be able to provide care that presupposes respect for human rights, values, habits, beliefs, respect for self-determination, integrity and dignity. 

    Aim: The purpose of the study is to investigate how nurses who work in nursing homes experience self-determination in older people at the end of life. 

    Method: An interview study with a qualitative approach was conducted with seven nurses in a municipality in the City of Gothenburg. Data were collected via individual interviews, which were analyzed with qualitative content analysis.

    Results: The analysis resulted in three categories that describe nurses' experiences of self-determination in elderly people at the end of life who live in special housing. The categories included: 1) Application of palliative care, 2) Ethical dilemma when the patient's self-determination is prevented and 3) Organization that increases dependence. Nurses within nursing homes feel that the person's self-determination is promoted if the palliative approach is applied continuously. In the work with people at the end of life, ethical dilemmas have always arisen. In addition, it was the organization with its routines, poor planning and varying values that negatively affected the self-determination of people at the end of life.

    Conclusion: Palliative approach is implemented in practice in nursing homes and logical consequence is the promotion of self-determination of the people in the end of life. There are factors that negatively affect self-determination, however, continuous conversations with the elderly and education in palliative care are seen as the most important tools for promoting the person's self-determination

  • 215.
    Baldesjö, Emma
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Gustafsson, Sandra
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    ”Inget var viktigare än drogen”: En litteraturstudie om ungdomars erfarenheter av missbruk med samtidig kriminalitet2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The view on drugs has become more liberal and the frequency of substance use among youth has increased. Adolescents also believe that illegal drugs are more easily accessible. The adolescent years are a risk factor for drug use and criminality. The extent of juvenile delinquency has not changed much since the 1970s, however, the crimes have become more serious and more common in younger ages. Adolescents are the most criminally active group in society. However, crime can often be seen as a transient phase.

    Aim: The aim of this literature review is to describe adolescents experiences of substance abuse with co-occurring criminality.

    Method: The method used in this study was a literature review. Data was collected through systematic information searches with specific inclusion and exclusion criteria. The method used to analyse the articles was Aveyard's thematic analysis model. Nine articles were considered to have a result that could answer the aim of the study and to be of high quality.

    Findings: The results are presented based on four themes and nine sub-themes. The four themes that emerged were “From recreational use to problems”, “The dual role of the social arena”, “Changed behaviour and mental health” and “The complexity of the care- and justice system”.

    Conclusion: The use of narcotics went from using for the sake of fun to creating problems. Heavier drugs were often associated with committing crimes in groups as well as committing more serious crimes. The importance of a safe and secure environment during childhood were a protective factor which could reduce the risk of drug use and criminality in adolescence. 

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  • 216.
    Baldock, Karina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Anhörigas upplevelser av bemötande inom psykiatrisk vård: Den utfrysta anhöriggruppen2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 217.
    Bancks, Ann-Sofie
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ivarsson, Karin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Förutsättningar som behövs för att implementera personcentrerad vård inom Kommunal Hemsjukvård: En kvalitativ intervjustudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 218.
    Bandic, Mia
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Baban, Vian
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Attityder gentemot sexualförbrytare inom kriminalvården2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 219.
    Bang Svendsen, Stine H.
    et al.
    Førsteamanuensis i pedagogikk, Institutt for læreutdanning, NTNU (NOR).
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. Institutt for Atferdsvitenskap, Oslo Metropolitan University, Oslo (NOR).
    Svarstad Solberg, Ada
    Institutt for sykepleie og helsefremmende arbeid, Institutt for atferdsvitenskap, Oslo Metropolitan University (NOR).
    Skaug Sætra, Henrik
    Proba samfunnsanalyse, Oslo (NOR).
    Gunnman Furunes, Mari
    Institutt for tverrfaglige kulturstudier, NTNU (NOR).
    Utdanningene svikter i arbeidet med seksuell og reproduktiv helse og rettig­heter2023In: ForskersonenArticle in journal (Other (popular science, discussion, etc.))
  • 220.
    Barac, Marijana
    et al.
    University West, Department of Health Sciences.
    Berglund, Therese
    University West, Department of Health Sciences.
    Changes in adolescents’ mental health, risk behaviors, psychosocial functioning, and victimization during the first year of the COVID-19 pandemic in a sample of Swedish students2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are conflicting result on how the COVID-19 pandemic impacted adolescents’ mental health, psychosocial functioning, risk behaviors and victimization.

