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  • 201.
    Engwall, Marie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jutengren, Göran
    Faculty of Health and Welfare, Østfold University College, Halden (NOR).
    Bergbom, Ingegerd
    Institute of Health and Caring Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg (SWE).
    Lindahl, Berit
    Department of Health Sciences, Faculty of Medicine,University of Lund, Lund (SWE).
    Fridh, Isabell
    aculty of Caring Sciences, Work Life and Social Welfare,University of Borås, Borås (SWE);Department of Anesthesiology, Surgery, and Intensive Care, Sahlgrenska University Hospital, Gothenburg (SWE) .
    Patients' Self-Reported Recovery After an Environmental Intervention Aimed to Support Patient's Circadian Rhythm in Intensive Care.2021In: Health Environments Research & Design Journal, ISSN 1937-5867, E-ISSN 2167-5112, Vol. 14, no 4, p. 194-210, article id 19375867211001541Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Patients in intensive care units (ICUs) are among the most vulnerable, and they require support to start their recovery. The design of the patient area in the ICU can play a prominent role in both the quality of care and patients' recovery. The lighting environment has the opportunity to restore and strengthen the natural human circadian rhythm and health.

    AIM: To evaluate patients' self-reported recovery after being cared for in an ICU room rebuilt according to evidence-based design principles that promote recovery.

    METHOD: An intervention was set up in a two-bed patient room including a cycled lighting system. Self-reported recovery was reported at 6 and 12 months after discharge. Data were analyzed using a 2(mechanically ventilated, nonmechanically ventilated) × 2(intervention room, ordinary room) analysis of covariance (ANCOVA) and 2(male, women) × 2(intervention room, ordinary room) ANCOVA.

    RESULTS: Data from the different rooms showed no significant main effects for recovery after 6 months, p = .21; however, after 12 months, it become significant, p. < .05. This indicated that patient recovery was positively influenced for patients cared for in the intervention room (M = 8.88, SD = 4.07) compared to the ordinary room (M = 10.90, SD = 4.26). There were no interaction effects for gender or if the patients had been mechanically ventilated either at 6 or 12 months' postdischarge.

    CONCLUSIONS: A cycled lighting system may improve patient self-reported recovery after ICU care; however, more research on the topic is needed.

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  • 202.
    Engwall, Marie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level. Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Törnbom, Karin
    Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Persson, Hanna C
    Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg; Department of Occupational and Physiotherapy, Sahlgrenska University Hospital (SWE).
    Palstam, Annie
    Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg; Department of Occupational and Physiotherapy, Sahlgrenska University Hospital; Department of Neuroscience, Sahlgrenska University Hospital, Gothenburg; School of Health and Welfare, Dalarna University, Falun, Sweden (SWE).
    Recovering from COVID-19 - A Process Characterised by Uncertainty: A Qualitative study.2022In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 54, article id jrm00326Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: To obtain a deeper understanding of the lived experiences of patients with COVID-19, the recovery process and consequences for everyday life 6 months after hospital discharge.

    DESIGN: An explorative qualitative study using individual interviews.

    SUBJECTS: A purposive sampling was applied to recruit persons who had received inpatient hospital care, were discharged approximately 6 months previously, were of working age and had persistent self-reported symptoms at a 3-month follow-up appointment.

    METHODS: Semi-structured interviews were conducted with 15 participants (10 men, 5 women), which were then transcribed and analysed with inductive thematic analysis.

    RESULTS: Three themes were identified: "Status of recovery - two steps forward, one step back", "Remaining symptoms caused limitations in everyday life" and "Strategies for recovery". Participants indicated the recovery process through 6 months after discharge was a challenging road, often involving setbacks. A wide range of persistent, fluctuating, or new symptoms negatively impacted many areas of daily life, with fatigue and lack of energy being especially prominent. Participants used a variety of strategies to cope and recover.

    CONCLUSION: This study increases our knowledge of the lived experiences of COVID-19 based individual experiences. Unexpected symptoms in the recovery process were described and not always possible to forecast.

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  • 203.
    Eriksson, Annika
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Odzic-Pohl, Helen
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Tystnad råder ...: En litteraturöversikt om sexuell hälsa i palliativ vård2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual health is of great importance to a human being and an essential part throughout life. When a person suffers from long-term illness, injury and/or disability, it affects the person in several different ways. Palliative care means that patients with incurable diseases are given an active overall care.

    Aim: The purpose was to illuminate patients' experiences of both sexual health and of talking about it in palliative care.

    Method: A literature-based study. In total, ten articles, five with qualitative approach, four with quantitative approach and one with mixed methodology, were chosen for the analysis of the literature.

    Results: The result of the analysis is presented in two content areas and six themes. Experiences of sexual health is about sexual problems, not feeling whole and changed relationships. Experiences of talking about sexual health is about lack of communication, unmet needs and different approaches.

    Conclusion: The conclusion of this study is that when a person is in the final stage of life, sexual health is important for the quality of life, but it is difficult for both patients and nurses to talk about. Lack of communication led to unmet needs. To meet these needs nurses must have a person-centered approach and, when this is accomplished patients appreciate it in palliative care.

  • 204.
    Eriksson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Sara
    Ska jag gå?: kvinnors tankar kring cellprovtagning för livmoderhalscancer2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cervical cancer is the fourth most common form of cancer among women worldwide. Cervical cancer is caused by the human papillomavirus. Most women are infected by the virus during their lifetime but it usually clears up without any intervention. In Sweden every woman gets an invitation to cervical cancer screening when they turn 23 years old. Screening is done to detect and prevent cervical cancer. Every woman is able to get a vaccination against the human papillomavirus to prevent upcoming of cervical cancer. Aim: The aim of this study was to describe women's thoughts about cervical cancer screening. Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed to identify women's thoughts about cervical cancer screening. Twelve articles where found and analyzed by a five-step method described by Friberg (2012). Five main themes and thirteen subthemes were identified. Results: The result showed cultural aspects, lack of knowledge, no possibility to go, feelings about the screening and reasons to go. Conclusion: The conclusion was that women experienced fear and anxiety about Pap smear testing. They also had barriers in their everyday-life. Cultural values were a barrier to attend to cervical cancer screening. The women experienced lack of knowledge about cervical cancer and the Pap smear. Lack of time and money was also an excuse not to go. Support from health-care professionals motivated women to get a Pap smear done.

  • 205.
    Eriksson, Marita
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mölleryd, Gerd
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sjuksköterskeutbildning på Högskolan Väst: en jämförande studie av alternativ verksamhetsförlagd utbildning och reguljär utbildning2008Report (Other (popular science, discussion, etc.))
    Abstract [sv]

    Högskolan Väst genomförde år 2003-2006 en alternativ sjuksköteskeutbildning i samarbete med primärvård, länssjukvård och kommunal hälso- och sjukvård. Syftet med föreliggande rapport var att jämföra två sjuksköterskeutbildningar, den alternativa verksamhetsförlagda utbildningen och den reguljära utbildningen. Studien fokuserade på studenternas bakgrund och inställning till att arbeta inom olika inriktningar i hälso- och sjukvården. En pilotstudie i form av strukturerade intervjuer genomfördes med studenterna i den alternativa verksamhetsförlagda utbildningen. Studenterna i båda utbildningsvarianterna besvarade en enkät med bakgrundsfrågor. I början och slutet av utbildningen besvarade studenterna ytterligare enkäter om sin inställning till framtida arbete inom olika vårdområden som sjuksköterska. I jämförelse med studenterna i den reguljära utbildningen var studenterna i den alternativa verksamhetsförlagda utbildningen i genomsnitt två år äldre, fler hade föräldrar med arbetarbakgrund, flera barn boende hemma och var sammanboende eller gifta i högre grad. Studenterna hade också mer erfarenhet av tidigare arbete inom vården. Vid jämförelse av de båda utbildningsvarianterna framkom att studenternas inställning till olika vårdområden och framtida arbete som sjuksköterska uppvisade påfallande likheter. I början av utbildningen var barnsjukvård, förlossningsvård och akutsjukvård mest intressant. Psykiatrisk vård och äldreomsorg var de områden som prioriterades lägst av studenterna. I slutet av utbildningen var kirurgisk och medicinsk vård de områden som befanns vara mest intressanta. Psykiatrisk vård och äldreomsorg var fortfarande lägst prioriterat av studenterna i båda utbildningsvarianterna. Utbildningarnas olika upplägg och genomförande har inte påverkat studenternas inställning i detta avseende.

