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  • 201.
    Husein, Vania
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Al, Dunia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Musikens kraft på personer med demenssjukdom: En litteraturbaserad studie om vårdpersonal och närståendes erfarenhet av musiken och musikterapins effekt på personer med demenssjukdom.2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is one of the most common diseases in the world and is rapidly increasing in Sweden. Alzheimer's disease, vascular dementia, Parkinson's disease with dementia, frontotemporal dementia, alcohol dementia and lewy body dementia are among the most common dementia types. Each nine out of ten suffering from dementia has Behavioral and Psychological Symptoms of Dementia (BPSD) where the symptoms include aggression, anxiety, apathy, hallucinations or sleep disturbances. Memory disorders are one of the symptoms that affect people with dementia and their relatives, music stimulates the individual's memory and creates a pleasant environment for the affected and their career. Aim: The purpose is to describe the healthcare staff and the family members experience of music's effect on people with dementia. Method: Researchers used a literature study in which searches were made on the databases CINAHL and psycINFO. Ten qualitative articles were selected and analyzed according to Friberg's five-step model. Results: The results showed that both healthcare professionals and family members who care for their relatives with dementia experienced that music, singing, music therapy and live music had a good effect on the individual suffering from dementia. They reported that the music had a calming, pleasing and relaxing effect on them. Music brought old memories back to the individuals with dementia and they felt that the music also functioned as exercise. The careers experienced that the music created a nice atmosphere and also a better communication and relationship between the caregiver and the individual with dementia disease. Conclusion: In this literature-based study the authors stated that music worked very well as a nursing measure in caring for people with dementia. When caring for people who suffer from dementia music is an effective and urgent measure where healthcare professionals or caring relatives can use by singing, playing background music and other types of music. Cost-wise, music is a cheap and easy to deal with nursing measure that everyone can use.

  • 202.
    Högberg, Louise
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Klasson, Christian
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Musik för en förbättrad livskvalitet hos personer med demenssjukdom2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a rapidly growing disease globally, as the world's population is ageing. There is a need for alternative treatment of diseases such as dementia. Understanding the impact of music on people with dementia is important to further develop the nursing care.

    Aim: The aim was to illuminate the impact of music on people with dementia from a nursing perspective.

    Method: This study was a literature study based on Friberg's five step analysis. Eight qualitative studies were analysed.

    Result: The result showed that music had positive impact on both mental and physical aspects. People with dementia tended to be more sociable and active as well as happier when music was played. This made them more able to express emotions, interests and opinions regarding the nursing care and in general their way of life.

    Conclusion: Music was easy and cost efficient to implement in everyday nursing care. The benefits of music outweighed the difficulties implementing it. It saved time during everyday tasks and seemed to make life more enjoyable in general for people with dementia.

  • 203.
    Irejz, Amina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bandor, Eliza
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barn och ungdomars upplevelser av att leva med förälder som lever med psykisk ohälsa2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The majority of people with mental illness are parents, however the children are ignored in healthcare. According to studies, children's experiences of the parent’s mental illness affect the children negatively and leads to suffering in adulthood. Aim: The aim of this qualitative study is to explore children’s and adolescents experience of living with parents with mental illness. Method: The used method in this study is called the five-step model according to Friberg (2012). The five-step model contributes to evidence-based nursing based on analysis of qualitative research. Results: The result of the study can be summarized in three main themes, strains, emotional supports and emotional effects. The overall experience was that the children and adolescents were all alone. They also experienced having more responsibility than other children. These children and adolescents felt insecure about their situation and they all agreed that they would feel more secure if they had more information about their parents’ illness. Conclusion: Without trustful relationships and help from family members or healthcare professionals these children turns out to be disoriented in their wellbeing which leads to emotional burnout.

  • 204.
    Ismael, Dalia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pepic, Suzana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barns upplevelse av att leva med en förälder med psykisk ohälsa2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Many children live with parents with mental illness. Those children are in a vulnerable position, because they are dependent on the parents' care. These parents often fail in their parenting role and the child's development can be affected. Because of this, it is important that nurses takes initiatives to treat these children.

    Aim: The purpose of this study is to illuminate children's experiences of living with a parent with mental illness.

    Method: A literature study based on using and analysing fifteen qualitative articles.

    Results: The results summarized in four main themes. The first theme was: To experience emotional conflicts, with three subthemes which were: feeling different, feeling shame and feeling of guilt. The second theme was: The feelings of living in uncertainty, with three subthemes: the feeling of fear, feeling of concern and the experience of frustration. The third theme was: The feeling of abandonment, with two subthemes: the experience of loneliness and the feeling of sadness. The fourth theme was: The experience of happiness, with three subthemes: the feeling of belongingness, the experience of joy and love, and the experience of relief. The results showed that children of parents with mental illness experience varying feelings about living with a parent with mental illness.