    Aim: The present study aims to describe the changes Swedish adolescents reported at the end of the first year of the COVID-19 pandemic, considering their mental health, risk behaviors, psychosocial functioning, and victimization, and report the findings for female, male and non-binary gender respondents.

    Methods: Data was collected using an electronic, anonymous survey, during September 2020 and February 2021, reaching upper secondary high school students (ages 15–19-year-old) mostly via social media. The data was analyzed using descriptive statistics. Results: Generally, COVID-19 pandemic had a low impact on Swedish upper secondary school students, though significantly higher on males than female students. A higher proportion of male than female students reported an increased anxiety, depression, sleep problems and anger, and an increase in illicit drug use as a consequence of the pandemic. Victimization generally decreased during the pandemic.

    Conclusion: Personnel interacting with adolescents in schools, social services and health care should be aware of the increased proportion of male adolescents reporting worsened mental health and increased drug use in Sweden, during the COVID-19 pandemic.

  • 221.
    Bardhi, Razije
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Björling, Sonja
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distriktsköterskors och diabetessköterskors erfarenheter av att möta patienter med diabetes som riskerar att få fotsår2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 222.
    Barrsten, Petra
    University West, Department of Health Sciences.
    Att bedöma patienters suicidrisk inom psykiatrisk heldygnsvård: Sjuksköterskors erfarenheter - En litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Suicid är ett globalt problem. I världen begår ca 700 000 personer per år suicid. I Sverige låg denna siffra på ca 1220 personer år 2021. Suicid är den fjärde vanligaste dödsorsaken för personer i åldrarna 15–29 år i världen vilket innebär ett stort hot mot folkhälsan. Dock visar forskning att om aktiva suicidriskbedömningar och adekvat behandling och åtgärder sätts in kan suicid förebyggas. Tidigare suicidförsök och psykisk sjukdom innebär förhöjd suicidrisk. Personer som gjort suicidförsök eller fullbordat suicid har ofta haft en kontakt med hälso- och sjukvård. Personer i akuta suicidala tillstånd vårdas många gånger inom psykiatrisk heldygnsvård. Sjuksköterskor möter denna patientgrupp och har till uppgift att bedöma suicidrisk kontinuerligt för att förebygga att personen skadar sig själv allvarligt eller tar sitt liv. Detta kräver att sjuksköterskor inom psykiatrisk heldygnsvård behärskar den psykiatriska omvårdnaden och metoder för att nå suicidnära patienter. Dock beskriver lite forskning sjuksköterskors erfarenheter av att bedöma patientens suicidrisk inom psykiatrisk heldygnsvård. 

    Syfte: Syftet med studien är att beskriva sjuksköterskors erfarenheter av att bedöma suicidrisk inom psykiatrisk slutenvård.

    Metod: För att svara upp mot studiens syfte har en kvalitativ litteraturstudie med Evans (2002)tolkande syntes av kvalitativa studier använts. Nio artiklar har analyserats och legat till grund för studiens resultat. 

    Resultat: I resultatet framkom det två huvudteman: Bygga gemensam grund & En uppgift som medför svåra utmaningar.

    Slutsats: Resultatet visar på ett stort engagemang och genuint intresse hos sjuksköterskor inom psykiatrisk slutenvård att försöka nå och bygga vårdande relationer med patienter i suicidala kriser och tillstånd. Dock framkommer behov av kompetenshöjande insatser, handledning, kollegialt stöd samt organisatoriskt stöd för att främja arbetet som krävs för att ha tiden till samtalet med patienten.

  • 223.
    Battliwala, Rehana
    et al.
    University West, Department of Health Sciences.
    Poudel, Suman
    University West, Department of Health Sciences.
    Barnhälsovårdssjuksköterskors upplevelser av att genomföra screening med Edinburgh Postnatal Depression Scale: En kvalitativ intervjustudie2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Child health care is managed by Barnhälsovården (BHV) in Sweden. Child health care nursing promotes children’s health and development. It works with preventing illness and is dedicated to early identification and addressing those problems. It facilitates health visits for children from birth to 6 years. New mothers have a high risk of suffering from postpartum depression. EPDS screening is used to assess and identify postpartum depression. BHV-nurse is responsible for planning, implementing, and following up on health promotion and preventive measures. The nurse also creates trust and secure relations with mothers and makes systematic assessments.