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  • 206.
    Eriksson, Mitzi
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wilck, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att vårda kvinnor som är utsatta för våld i nära relation: en litteraturöversikt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intimate partner violence is a global health problem causing physical and mental health issues. Research has shown that abused women doesn’t get the support they expect and need. The human right to health need to be considered in nursing, and emphasises the need for adequate care.

    Aim: to describe nurses’ experiences of caring for women who are exposed to intimate partner violence.

    Method: A literature overview based on five quantitative, four qualitative and one mixed method study between 2009 and 2018.

    Results: Three main themes were identified; Nurses’ view of their role, Nurses’ preconditions for intervention and Nurses’ emotional impact. The result showed that nurses’ role is mainly about identifying the abuse and supporting the woman. Nurses’ preconditions for intervention is poor due to the lack of knowledge and resources. Their attitudes on intimate partner violence might also hinder their intervention. The results also showed that meeting the exposed women affected nurses’ emotionally and therefore they avoided the problem.

    Conclusion: More knowledge is needed about nurses’ experiences and knowledge about caring for victims of intimate partner violence. Nurses may avoid the subject and therefore fail in identifying violence which can lead to unnecessary suffering for the women.

    Keywords: Experience, Intimate partner violence, Literature review, Nurse

  • 207.
    Eriksson, Monica
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Johannesson, Elias
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Emilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level. University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology. Region Västra Götaland, Intensive Care Unit, NU Hospital Group, SE-46173 Trollhättan (SWE).
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Development and Psychometric Test of the Salutogenic Survey on Sustainable Working Life for Nurses: Identifying Resistance Resources against Stress2024In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 21, no 2, p. 1-15Article in journal (Refereed)
    Abstract [en]

    Extensive research shows nurses’ work environment to be particularly stressful. This study develops, explores, and psychometrically tests a new profession-specific questionnaire identifying generalised and specific resistance resources, that make it possible to measure resources to manage work-related stress. An exploratory study design was employed. The questionnaire development was inspired by the MEASURE approach and the salutogenic theory of health. Building on the results from a literature review of nursing research and salutogenesis, supplemented by twelve interviews with hospital nurses, an item pool was generated. The first version was pilot-tested in a group of nurses who were studying to become specialist nurses. The second version of the questionnaire was psychometrically tested on a sample of registered nurses in close patient care (n = 475), analysed using confirmatory factor analysis to test seven predefined domains of the questionnaire. The analysis revealed a first order seven-domain model of 21 items: job satisfaction, professional role, work motivation, commitment, belonging in the workplace, factors and conditions for remaining in the profession, and workload. The structure of the questionnaire indicates its usefulness in clinical practice for measuring resistance resources.

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  • 208.
    Eriksson, Monica
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Brink, Peter
    NU Hospital Group, Trollhättan, Sweden.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    The level of sense of coherence among Swedish nursing staff2019In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 11, p. 2766-2772Article in journal (Refereed)
    Abstract [en]

    Aim To explore the level of sense of coherence among Swedish nursing staff.

    Design: An explorative quantitative study design was adopted using a short form for measuring sense of coherence.

    Methods Data were collected in January 2018 from nurses working in full‐time positions at two hospitals in Western Sweden. A total of 93 nurses completed the 13 item questionnaire measuring sense of coherence. Descriptive statistics were applied to obtain means and standard deviations. Spearman's rank correlation was used to describe strength of association between sense of coherence and socio‐demographic categories. Between‐group differences were defined using the nonparametric tests of Mann Whitney U test and Kruskal‐Wallis test.

    Results The internal consistency of the SOC‐13 was low. An inter‐item‐correlation test indicated that two items decreased the internal consistency of the scale. The level of the three dimensions of sense of coherence varied; manageability was weakest and decreased the total sense of coherence. The meaningfulness dimension was as strongest.

    Conclusion On a national level, nurses reported weaker SOC than the general population, but stronger in an international comparison of nurses. They found their work difficult to manage, but meaningful.

    Impact On a national level, the nurses report weaker SOC than the general population, but stronger in an international comparison of nurses. Findings from this study will have an impact on how nurses can manage work related stress in terms of sense of coherence. There will also be an impact on nurses' well‐being, which in a long run benefits patients.

  • 209.
    Eriksson, Måns
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dworniczak, Wiktoria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barns upplevelser av att leva med diabetes typ 12021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Type 1 diabetes is a chronic autoimmune disease, and knowledge about the disease has increased in the last 25 years but there is still much research left to be done about type 1 diabetes in children. When a child is diagnosed it means a challenging and complex situation for the child and the family. The aim of the study was to describe children's experiences of living with type 1 diabetes. The study was conducted as a literature study in which scientific articles of qualitative design were applied. Choice of method contributed to evidence-based nursing based on analysis of qualitative research. The analysis resulted in two main themes and four sub-themes which were: The disease at the center, To constantly have to adapt, Feeling of being different, The disease does not define me, Difficulties in self-management and A desire to be able to take personal responsibility.

    The results showed how children with type 1 diabetes experienced many challenges where the children´s adaptability was tested. Children are forced to adapt to their illness and it causes feelings of anxiety, frustration and fear. Many children have a desire to be independent and perceived as normal where they can create their own identity without being defined by their illness.

  • 210.
    Eriksson, Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gustafsson., Tilda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av patientsäkerhet vid överrapportering på en sjukhusavdelning.: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background One of the most critical aspects of healthcare is to maximize the patient’s safety. This is something that a practicing nurse comes across in numerous ways every day. The backbones of a functioning healthcare system are structured reports and good communication. In order to optimize the process of handover there are various aids and structures to follow in order to ensure that the right information is passed on in an efficient manner to guarantee patient safety.

    Aim The purpose of this study is to investigate the nurses' experiences of working patient-safe regarding handover when changing shifts in a hospital ward.

    Method The study is prepared as a literature-based study. The method is based on analysis of qualitative research and intends to form a compilation that can be used as a guide when it comes to nursing.

    Results The results are presented in three main themes; The importance of good communication which describes the structure and level of knowledge affecting the handover. The importance of teamwork for good nursing which describes the cooperation and commitment in the handover. Factors that negatively affect the communication which describes the work environment, workload and too little time in a handover.

    Conclusion The handover takes place frequently in the workplace, to minimize risk and increase efficiency it is important to work with a clear structure to avoid missing important information. Collaborating promotes patient safety.