    Aim: The aim was to illuminate Child Health Care nurse’s experiences in conducting EPDS Screening (Edinburgh Postnatal Depression Scale) 

    Method: Qualitative interviews were conducted with ten BHV-nurses. Data was analyzed using qualitative content analysis described by Lundman & Graneheim (2017).

    Results: Four categories have emerged: Support for implementation, need for further development, obstacles to implementation and trusting relationship. Education, support from psychologists and work experience are three subcategories that were identified which can provide support for the implementation of EPDS screening. Competence development as well as supervision and inclusion of fathers are two subcategories which require further research. The result shows that language barrier, lack of time and difficulties in reaching each other in the conversation were obstacles in conducting EPDS screening. Communication, proper treatment and continued follow-up were important to create a trusting relationship between the nurse and the mother during EPDS screening.

    Conclusion: EPDS training is a prerequisite for conducting EPDS screening. Child health care nurses feel secure when combined with psychological support and their own work experience, but they need more education and guidance. Lack of time, language difficulties and difficulties reaching each other are some obstacles faced during the EPDS screening. Interpretation guidelines need to be reviewed to overcome language barriers. EPDS screening forms need to be adjusted to the population diversity that reflect society. Conversation with fathers is also important because they can also suffer from mental illness. 

  • 224.
    Bauer, Georg F.
    et al.
    University of Zurich, Center of Salutogenesis, Institute of Epidemiology, Biostatistics, Prevention, Zurich, Switzerland (CHE).
    Roy, Mathieu
    University of Sherbrooke, Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Quebec, Canada (CAN).
    Bakibinga, Pauline
    Health Challenges and Systems Research Program, African Population & Health Research Center, Nairobi, Kenya (KEN).
    Contu, Paulo
    University of Cagliari, Department of Medical Sciences and Public health, Cagliari, Sardegna, Italy (ITA).
    Downe, Soo
    University of Central Lancashire, School of Community Health and Midwifery, Preston, UK (GBR).
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Espnes, Geir Arild.
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway (NOR).
    Jensen, B.B.
    Health Promotion, Steno Diabetes Center Copenhagen, Gentofte, Denmark (DNK).
    Juvinya Canal, D.
    University of Girona, Faculty of Nursing, Girona, Spain (ESP).
    Lindström, Bengt
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway (NOR).
    Mittelmark, Maurice B.
    University of Bergen, Department of Health Promotion and Development, Bergen, Norway (NOR).
    Morgan, A.R.
    Glasgow Caledonian University, School of Health and Life Sciences, Glasgow, UK (GBR).
    Pelikan, Jûrgen M.
    University of Vienna, Institute of Sociology, Vienna, Austria (AUT).
    Saboga-Nunes, Luis
    University of Education Freiburg, Institute of Sociology,Freiburg, Germany (DEU).
    Sagy, Shifra
    Norwegian University of Science and Technology, Center for Health Promotion Research, Trondheim, Norway (NOR).
    Shorey, Shefaly
    Alice Lee Center for Nursing Studies, Yong Lo Lin School of Medicine, Singapore (SGP).
    Vaandrager, Lenneke
    Wageningen University, Department of Social Sciences, Health and Society, Wageningen, The Netherlands (NLD).
    Vinje, H.F.
    University College of Southeast Norway, Faculty of Health and Social Sciences, Department of Health, Social and Welfare Studies, Kongsberg, Vestfold, Norway (NOR).
    Future directions for the concept of salutogenesis: A position article2020In: Health Promotion International, ISSN 0957-4824, E-ISSN 1460-2245, Vol. 35, no 2, p. 187-195Article in journal (Refereed)
    Abstract [en]

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

  • 225.
    Bay, Annika
    et al.
    Department of Nursing, Umeå University, Umeå (SWE).
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Burström, Åsa
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm (SWE).
    Holstad, Ylva
    Department of Nursing, Umeå University, Umeå (SWE).
    Christersson, Christina
    Department of Medical Sciences, Cardiology, Uppsala University, Uppsala (SWE).
    Dellborg, Mikael
    Department of Molecular and Clinical Medicine, Sahlgrenska University Hospital, Gothenburg (SWE).
    Trzebiatowska-Krzynska, Aleksandra
    Department of Cardiology and Department of Medicine and Health Sciences, Linköping University, Linköping (SWE).
    Sörensson, Peder
    Department of Medicine, Solna, Karolinska Institutet, Stockholm (SWE).
    Thilén, Ulf
    Department of Clinical Sciences, Cardiology, Lund University, Lund (SWE).
    Johansson, Bengt
    Department of Surgical and Perioperative Sciences, Umeå University, Umeå (SWE).
    Symptoms during pregnancy in primiparous women with congenital heart disease.2024In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 58, no 1, article id 2302135Article in journal (Refereed)
    Abstract [en]

    Background: As more women with congenital heart disease (CHD) are reaching childbearing age, it becomes more common for their symptoms to be evaluated during pregnancy. However, pregnancy-related symptoms are similar to those caused by heart disease. This study investigated the prevalence of factors associated with symptoms during pregnancy in women with CHD.

    Methods: The national birth register was searched for primiparous women with CHD who were registered in the national quality register for patients with CHD.

    Results: Symptoms during the third trimester were reported in 104 of 465 evaluated women. The most common symptom was palpitations followed by dyspnea. Factors associated with symptoms were tested in a univariable model; higher NYHA classification (>1) (OR 11.3, 95%CI 5.5-23.2), low physical activity (≤3 h/week) (OR 2.1 95%CI 1.3-3.6) and educational level ≤ 12 years (OR 1.9 95%CI 1.2-3.0) were associated with having symptoms. In multivariable analysis, low physical activity level (OR 2.4 95%CI 1.2-5.0) and higher NYHA class (OR 11.3 95%CI 5.0-25.6) remained associated with symptoms during pregnancy. There were no cases with new onset of impaired systemic ventricular function during pregnancy.

    Conclusion: Symptoms during pregnancy are common in women with CHD but are often already present before pregnancy. Because ordinary symptoms during pregnancy often overlap with symptoms of heart disease, it is important to know if symptoms were present before pregnancy and if they became worse during pregnancy. These results should be included in pre-pregnancy counselling and considered in the monitoring during pregnancy.

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  • 226.
    Bay, Annika
    et al.
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lamas, K
    Umeå University, Nursing, Umeå, Sweden.
    Sandberg, Camilla
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Johansson, Bengt
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Facilitators and barriers for physical activity in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no suppl_1, p. 1120-1121, article id ehy566.P5433Article in journal (Refereed)
    Abstract [en]

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

  • 227.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinical Medicine, Umeå University, Sweden; Department of Nursing, Sweden.
    Dellborg, Mikael
    Gothenburg University, Institute of Medicine, The Sahlgrenska Academy, Sweden..
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Sweden.
    Sandberg, Camilla
    Umeå University, Department of Public Health and Clinical Medicine, Sweden.
    Engström, Gunnar
    Umeå University, Department of Surgical and Perioperative Science, Cardiothoracic Surgery Division,.
    Moons, Philip
    KU Leuven Department of Public Health and Primary Care, KU Leuven - University of Leuven, Belgium; Institute of Health and Care Sciences, University of Gothenburg, Sweden..
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Sweden..
    Patient reported outcomes are associated with physical activity level in adults with congenital heart disease.2017In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 243, p. 174-179Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 228.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinica Medicine, Sweden.
    Lämås, Kristina
    Umeå University, Department of Nursing, Umeå, Sweden.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Paediatrics, The Queen Silvia Children’s Hospital .
    Sandberg, Camilla
    Umeå University, Department of Public Health and Clinical Medicine, Sweden; Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå, Sweden.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Enablers and barriers for being physically active: experiences from adults with congenital heart disease2021In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 20, no 3, p. 276-284Article in journal (Refereed)
    Abstract [en]

    Background: In general, adults with congenital heart disease have reduced exercise capacity and many do not reach the recommended level of physical activity. A physically active lifestyle is essential to maintain health and to counteract acquired cardiovascular disease, therefore enablers and barriers for being physically active are important to identify.