  • 211.
    Erixon, Matilda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kopp, Johanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelse av att leva med endometrios: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a common disease which affects every tenth woman. The disease affects women's quality of life with pain and other unpleasant symptoms. There is a lack of knowledge about the disease and a correct diagnosis may take several years to receive.

    Aim: The aim of this study was to highlight women's experiences of living with endometriosis.

    Method: A literature-based study based on an analysis of eight scientific articles of qualitative research.

    Results: Two main themes emerged the influence on everyday life and the contact with healthcare. The results showed that endometriosis limits women's lives in several aspects. Pain was the most described symptom affecting everyday life and being mistrusted by the healthcare was often described when in contact with the healthcare. The lack of knowledge of the disease is highlighted in the articles.

    Conclusion: To prevent a delayed diagnosis the caregivers need a deeper knowledge and understanding of endometriosis. It is important to understand how it affects women's life and to prevent normalizing and neglecting women's symptoms.

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  • 212.
    Fager, Anette  
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att vara bärare av MRSA- Meticillinresistent Staphylococcus Aureus: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Methicillin-resistant staphylococcus aureus (MRSA) is a growing threat throughout society and causes great suffering for patients. Patients with MRSA are often met with lack of knowledge in contact with healthcare.

    'The aim of this study was to examine patients´ experiences of being carriers of MRSA.

    This literature study is based on analyses of qualitative research. Eight qualitative articles were analyzed using five step model by Friberg. Through the analyses two main-themes and five sub-themes were developed. The two main-themes were: personal trauma and from frustration to insight. The five sub-themes were: changed self-image, fear and concern, alone and exposed, distrust and anger, need for knowledge and security.

    The conclusion was that patients with MRSA ask for and need clear information and knowledge related to their carrier status in order not to cause unnecessary suffering. Healthcare professionals need better knowledge in the area to accommodate patients´ needs.

  • 213.
    Fakhardzinava, Katsiaryna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olsson, Åsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors uppfattningar om psykosocial arbetsmiljö: Vilka faktorer ligger till grund för bra eller dålig arbetsmiljö?2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: We are facing a global lack of working nurses since nurses end their carrier earlier than their planned retirement. The psychosocial work environment is a big problem in the nursing field and affects the nurses´ health status, suffering and stress level.

    Aim: The aim with this study was to describe nurses´ perceptions of factors that affects their psychosocial working environment.

    Method: A literature overview

    Results: The collegial relationships, the workplace manager, the structure of the working hours and the organization and staffing makes the ground for however the nurses will appreciate and stay at their workplace, or if they are going to dislike the work and leave either the workplace or the nursing-field entirely.

    Conclusion: Adequate staffing, good relations with the co-workers, a manager that sees and appreciates the nurses is work environmental factors that increase the chances that the nurses is going to appreciate their work, and remain at their workplace. To achieve a good work environment there should be enough time for the nurses´ to take good care of the patients and colleagues. There should also be a supporting management at the work place and a good cooperation in the working team. A mean manager, understaffing, bad relationships with colleagues, and a lack of trust and independence increases the risk that the nurses will leave both the workplace and the entire nursing field.

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  • 214.
    Falk Deichmann, Vicki
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahlberg, Louise
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelse av sexuell hälsa i relation till bröstcancer: en litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality is an important part of people's health and well-being. The treatment of breast cancer can cause extensive side effects that have a detrimental effect on the women's self-image and body image. Menopausal side effects such as dry mucous membranes and impaired sexual health affect women's well-being and attractiveness.

    Aim: The purpose of this literature review was to highlight women's experience of sexual health in relation to breast cancer treatment.

    Method: The method used for this study was a qualitative method where knowledge was obtained from previous research in the field. The data were then compiled into a combined image of the subject. Friberg´s five-step-model was used for the analysis.

    Results: Four themes emerged from the results of the studies, which highlighted the women's perceived sexual health during breast cancer treatment. These were the changed body, the sexuality of the change, to be different and the need for support.

    Conclusion: The side effects of breast cancer treatment caused extensive changes for the women as well as an affected and altered sexual health. Changed body image and reduced self-image affected them both physically and mentally. The need for support and information is a crucial factor in preventing psychosocial problems and an unnecessary suffering for women.

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  • 215.
    Falkebäck, Alice
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jensen, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Allt mellan glädje och sorg: Sjuksköterskans erfarenheter av att vårda barn med cancer2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Every year around 350 children in Sweden become ill in some form of cancer, which also is the most common cause of death for children up to 14 years. The nurse has an important function in conveying safety and hope to these severely ill children and their families. Caring for children with cancer can be difficult and challenging.

    Method and Aim A literature study based on qualitative research with the aim of describe the nurse's experiences of caring for children with cancer was performed.

    Results The result was based on nine qualitative articles that, after analysis according to Friberg, resulted in three main themes; Become a part of the family, Emotional stress and Be professional, built on seven subthemes. The result showed that being a nurse caring for children with cancer was both mentally and physically exhausting. Strong relationships were formed between the nurse, the children and their families, and the nurse provided important support. Caring for children with cancer caused the nurse to experience several different emotions that affected both private life and working life. Emotions had to be handled with the help of support.

    Conclusion Caring for children with cancer is giving the nurse several strong feelings, both positive and negative. Strong relationships between the nurse, the children and their family can increase these feelings. To as a nurse every day meet these children with cancer is very demanding and support of different kinds are therefore necessary.

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  • 216.
    Farhat, Ouiam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Al, Zilan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av kommunikation med patienter som drabbats av afasi2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Aphasia is a language disorder that entails impaired ability to speak, read, understand speech, and write. People who are afflicted with aphasia have difficulty understanding and express themselves, which makes it difficult for information to be transferred between the nurses and the patients. This makes demand that the nurse has knowledge and be able to adapt communication with people with aphasia at the individual level.

    Aim: To describe the nurses` experiences of communication with patients suffering from aphasia.

    Method: This study is a literature study based on analysis of eleven articles with qualitative design.

    Results: The result included two main themes and five subthemes that described nurses' experiences of communication with patients with aphasia. Nurses experienced that it was important to make the communication possible by identifying communication, to adapt the communication and to motivate to communicate. The nurses also experienced working in resistance depending on the time deficient and the competence deficient.

    Conclusion: This literature study reveals time and competence are the most important factors that can maintain optimal communication between the nurse and the patient with aphasia. Knowledge of communication at aphasia is needful for the nurse be able to perform safe care. 

  • 217.
    Feivik, Erica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Backman, Andreas
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Namibian nurses experience of patients adherence to the treatment plan: an empirical study of nurses work related to patients diagnosed with multi drug resistant Tuberculosis2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A low adherence is one of the reasons for the development of drug resistant Tuberculosis. One of the identified factors connected to adherence is the relations between health care personal and patient. Nurses all over the world daily work close to the patient supporting them to achieve a high adherence to their treatment plan. Still there is an underrepresentation in a scientific view of exploring and evaluating this preformed work.

    Aim: The aim of this study wad to explore how the Namibian nurses experienced adherence to treatment in patients diagnosed with multidrug-resistant tuberculosis. Method: A qualitative research technic was used to collect data. The interview questions were constructed in a semi-structure with partly opened questions. The data was analysed with Graneheim and Lundman (2004) analysis model.

    Result: Strategies that was used by the nurses to enable a high adherence was providing information, counselling and education to the patient together with a practical support of delegating DOTS and providing the patient with medicine. There was a divided opinion on how to communicate with the patient depending on the nurse fundamental view of adherence. A doctor centred view resulted in a one way communication by informing the patient. A patient centred view of adherence resulted in a two way communication when the nurse aimed to learn about the patient own point of views. Conclusion: To enable a high adherence there has to be a two way communication which demands high communicational skills from the nurse.