    Aim: To describe what adults with complex congenital heart diseases consider as physical activity, and what they experience as enablers and barriers for being physically active. Methods: A qualitative study using semi-structured interviews in which 14 adults with complex congenital heart disease (seven women) participated. The interviews were analysed using qualitative content analysis.

    Results: The analysis revealed four categories considered enablers and barriers - encouragement, energy level, approach and environment. The following is exemplified by the category encouragement as an enabler: if one had experienced support and encouragement to be physically active as a child, they were more positive to be physically active as an adult. In contrast, as a barrier, if the child lacked support and encouragement from others, they had never had the opportunity to learn to be physically active.

    Conclusion: It is important for adults with congenital heart disease to have the opportunity to identify barriers and enablers for being physically active. They need knowledge about their own exercise capacity and need to feel safe that physical activity is not harmful. This knowledge can be used by healthcare professionals to promote, support and eliminate misconceptions about physical activity. Barriers can potentially be transformed into enablers through increased knowledge about attitudes and prerequisites. © The European Society of Cardiology 2020.

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  • 229.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinical Medicine Department of Nursing.
    Lämås, Kristina
    Umeå University, Department of Nursing, .
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sandberg, Camilla
    Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Sweden.
    Johansson, Bengt
    Department of Public Health and Clinical Medicine.
    It's like balancing on a slackline: A description of how adults with congenital heart disease describe themselves in relation to physical activity2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 15-16, p. 3131-3138Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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

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

  • 230.
    Beagan, Eva-Lotta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brandberg, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hälsa och lidande efter en njurtransplantation: En beskrivning av patienters erfarenheter att leva med en ny njure2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 231.
    Begovic, Selma
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors upplevelser av att vårda patienter enligt modellen Brukarstyrd Inläggning: Ett betydelsefullt ansvar2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Acute admissions in full-day psychiatric care have been shown to be counterproductive for patients with BPS. Studies have also shown that hospital staff often experience feelings of frustration and helplessness in working with this group of patients and that it is perceived difficult to maintain a clear structure during the period of care. Brief Admission aims to improve care for patients with BPS. In recent years, the model has also begun to be used in some parts of Sweden but has currently not been evaluated on a larger scale.

    Aim: The study aims to describe the nurse's experiences of caring for patients according to the Brief Admission model.

    Method: The study is based on interviews with six nurses in full-day psychiatric care who described their experiences of caring for patients according to the Brief Admission model. Qualitative content analysis with inductive method was used as method.

    Results: Based on qualitative content analysis, four categories were formed. The four categories were A changed responsibility, Security in a common platform to emanate from, to have sufficient time and difficulties in the changed responsibility. Patients' commitment and responsibility in their own care facilitated and lodged safety for nurses. Working with a written agreement added to the structure. The challenges of the work based on the model were described as the experience of not always having time for patients and having difficulty in implementing certain measures when patients breached the terms of their contracts. The nurses also expressed that in some situations they could feel left out in connection to the individual responsibility for patients admitted through Brief Admission.

    Conclusion: It is important that Brief Admission is anchored in the hospital system at all levels and that correct execution of the model is enabled. It is also important that nurses have the opportunity to receive support and guidance in the management of the individual responsibility accompanying the model.

  • 232.
    Beijer, Emma
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme.
    Eng, Caroline
    University West, Department of Health Sciences, Specialist Nursing programme.
    Äldre och barn sjunger tillsammans: en kvalitativ intervjustudie ur personalens perspektiv2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 233.
    Ben Ayad, Hatim
    et al.
    UAE/U24FS, FS, Abdelmalek Essaâdi University, Tetouan (MAR).
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sfendla, Anis
    UAE/U24FS, FS, Abdelmalek Essaâdi University, Tetouan (MAR); High Institute of Nursing Professions and Health Techniques, Fez, (MAR).
    Najdi, Adil
    Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaâdi University, Tangier (MAR).
    Senhaji, Meftaha
    UAE/U24FS, FS, Abdelmalek Essaâdi University, Tetouan (MAR).
    Psychometric Properties of Update Arabic Version of the Trait Hope Scale and the Rosenberg Self-Esteem Scale2024In: Indonesian Psychological Research, ISSN 2655-9013, Vol. 6, no 1, p. 1-16Article in journal (Refereed)
    Abstract [en]

    Hope and self-esteem are crucial components of positive psychology, and there is a lack of tools to assess these concepts in Morocco. Therefore, this study aims to provide the necessary instruments for evaluating hope and self-esteem among Moroccan college students. A total of 1150 college students (444 males, 703 females) completed an updated Arabic version of the Trait Hope Scale (THS) and the Rosenberg Self-Esteem Scale (RSES). The data underwent factorial and reliability analyses, with test-retest reliability assessed using responses from 26 students. Both the THS and RSES revealed a two-factor solution, and Multigroup Confirmatory Factor Analysis (MGCFA) demonstrated measurement invariance with respect to gender. Furthermore, the results indicated good and acceptable internal consistency (α = .85 for THS and α = .70 for RSES) and acceptable temporal stability (r = .72 for THS and r = .76 for RSES). In conclusion, the updated Arabic versions of the THS and RSES exhibited strong psychometric properties and stability. They have been established as valid and reliable tools for assessing hope and self-esteem among Moroccan college students.

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  • 234.
    Bength, Cathrine
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Edwartz, Linus
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Samband mellan drogberoende och aggressivt antisocialt beteende, sant eller falskt?2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 235.
    Bengtsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mandelholm, Kajsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med diabetes typ 2: Strävan efter balans2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 236.
    Bengtsson, Christine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olofsson, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser vid omhändertagandet av sjuka barn2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 237.
    Bengtsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nielsen, Ida
    University West, Department of Health Sciences, Section for nursing - graduate level.
    ”Att göra det bästa av situationen”: En kvalitativ studie om sjuksköterskors erfarenhet av vårdmiljöns betydelse för psykiatrisk omvårdnad2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 238.
    Bengtsson, Josefine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I dödens närvaro: Sjuksköterskors erfarenheter av att möta döende patienter inom palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 239.
    Bengtsson, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Josefin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av att vårda patienter med sepsis: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sepsis is a condition that can result in death by failure or lack of treatment. Mortality has decreased over the past decade and thus is due to increased awareness and improved management of disease cases. Despite this decline, the death rate is still high and increased knowledge to detect and prevent sepsis in time is needed to reduce the suffering and serious complications.

    Aim: The aim is to illustrate nursing knowledge of the role in caring for patients with sepsis.

    Method: A literature review study based on an analysis of eight quantitative and two qualitative articles of research.

    Results: The result showed that nurses experienced that a lack of knowledge exists, long experience in nurses are valuable and that assessment tools can improve nurses' detection of sepsis. Nurses experienced detection of sepsis as a difficult, defiant and stressful task but it could facilitate trough teamwork.

    Conclusion Combination of knowledge and exertion of assessment tools improve the quality of care and reduce mortality. The result showed that experience and education among nurses are important for improving the competence to early identification of sepsis.

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  • 240.
    Bengtsson, Martin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Thörnäs, Amanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientsäkerhet på en akutmottagning i Namibia: Empirisk studie avseende identitetskontroll, basala hygienrutiner och hantering av perifer venkateter (PVK)2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 241.
    Bengtsson, Victoria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Bloom, Emelia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Det är inte bara att ge en spruta...: barnhälsovårdssjuksköterskors upplevelser av att vaccinera barn2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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  • 242.
    Bennhage, Frida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olausson, Maja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelser av att möta barn och deras familjer inom akutsjukvården2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children are a large patient group in emergency care. It is important that nurses have knowledge about encountering children in the emergency care. The nurse who work primarily at regular emergency departments do usually take care of adult patients. Therefore, the nurses have the most knowledge and competence about these patients. This means that nurses’ may have a lack of capacity when it comes to meeting children and their families in emergency care.

    Aim: The aim of this literature study was to illuminate nurses’ experiences with children andtheir families in emergency care. 

    Method: A method of a five-step model was performed and based on analysis of ten qualitative scientific articles in order to contribute to evidence-based knowledge for nursing care. The analysis resulted in three main themes and seven subthemes. 

    Results: The main themes were: Create a relationship, External factors that affect the care meeting and Knowledge and clinical skills. Nurses experienced insecurity in the meeting with the child and their families. This was based on deficiencies in experience and qualification in pediatric nursing. 