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  • 218.
    Fernandez, Wilmery
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelser av att ha ett barn med cancer2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a child is diagnosed with cancer it will change the life for the whole family. The safe everyday life is converted into concern and fear, and a new life with hospital visit, medicines and treatments begins. Aim: The aim of the study is to describe how parents experience their lives when their children suffering from cancer. Method: A literature- based study based on ten qualitative articles. The articles were analyzed and the result were compiled. Result: The study found that in the course of cancer diagnosis, the parents felt that their whole world was turned upside down. The disease affected the relationship with the siblings, as well as the parents' own health. The changing work situation contributed to the deterioration of the economy, and new priorities arose in everyday life. Support from other people was considered to be an important component to cope with the difficult situation. Many parents also sought spiritual support and comfort in religion, which in turn helped them find and feel hope. Conclusion: Through greater knowledge and understanding, the nurse can support the parents through the different feelings that can arise when the child becomes ill with cancer.

  • 219.
    Feta, Arita
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Animah, Cecilia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Erfarenheter från barndomen av att leva med en förälder med psykisk ohälsa: En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children need the opportunity to grow up in a safe environment since this affects the child's attachment, development and health. Growing up with a parent with mental illness can result in changed conditions for the child. In order to support and promote health, it is important to understand children's experiences and experiences of living with a parent with mental illness. Aim: To describe childhood experiences of living with a parent with mental illness. Method: A qualitative literature study was conducted based on eight qualitative articles. The articles were analyzed based on similarities and differences and were compiled into themes. Results: The analyze resulted in four themes and three sub-themes. Children use different strategies to deal with parents' mental illness. Living with a parent with mental illness consisted of conflicting feelings related to feeling different and feeling like a parent. The lack of knowledge and understanding about the parent's mental illness was perceived as stressful, which led to a lack of supportive relationships and care. When children felt that they could not get support from their parents, they searched for support from people in their social environment who understood what the children were going through. Conclusion: In conclusion, children living with a parent with mental illness are at risk of develop mental illness. In order to promote children's health, it is important to get support from an early age, as well as knowledge to normalize the feelings and increase understanding of how to handle difficult situations.

  • 220.
    Finnström, Berit
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Den professionella sjuksköterskan i dagens vård2019In: Att bli sjuksköterska: en introduktion till yrke och ämn / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 71-99Chapter in book (Other academic)
  • 221.
    Finnström, Berit
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Den professionella sjuksköterskan i dagens vård2010In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg-Lyckhage, Lund: Studentlitteratur , 2010, p. 59-82Chapter in book (Other academic)
  • 222.
    Finnström, Berit
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Käck, Britt-Marie
    Drottning Silvias barn och ungdomssjukhus, 416 85 Göteborg.
    Söderhamn, Olle
    Universitetet i Agder, Grimstad.
    Fingertoppskänsla och fingerfärdighet: Föräldrars uppfattningar om faktorer som inverkar på barnets upplevelse av perfer venpunktion2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 2, p. 40-44Article in journal (Refereed)
    Abstract [en]

    Introduction:Pain in connection with needles is a major reason to children’s anxiety and fear. Parents have a unique competence and knowledge about their children’s experiences and reactions that should be regarded as important in health care. Purpose: The purpose of this study was to describe a group of parents' perceptions of the factors that influence their children's experience in relation to venepuncture. Method: Qualitative interviews were conducted with 11 parents. The interviews were based on the question “What factors influence your child's experience in relation to venepuncture?”. The data were analysed through manifest and latent content analysis. Results: The manifest analysis resulted in five categories: Children's experience of fear and stress, The parent's behaviour, Information and preparation, Distraction and Staff expertise. The latent content analysis led to the theme: Adapting the peripheral venepuncture for the individual child is both the responsibility of the parents and the health care professionals. Conclusions: Parents have specific knowledge of the child they wish to convey to the nursing staff. They also want to work in collaboration with staff to minimize the child's anxiety and fear. Parents should be seen as a resource in the child’s health care.

  • 223.
    Finnström, Berit
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Stefan
    Högskolan i Borås.
    Postoperative pain assessment of children with cognitive impairments, aged 4-18, using INRS2012In: Nordic Pediatric Pain 2012. 6th Nordic Congress on Pediatric Pain. Programme and Abstracts: Pain in Children - challenges and solutions / [ed] Dr Gudrun Kristjansdottir, Professor, -, 2012Conference paper (Refereed)
    Abstract [en]

    Conclusions A satisfactory pain assessment tool should be easy to use and be valid in the context of use. The INRS demonstrated validity for postoperative pain assessment in children with cognitive impairments. The FLACC scale, however, probably is the most user friendly scale to measure pain intensity in children with cognitive impairments.

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    Postoperative pain assessment of children with cognitive impairments, aged 4-18, using INRS
  • 224.
    Finnström, Berit
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ringsberg, Karin
    Lepp, Margreth
    Experiences by patients with asthma-like symptoms of a problem-based learning health education programme2002In: Family Practice, ISSN 0263-2136, Vol. 19, no 3, p. 290-293Article in journal (Refereed)
    Abstract [en]

    Background. Eighteen patients with asthma-like symptoms but negative asthma tests, randomly selected, participated in a problem-based learning health education programme. The programme had a multidisciplinary approach and included exercises inspired by cognitive behavioural therapy.

    Objective. The aim of this study was to describe how the patients experienced the programme.

    Methods. After termination of the programme, semi-structured interviews with a phenomenographic approach were conducted with 15 of the participants.

    Results. Two categories emerged, with three sub-categories each. In these, the informants described how they felt solidarity with the group, received confirmation from the other participants and had increased their self-confidence. They had started to look upon themselves and the disorder from a different perspective, they could describe the disorder in words and they had started to use new, conscious coping strategies.

    Conclusions. Patients with asthma-like symptoms benefit from taking part in a problem-based learning health education programme. It helps them to reflect upon themselves and the disorder and to use new strategies to cope with it.

  • 225.
    Finnström, Berit
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Conceptions of pain among Somali women living in Sweden.2006In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 54, no 4, p. 418-25Article in journal (Refereed)
    Abstract [en]

    AIM: This paper reports a study of a group of Somali mothers' views on pain, the causes of pain, pain behaviour and pain treatment concerning themselves and their family members. BACKGROUND: Both the meaning of pain and pain behaviour are associated with values in a patient's social and cultural context. Culture also provides models for how to treat and relieve pain. Several studies report a lack of cultural sensitivity and competence among healthcare professionals, resulting in lower quality of and less access to health care and pain treatment for minority groups. However, the majority of the scientific literature on pain and culture concerns adults in the United States of America. METHOD: Focused conversational interviews were carried out with a convenience sample of nine Somalia women living in Sweden in order to describe and explore their conceptions of pain. Qualitative content analysis was conducted through meaning condensation. The data were collected in 2002-2003. FINDINGS: The women expressed a number of different ideas about definitions and causes of pain. Somalis, especially men, are expected to be stoic about pain. The women had different strategies for communicating about and relieving pain. Children from the ages of 6-8 years upwards were expected to control their pain expression. Respondents used both formal and informal care to relieve pain. For some of the women, consulting a psychologist was not a culturally acceptable way of seeking pain relief. CONCLUSIONS: Nurses must strive for increased cultural competence and explore ways to make healthcare services sensitive to culturally diverse groups. Nurses have an educational role in educating parents and children about pain and the importance of sufficient pain relief. All healthcare providers should be aware of their own cultural values and the risk of stereotyping people.