    Conclusion: The nurse needs to be able to conform the meeting based on the child's developmental level and needs. The environment can be perceived by the child as stressful, which can affect the meeting with the nurse and the quality of care. This literature study showed that family-centered care is important. The nurse needs to take both the child and their family into account in order to be able to provide safe care.

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  • 243.
    Berg, Ann
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fohlin Johansson, Leone
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Äldre personer med diabetes mellitus och deras upplevelse av egenvård: En litteraturöversikt2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 244.
    Berg, Henric
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Patrick
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors syn på hur de kan stödja närstående till patienter i behov av palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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  • 245.
    Bergbom, Ingegerd
    et al.
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ringdal, Mona
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Developing and evaluating an instrument to measure Recovery After INtensive care: the RAIN instrument2018In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 17, no 1, article id 5Article in journal (Refereed)
    Abstract [en]

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

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  • 246.
    Bergbrant, Rikard
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hulkkonen, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur närstående påverkas av att leva med en person med psykisk ohälsa2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 247.
    Bergegårdh, Linnea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Saifelddine, Manal
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av bröstcancer: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 248.
    Berger, Alicia
    et al.
    University West, Department of Health Sciences.
    Svensson, Alva
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter av att möta kvinnor utsatta för våld i nära relation: En kvalitativ litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intimate partner violence is a serious societal and public health problem. The violence can affect anyone regardless of gender. However, women are to a greater extent exposed to repeated and more severe violence. Women exposed to intimate partner violence often seeks care for diffuse symptoms, but rarely for the violence itself. Thus, the nurse has a crucial role in identifying these women and providing the care they need.

    Aim: The aim of this study was to elucidate the nurses’ experiences of encountering women exposed to intimate partner violence.

    Method: A literature study based on a qualitative method where eleven articles were analysed with Friberg's five-step model.

    Results: The results were presented in two categories which were barriers, and strategies. These had three subcategories each. The results showed that nurses experience a few barriers that hinders them from identifying and caring for women exposed to intimate partner violence. It also showed that nurses had strategies for identifying these women and caring for them.

    Conclusion: Identifying and caring for women exposed to intimate partner violence is a complex situation. Nurses need more and continuous education on intimate partner violence to maintain their knowledge and readiness to act. Furthermore, the nurse needs to have a person-centred approach and help women build trust to create an opportunity for them to disclose the violence. Using guidelines is a helpful tool that the nurse can use when encountering women potentially exposed to domestic violence. 

  • 249.
    Berggren,  , Simon
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dauod, Lidia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Familjers upplevelse av att ha ett cancersjukt barn: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 250.
    Berggren, Ebba
    et al.
    University West, Department of Health Sciences.
    Olausson, Lina
    University West, Department of Health Sciences.
    Hälsosamtal med föräldrar som har barn med övervikt eller fetma: En intervjustudie om skolsköterskornas erfarenheter2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity have increased among adults and children since 1975. Both overweight and obesity can lead to discomfort and illness for children growing up but also later in adulthood. The school nurse has a health-promoting function within the school and monitors the children's growth during the years in school. If necessary, health dialogues are held with the children's parents when the child is overweight or obese. Studies show that school nurses feel that these conversations with parents can be a challenge because the parents are not motivated. Also that the issue of weight can be offensive and that the school nurses have a lack of knowledge.

    Aim: The aim of the study was to describe school nurses experiences of having health dialogues with parents who have children with overweight or obesity. 

    Method: A qualitative method with semi structured interviews has been used. A total of ten school nurses were interviewed. The results were analyzed with help from qualitative content analysis. 

    Results: The results showed that the school nurse had experiences that motivation of the parents was crucial for a lifestyle change which benefits the child. To support the parents she used different conversation strategies and aids. The school nurse had experience of different reactions from the parents during the conversations. The results also showed the importance of self-examination and reflection in the meetings.

    Conclusion: School nurses had several different experiences of having health conversations with parents whose children are overweight and obese. The results of this study showed that health conversations with parents can be complex. There can be requirements on school nurses in the form of being able to have a functioning collaboration with parents, which requires knowledge in conversational strategies. But also be able to meet parents' reactions and at the same time maintain the task of working to promote health.

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