  • 226.
    Finnström, Berit
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Söderhamn, Olle
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Kokinsky., Eva
    Utvärdering av två självskattningsinstrument för smärta bland barn på en akutmottagning2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 1, p. 48-50Article in journal (Refereed)
    Abstract [en]

    In this pilot study a faces pain scale (FPS) and the ColouredAnalogue Scale (CAS) were evaluated. The FPS consists of six faces corresponding to a numeric scale of 0 to 10, and the CAS is a modified visual analogue scale from 0 to 10. The aims were to examine if FPS and CAS were considered as equal, valid and applicable in measuring pain in children in an emergency room. To assess concurrent validity, 62 children in an emergency room were asked to mark their current pain on both self-report scales. When construct validity was assessed, a subgroup of children (n=19) was asked to score their pain before and after administered analgesics. All children were asked which scale they preferred. There were no significant differences in the scores between the scales. The correlation between them was 0.64 for children >8 years of age and 0.66 for children 4.5–7 years (p<0.05). Median scores after analgesic administration decreased from 5.8 to 4.2 with CAS (p<0.001) and from 6 to 4 with FPS (p<0.001). Children >8 years preferred CAS, while younger children preferred FPS (p<0.05). Both scales showed concurrent and construct validity in this study group of untrained children in an emergency room.

  • 227.
    Fjeld, Benedicte
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ekberg, Victoria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ett svårt beslut: Sjuksköterskors erfarenheter av att anmäla när barn misstänks fara illa2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Child maltreatment has increased over the past years. There is no direct relation-ship between child maltreatment and the actual living condition of the children. All children should be protected against all types of physical, mental and sexual abuse. It is of great im-portance that nurses have knowledge of how to report when they suspected child maltreatment. Aim The aim was to describe nurses´ experiences of reporting when child maltreatment is sus-pected. Methods A method to contribute to evidence-based nursing with ground in analysis of qualita-tive research was performed. In this study nine qualitative articles were analyzed. Results From the analysis three main themes were identified; a difficult task, need of support and create a holistic view of children. Seven subthemes were identified; manage their own lack of knowledge, uncertainty and fear, trust their judgment and courage to act,protection of children's safety and well-being, support from colleagues and management, interact with child protection services, strengthen trust with related parents of the child and environment affecting children.Conclusion Conclusions that can be deduced from this study are to highlight the need for support and knowledge of how a report is conducted. Consequences to not report child maltreat-ment is described in this study as well as which benefits a report of child maltreatment may give for both children and close relatives.

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  • 228.
    Florstam, Robin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sultan, Sara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Anhörigas upplevelser av sjuksköterskans bemötande i palliativ vård: en litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care focuses on maintaining the best quality of life for the affected individual and her/his relatives. Previous studies show that family members who are the primary caregiver feel overwhelmed and left out of information and decision making. The nurse plays a crucial role in caring for the patient and the family.

    Aim: The aim of this review was to report relatives' experiences of nurses' behaviour in palliative care.

    Methods: This is a literature review with a qualitative approach to describe how relative se xperience the palliative care. Qualitative studies can increase understanding of experiences, which is the reason for this approach.

    Results: Ten qualitative studies were included in the final analysis. The result show poorly provided communication and information was the most common problem within palliative care, followed by emotional stress, which constituted the two main themes based on four subthemes.

    Conclusion: The study shows that the family members of the patients receiving palliative care had both positive and negative experiences. The nurse plays a vital role in supporting the family as well as the patient by seeing the patient and her/his family as a unit. Providing information, being present, confirming their individual feelings and comforting them helped the family members to cope with the situation.

  • 229.
    Forsgren Gebring, Susanne
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Christensson, Tanja
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hedemalm, Azar
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Evaluation of the case method in nursing education2014In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, no 2, p. 164-169Article in journal (Refereed)
    Abstract [en]

    The case based learning (CBL) is a problem-based learning which engaging students and presenting them with learning-related and cognitive challenges. The purpose of the study was to elucidate nursing students experiences of the CBL as an educational tool in order to find out if it supports their learning. Qualitative content analysis was used and performed on the statements from nursing students’ course evaluations. Students perceived the CBL as an approach combining theory with practice which provides an overview of upcoming profession. Students gain adequate knowledge about patient care in reality and thereby enabling them to obtain a holistic understanding of patients health problems. Reflections related to case seminars widen students perspectives, improve their capacity for cooperation and help them to achieve long-lasting knowledge. This learning method offers nursing students an opportunity to enhance their judgment and critical thinking skills by applying theory in practice. Students gain adequate knowledge about patient care which may benefit patient care due to students acting professionally in their future role.

  • 230.
    Forsgren Gebring, Susanne
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Christensson, Tanja
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Nursing and Health Sciences, Bodø, Norwa (NOR).
    Rejnö, Åsa
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Medicine, Stoke unit, Skaraborg Hospital Skövde, Skövde, Sweden.
    To Attend or Not: The Reasoning Behind Nursing Students' Attendance at Lectures : A Qualitative Study2021In: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170, Vol. 65, no 3, p. 500-509Article in journal (Refereed)
    Abstract [en]

    There is a rising tendency for students in higher education not to attend lectures. Therefore, the aim of the study was to describe the reasoning behind nursing students’ decisions on whether or not to attend lectures. This qualitative study was performed in a nursing education programme at a Swedish University. One hundred and thirty-one students participated. Data were collected through a questionnaire comprising open-ended questions. Qualitative content analysis was performed. The results are presented in eight categories: four concerning reasons for attending lectures and four concerning reasons for not attending lectures. Decisions, both to attend and to not attend lectures, were based on conscious choices guided by the students’ self-governing of their own personal needs for learning. © 2020, © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

  • 231.
    Forsgren Gebring, Susanne
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Forsman, Berit
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Working with Manchester Triage-job satisfaction in nursing2012In: Montreal 2012 International Biomedical & Nursing Forum, Sept 27-28, Program & Abstract Book, Montreal, 2012, p. 1-1Conference paper (Refereed)
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  • 232.
    Forsgren Gebring, Susanne
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Forsman, Berit
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Working with Manchester triage: job satisfaction in nursing2014In: International Emergency Nursing: Oral abstracts – 1st Global Conference on Emergency Nursing & Trauma Care: Dublin, Ireland, 18–21 September 2014, Elsevier, 2014, Vol. 22, no 4, p. 254-254Conference paper (Refereed)
    Abstract [en]

    Introduction: This study covers nurses' job satisfaction during triage at emergency departments in Western Sweden. Method: Data were collected from 74 triage nurses using a questionnaire containing 37 short form open questions. The answers were analysed descriptively and by measuring the covariance. Two open questions were analysed by content analysis. Results: The results showed a high degree of job satisfaction (88%). Triage as a method, the interesting nature of the work, and a certain freedom in connection with the triage tasks contributed to job satisfaction (R2 = 0.40). The nurses found their work interesting and stimulating, although some reported job dissatisfaction due to a heavy workload and lack of competence. Most of the nurses thought that Manchester Triage System (MTS) was a clear and straightforward method but in need of development. One result from the content analysis was difficulties in decision-making during the assessment of patients with multiple diseases. Since this patient group had increased in number, greater demands were placed on the nurses' competence. Conclusions: The rational modelling structure by which the triage method is constructed is unable to distinguish all the parameters that an experienced nurse takes into account. When the model is allowed to take precedence over experience, it can be of hindrance and contribute to certain estimates not corresponding with the patient's needs. The participants requested regular exercises solving and discussing patient scenarios, which can contribute to develop the instrument.

  • 233.
    Forsgren, Susanne
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Forsman, Berit
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans arbete med Manchestertriage: arbetstillfredsställelse och kompetens2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Triage is the sorting of patients according to the severity of medical assessment. Triage has a long history of use in Anglo-Saxon countries but is a fairly new method in Sweden. Researchers have described the Manchester triage group method (MTS) and a literature review of the concept; working contentment and competence focusing on triage. Aim: The ambition with this study was to describe a number of triage nurses working conditions. The research questions were; working with MTS- does it bring work contentment? What kind of competence is needed? Method: Data was collected from 74 triage nurses by a questionnaire containing 37 questions and two questions provided the nurses the opportunities to describe their triage experiences. Findings: The nurses found their job interesting and stimulating, but some reported unsatisfactory work environment due to lack of education, competence, support and high work load. The informants ask for more education; to solve and discuss patient scenarios and to participate in the developing of MTS. Sixty-three percent thought MTS was a difficult method with some disadvantages. The majority found triage to be a nurse task.

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  • 234.
    Forsman, Berit
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Forsgren Gebring, Susanne
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Nurses working with Manchester triage: The impact of nursing experience on patient safety2012In: Australasian Emergency Nursing Journal, ISSN 1574-6267, Vol. 15, no 2, p. 100-107Article in journal (Refereed)
    Abstract [en]

    Background

    There is in Sweden an ongoing debate about the extent to which the practice of triage contributes to patient safety. This paper reports the findings of a study of nurses’ perceptions of the impact of experience and safety of the Manchester Triage System (MTS) within emergency departments in Western Sweden.

    Methods

    Data was collected from 74 triage nurses using a questionnaire containing 37 short form questions of Likert-type, analyzed descriptively and measured the covariance. Data was also collected with two open questions by using the critical incident technique and content analysis.

    Results

    The results described that the combination of the MTS method, the nurses’ experience and organizational factors accounted for 65% of patient safety. The study indicated that nurses’ experience contributed to higher patient safety than the model itself. A standardized assessment model, like MTS, can rarely capture all possible symptoms, as it will always be constrained by a limited number of keywords and taxonomies. It cannot completely replace the skills an experienced nurse develops over many years in the profession.

    Conclusions

    The present study highlights the value of triage nurse's experience. The participants considered experience to contribute to patient safety in emergency departments. A standardized triage model should be considered as additional support to the skills an experienced nurse develops.

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  • 235.
    Forsman, Berit
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Frail Older Persons' Experiences of Information and Participation in Hospital Care2019In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 16, no 16, article id E2829Article in journal (Refereed)
    Abstract [en]

    The aim of this paper is to describe frail older persons' experiences of hospital care of information and participation when being an inpatient at a hospital. A qualitative method was used. Data were collected at the hospital from 20 interviews with frail older patients, together with observations in the environment at the hospital ward. A content analysis was performed. Patients experienced not receiving information about their care and rehabilitation, or receiving such information in noisy surroundings. They experienced situations of misunderstanding related to their medication, which indicates the need for appropriate discharge calls for frail older patients. They expressed feelings of distress concerning the future, caused by hasty admissions or relatives' problems to handle the situation. The results highlight the need to receive appropriate information and to participate in decision-making. The level of health literacy should be taken notice of when giving information, using peaceful and quiet environments when informing frail older persons. Person-centered care should be recognized to a greater extent in order for healthcare professionals to give information to frail older people in a health literacy-friendly way. This might make it easier for frail older persons to participate in a partnership in care.

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  • 236.
    Forsman, Berit
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Obeid, Ayman
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Breddinförande av e-handelinom omsorgsförvaltningen i Trollhättan2021In: Organisering, implementering och användning av välfärdsteknologi: Resultat från eTeam-projektet / [ed] Ann Svensson, Camilla Gjellebæk, Trollhättan: Högskolan Väst , 2021, p. 55-60Chapter in book (Other academic)
  • 237.
    Forsner, Maria
    et al.
    Dalarna University, Division of Nursing and Health , School of Education, Health and Social Sciences,, Falun, Sweden.
    Nilsson, S
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Boraås, Sweden.
    Finnström, Berit
    University West, Department of Health Sciences, Nursing Programme. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mörelius, E
    Linköping University, Division of Activity, Health and Care, Department of Social and Welfare Studies, Norrköping, Sweden.
    Expectation prior to human papilloma virus vaccination: 11 to 12-Year-old girls' written narratives.2016In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 203, p. 365-373Article in journal (Refereed)
    Abstract [en]

    Expectations prior to needle-related procedures can influence individuals' decision making and compliance with immunization programmes. To protect from human papilloma virus (HPV) and cervical cancer, the immunization needs to be given before sexual debut raising interest for this study's aim to investigate how 11 to 12-year-old girls narrate about their expectations prior to HPV vaccination. A total of 27 girls aged 11 to 12 years participated in this qualitative narrative study by writing short narratives describing their expectations. The requirement for inclusion was to have accepted HPV vaccination. Data were subjected to qualitative content analysis. Findings showed the following expectations: going to hurt, going to be scared and going to turn out fine. The expectations were based on the girls' previous experiences, knowledge and self-image. The latent content revealed that the girls tried to transform uneasiness to confidence. The conclusion drawn from this study is that most girls of this age seem confident about their ability to cope with possible unpleasantness related to vaccinations. However, nurses need to find strategies to help those children who feel uneasy about needle-related procedures.

  • 238.
    Forss, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Motzheim, Auke
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Från förtvivlan till hopp: Personers erfarenheter av livet efter stroke.2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 26 500 people suffer from stroke each year – in Sweden. Stroke affects the possibilities of living life the way a person wants to live it. Common disabilities after stroke are paralysis, aphasia and fatigue. Following these physical disabilities are psychological struggles like depression, anxiety, loss of self-confidence and loss of identity. Person-centered care therefore is an important part of caring for people suffering from stroke. Focus on the person's own perception of health and world view in stroke care promotes a better basis for rehabilitation. Aim: The aim of this study was to highlight people's experiences of life after a stroke. Method: In this study a method to contribute to evidence-based nursing based on analysis of qualitative research was used. Ten articles were analyzed from which 3 main themes and 10 subthemes emerged. Results: The results showed difficulties in continuing a normal life as possible after stroke. Numerous factors such as support from family, friends and support in rehabilitation given from several healthcare actors were seen as very supporting through the difficult time that followed after stroke. Findings do however suggest that the support from the different healthcare actors was too weak or too little. This caused problems in rehabilitation and several psycological issues such as depression, anxiety and low self confidence. Conclusion: Stroke causes serious changes in lifestyle and daily living for the affected person(s).

  • 239.
    Frederiksen Ekblad, Moa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Martinsson, Bonnie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med HIV: En litteraturbaserad studie om patienters upplevelser av vårdpersonalens bemötande2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Human immunodeficiency virus (HIV) is a disease, which often is associated with stigma in both society and healthcare. People living with HIV are in need of a continuous contact with the healthcare, which causes problems if the healthcare professionals don´t have sufficient knowledge about HIV. Even though the nurse is obligated to provide equal care to all patients, it's known that patients with HIV don't get the same care as everyone else, which causes suffering among these patients. The aim of this study was to illuminate how patients living with HIV experience the treatment by healthcare professionals. This is a literature-based study and the selected method was a qualitative analysis after Friberg (2012). The data was collected through both systematic and unsystematic searches, which resulted in ten articles. The result was formed into three themes: "The feeling of barriers in healthcare", "The feeling of being unclean" and "To feel safe in care". The conclusion of this study was that the healthcare professionals´ lack of knowledge is the most common reason why patients living with HIV experience poor treatment. Therefore, the writers of this study suggests that education for the healthcare professionals would make the treatment more positive.

  • 240.
    Fredman, Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jyborn, Ylva
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors bemötande av tonåringar med Anorexia Nervosa i sjukvården: en litteraturöversikt2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia nervosa is a psychic illness which is a big public health problem, 1–2 % of the people in Sweden is affected. It is most common in adolescents and usually girls who gets Anorexia nervosa, but boys are also affected. No self-esteem and media are factors effecting. As a nurse it is important to think about how to treat these individuals. As a nurse it is important to involve the parents in the treatment and see them as an access instead of a problem. Aim: The aim of this study was to illustrate nurses’ treatment of teenagers between the ages of 12–18 with Anorexia Nervosa (AN) during their treatment in a care facility. Method: The method used was a literature review with qualitative and mixed-methods articles. Seven articles were analyzed and resulted in two categories and four sub-categories. Results: The result shows that the nurses have to see the individual teenager behind the disease and be there for the teenager. The teenager must be involved in their own care to easier get a good result in the care of Anorexia nervosa. The role of the family also plays a big role. Conclusion: Creating a good relationship in nursing is of great importance in the treatment of adolescents with Anorexia nervosa. It is of great importance to be able to be flexible and adapt in every meeting with the adolescents.

  • 241.
    Freiholtz, Alice
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svantesson, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barnets upplevelse av att vårdas på sjukhus2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children constitute a considerable part of the group of patients who are attended to in hospitals. The meeting between the child and the nurse is a fundamental interaction which reoccurs constantly within the health care system. How children perceive their time in hospital is interesting in order to understand how to structure and design the best possible care. Previous research has found that children experienced the hospital stay frightening. The importance of the first meeting with health care being positive is stressed, since it can be difficult to reverse and repair that experience at a latter occasion when new contact with health care might be necessary.

    Aim: The aim of the study has been to describe the child's experience of being hospitalized.

    Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed. Analyses of nine scientific articles were carried out. The study has resulted in three themes and sevens sub-themes being disclosed and categorized.

    Results: The main themes categorized were, Feelings experienced during hospital stay, importance of a positive response and the impact of the hospital environment.

    Conclusion: Drawn inferences from the data were that it was important that the nurse had good theoretical knowledge of how children perceive their time in a hospital in order to create as positive and high quality conditions as possible for the child during his or her stay in hospital. When the nurse based the caring on each child's needs, met the child age appropriately and its' level of development was taken into consideration in addition to having designed the care to meet individual needs, conditions for engaging the child in the care were created. Play and distraction should be used in order to create an easy-going atmosphere to avoid all unnecessary suffering. Thus, the result might be a good relationship between the child and the nurse, leaving the child with a more over-all positive experience of the hospital stay.

  • 242.
    Frenning, Linnéa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Samuelsson, Ulrika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När allt kretsar kring vikten: en litteraturöversikt som belyser hur familjen kan involveras i vården av en patient med Anorexia Nervosa2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia Nervosa is a mental illness of which the result is a will-controlled weight loss. It is an illness that affects the entire body and can become life-threatening. The illness is most common in young women and is often developed because of a stressful life event, stressful family relationships or sexual abuse. The disease also has a heredity of 50-90% in all cases. Aim: The aim of this study is to describe how nurses can involve the family in the care of a patient with Anorexia Nervosa. Method: The method used in this study was a literary survey based on ten articles of both qualitative and quantitative type. The articles were analysed using the method of Friberg (2012b). Result: Three main themes were created: Building relationships, providing education and preparing for home. Conclusion: The result of this study shows that the involvement of the family in the care of a patient with Anorexia Nervosa has improved conditions of recovery. Nurses have a crucial role in this process by creating relationships, having an educational role and preparing both patient and family for the return home.

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  • 243.
    Fridén Klang, Jenny
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Petersson Bergstrand, Johanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vårdhunden - ett komplement till omvårdnaden för patienter diagnostiserade med demens: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The dog has since the 18th century been important for the development of the human being and could perhaps be of more help in the care of elderly with dementia. Previous studies show a positive impact on elderly people with dementia associated with animal assisted therapy and animal assisted activity. Aim: The aim of this study was to describe how patients diagnosed with dementia´s react when they meet a therapy dog.  Method: This study was designed as a literature review based on nine scientific articles. A content analysis was performed, resulting in two themes and five subthemes.  Results: The therapy dog had a positive impact on the patient's physical and mental state as well as the participation in social interactions. The meeting with the therapy dog also enhanced the patient's own perception of wellbeing, the patients sleeping habits and reduced symptoms of depression. Conclusion: The therapy dog could be used in addition to best practice nursing and health care in dementia to enhance the quality of daily life for the person suffering from dementia.   

  • 244.
    Frylemo, Angelica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Aspekter som påverkar vårdnadshavares beslut om HPV-vaccination: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Human papillomavirus (HPV) is one of the most common sexually transmitted infections in the world and there are over 100 different varieties. Several of the varieties can lead to cancer. Although there are vaccines available, the vaccine coverage varies in the providing countries.

    Aim: The aim of this study was to describe aspects that make guardians choose to refrain from giving their children HPV-vaccines.

    Method: This Literature study is based on nine qualitative articles published between 2010 and 2020 and the articles were found in Cinahl and PubMed.

    Results: Guardians who refrained from the HPV-vaccine to their adolescents mentioned varied aspects. Some guardians were concerned about side effects of the vaccine and others mention a lack of knowledge and information about HPV and the vaccine. Guardians expressed concerns about vaccinating against sexually transmitted infections with their adolescents. A varied confidence in health care staff was mentioned by the guardians and they sought information from more unreliable sources such as stories from friends and family or the internet. The fact that HPV-vaccine only was provided to girls, in many of the countries, was a reason for the guardian’s skepticism.

    Conclusion: The result showed that there are various aspects that make guardians refrain from HPV-vaccine. Some reasons are more common in certain countries. Today's society is multicultural, which leads to a need for more studies to be done from an international perspective. Being able to meet the guardian’s various needs for information about HPV-vaccine is essential to get a higher HPV-vaccine coverage in the world. 

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  • 245.
    Fröding, Minna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Transpersoners upplevelser av mötet med vården: en litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden, it is prohibited to discriminate because of transgender identity or expression. However, research shows that transgender people often face discrimination in society including the health care sector. The aim of this work is to increase the understanding of the transgender experience in the meeting with caregivers. In the study some basic concepts are reviewed, such as different ways of defining sex. Sexuality, transgender, gender identity and expression are defined and discussed and the transgender health situation is described. As theoretical basis the term life world is introduced. The problem statement shows that transgender people are largely suffering from mental illness and that they, because of the risk of being offended or badly treated, refrain from seeking medical care. The methodology used in the study is a literature review of previously conducted qualitative research in the field. This research is compiled into a new entirety with the intent to increase the understanding of the phenomenon and translate it into practical knowledge in health care work. The result of the literature review of the transgender experience when meeting with health care can be summarized in three main groups: Standing outside the norm, Getting inadequate care and Being discriminated. In conclusion, the results indicate that the conception that there are only two genders together with the heteronormativity prevent transgender to get a good treatment and adequate care. The result and the method are discussed in the report.

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  • 246.
    Fulton, John
    et al.
    School of Health, Natural and Social Sciences, University of Sunderland, United Kingdom.
    Bøhler, Ann
    University College Buskerud, Drammen, Norway.
    Hansen, Grethe Storm
    University College Buskerud, Drammen, Norway.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Velander-Sundin, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Santos, Margarida Reis
    Escola Superior de Enfermagem de São João, Porto, Portugal.
    Thorarinsdottir, Kristin
    University of Akureyri, Iceland.
    Ziarko, Ewa
    Instytyt Pielegniarstwa, Krakow, Poland.
    Mentorship: An international perspective2007In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 7, no 6, p. 399-406Article in journal (Refereed)
  • 247.
    Färnlöf, Emilia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svaröd Jensen, Julia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vårdpersonalens syn på äldres munhälsa: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Good oral health affects the person's experience regarding quality of life and well-being. Some of the elderly people who live in nursing homes' are daily in need of support or help with oral care. If the oral care is neglected, the elderly can suffer from consequential diseases. Oral health problems can be identified by means of a ROAG (Revised oral assessment guide) measuring tool, the tool can prevent and provide good oral health.

    Aim: The aim of the studie was to examine healthcare personells' view on performing oral care to elder persons in nursing homes'.

    Method: A literature review based on the content of six quantitative studies, four qualitative studies and one mixed method studie.

    Results: The result consists of three main themes and seven subthemes. The first main theme is The competence of healthcare professionals and the subtheme is Knowledge level; Education provides opportunities; Team collaboration and communication. The second main theme is the Organization's influence and subthemes are the Nurse's participation in oral care; Time, routines and guidelines. The third main theme is Factors that affect the performance of oral care and subthemes are Person-centered oral care: attitude, wishes and relationship; Health care professionals "personal" view of oral health.

    Conclusion: The result shows that healthcare professionals need regular training in oral care. The nurse's role in leadership and collaboration with other professions has a significant effect on the fact that healthcare staff perform safe oral care. Procedures around oral care need to be made clear in order for healthcare professionals to be able to perform oral care.

  • 248.
    Förtsch, Sanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Joutsimäk, Moa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelsen hos patienter som lever med depression i mötet med sjuksköterskor: En litteraturbaserad studie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is one of the major public diseases affecting people of all ages. The majority of those affected are women. Depression is seen from three levels, mild, moderate and severe. Patients living with the severe degree are at high risk of focusing their thoughts on suicide. In 2020, a statistic was compiled in Sweden on how many people have experienced depression at some point in their lives. In the ages 16-18, 21% have been diagnosed with depression at some point in their lives.

    Aim: The aim of this study was to describe how patients living with depression experience the encounter with the nurse.

    Method: A literature study in accordance with Friberg five steps based on qualitative articleswas used. In all seven articles with qualitative approach were analyzed. The articles were compiled and formed two main themes and four subthemes. 

    Results: The results showed that patients with depression felt that the first meeting with nurses was important because it affects the patients’ experience and whether the patients will feel safe. The results also showed that the knowledge and experience the nurses had in the care units became decisive for how the patients’ encounter with nurse became.

    Conclusion: The conclusions showed that more knowledge about depression is needed among nurses, especially early in nursing education so that they can support and help patients suffering from depression.

  • 249.
    Gawel, Martin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wennerdahl, Erik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    De närståendes upplevelser av vård i livets slutskede: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Death is an inevitable part of the human condition. But the process of dying differs. In cases where terminal illness is involved, the patient is seldom alone. The close ones are often by the patient's side till the end, contributing in his or hers care. The nurse needs to have some knowledge about how they are experiencing the care for the dying, in order to satisfy their needs and help them through this process.

    Aim: The purpose of this study is to describe experiences of being close to an elderly loved one in care at life's end.

    Method: This literature-based study was based upon nine qualitative studies.

    Results: Three main themes emerged during the analysis. The findings in the respondent's experiences regarding end-of-life care for the elderly loved ones can be summarized in the themes of: A laborious life, Striving for security and The last part of the journey.

    Conclusion: There are many difficulties, hardships and dire burdens that lay upon the shoulders of close ones to the elderly patient. Factors that prompt them to contribute in the care and the interaction with care personnel. The nurse should be aware of this and look upon close ones as a part of the care team around the patient, with their own needs and wishes thereby alleviating their suffering as well as the patients.

  • 250.
    Gerner, Erik
    et al.
    University of Gothenburg, The Sahlgrenska Academy, Department of Biomaterials, Gothenburg, Sweden; Mölnlycke Health Care AB, Gothenburg, Sweden; University of Gothenburg, Center for Antibiotic Resistance Research (CARe), Gothenburg, Sweden.
    Almqvist, Sofia
    Mölnlycke Health Care AB, Gothenburg, Sweden.
    Werthén, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level. University of Gothenburg, The Sahlgrenska Academy, Department of Biomaterials, Gothenburg, Sweden; University of Gothenburg, Center for Antibiotic Resistance Research (CARe), Gothenburg, Sweden.
    Trobos, Margarita
    University of Gothenburg, The Sahlgrenska Academy, Department of Biomaterials, Gothenburg, Sweden; University of Gothenburg, Center for Antibiotic Resistance Research (CARe), Gothenburg, Sweden .
    Sodium salicylate interferes with quorum-sensing-regulatedvirulence in chronic wound isolates of Pseudomonas aeruginosa in simulated wound fluid2020In: Journal of Medical Microbiology, ISSN 0022-2615, E-ISSN 1473-5644, Vol. 69, no 5, p. 767-780Article in journal (Refereed)
    Abstract [en]

    Introduction. An important factor for delayed healing of chronic wounds is the presence of bacteria. Quorum sensing (QS), a cell density-dependent signalling system, controls the production of many virulence factors and biofilm formation in Pseudomonas aeruginosa.Aim. Inhibition by sodium salicylate (NaSa) of QS-regulated virulence expression was evaluated in QS-characterized clinical wound isolates of P. aeruginosa, cultured in serum-containing medium.Methodology. Fourteen clinical P. aeruginosa strains from chronic wounds were evaluated for the production of QS signals and virulence factors. Inhibition of QS by NaSa in P. aeruginosa clinical strains, wild-type PAO1 and QS reporter strains was evaluated using in vitro assays for the production of biofilm, pyocyanin, siderophores, alkaline protease, elastase and stapholytic protease.Results. Six clinical strains secreted several QS-associated virulence factors and signal molecules and two were negative for all factors. Sub-inhibitory concentrations of NaSa downregulated the expression of the QS-related genes lasB, rhlA and pqsA and reduced the secretion of several virulence factors in PAO1 and clinical strains cultured in serum. Compared to serum-free media, the presence of serum increased the expression of QS genes and production of siderophores and pyocyanin but decreased biofilm formation.Conclusions.Pseudomonas aeruginosa from chronic wound infections showed different virulence properties. While very few strains showed no QS activity, approximately half were highly virulent and produced QS signals, suggesting that the targeting of QS is a viable and relevant strategy for infection control. NaSa showed activity as a QS-inhibitor by lowering the virulence phenotypes and QS signals at both transcriptional and extracellular levels.

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