    Conclusion: The results showed that children do not always understand the parents mental illness, which made them feel varying feelings, but they express a wish to understand. Because when there was an understanding of mental illness, they felt a sense of relief. This information may be useful for nurses when they meet children of a parent with mental illness.

  • 205.
    Ivarsson, Camilla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åstrand, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av omhändertagandet i samband med trauma2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Trauma is a common cause of death and disability and an event that can lead to a major suffering for the patient. To be exposed to trauma entails both physical and mental stress. Some patients expressed feelings such as guilt and hopelessness and had difficulty seeing the meaning of life after the accident, when the patient´s lifeworld was changed. Aim: The aim of this study was to illuminate patients' experiences of trauma care. Method: A literature review based on a content analysis of nine qualitative and three quantitative studies.  Results: The result revealed that patients needed support after the traumatic event. The findings were three main themes; Professional support from the nurse, Support of a functioning organization, Support of a good communication. Conclusion: The traumatic event turned out to be very emotional for the patients and they needed professional support after the accident. The nurse had a significant role and supportive function in the trauma care of the patient and could help the patient to feel safe in the situation and look hopefully on life again by means of an empathetic approach.

  • 206.
    Ivehag, Ellinor
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wulcan, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Har vi gått igenom det här kan vi gå igenom vad som helst: Parets upplevelse av infertilitet2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Infertility is more common than many people think and can be due to various factors. The occurrence is equally common in both sexes and various treatment methods are available to take. Infertility rarely go unnoticed and couples affected more or less. Aim: The aim of the study was to highlight the heterosexual couple's experience of infertility. Method: A literature based study was done through a qualitative approach. The database Cinahl was used in the systematic searches. In total, the study is based on ten qualitative articles and the analysis resulted in three themes with three subthemes each. Results: The couples felt that their relationship was put to the test. They isolated themselves from family and friends because they constantly were reminded of their situation. Seeking support from others with infertility problems on Internet was common. Conclusion: The desire to become a parent was for all couples central but with the diagnosis life couldn’t take the way that was intended. The relationship was affected more or less, and support from various sources and of different types were needed. The importance of the nurse responds couple on a person-centered way highlighted. Person- centered care took advantage of the patient's resources and reduced suffering.

  • 207.
    Jakobsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jansson, Märtha
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelse av att leva med urininkontinens: En litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The definition of urinary incontinence is involuntary loss of urine that is objectively detectable and results in a social and hygienic inconvenience for the individual. There are different types and causes of urinary incontinence and the symptoms often occur more frequently with higher age. Women are affected to a greater extent than men. Urinary incontinence may affect everyday life and lead to changes in quality of life.

    Aim: To illuminate women's experiences of living with urinary incontinence.

    Method: A literature study was conducted using qualitative analysis through five steps. An analysis of ten qualitative articles was carried out.

    Results: Four main themes emerged, a suffering in everyday life, perceived body perception, feelings about sexuality and hope and despair. The results showed that living with urinary incontinence affected everyday life activities. The women felt limited and learned to cope through different strategies. Urinary incontinence affected the women's body image and could result in less confidence and the feeling of powerlessness. The complex situation sometimes leads to negative sexual effects. Women lived with the hope to recover but at the same time there were feelings of despair for what the future would hold for them.

    Conclusion: Women suffering from urinary incontinence experience restrictions in their everyday life, in physical, mental and social aspects. It creates a feeling of loss of control. And many women suffer in silence without seeking help. Urinary incontinence has a negative effect on their quality of life.

  • 208.
    Jansson, Ann-Louise
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Strand, Ursula
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Acceptans, kunskap och vägledning, nycklar till god egenvårdsbehandling i hemmet: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Due to patient through put rate in medical care is increasing, persons are sent back to their own home sooner and sooner. The requirement that persons must self-manage in their self-care at home is increasing an persons with chronic disease are expected to attend part of their ongoing care and treatment at home. The theoretical concepts is Dorothea

    Orem’s, the Self-Care Deficit Nursing Theory and life-world.

    Aim: The purpose of the study was to describe the chronically ill person’s experience of self-care treatment that requires medical device in the home.

    Method: The study is a literature-based analysis of qualitative research. Qualitative articles were chosen as the purpose of the study was to describe the experiences of self-care. Qualitative studies focus on understanding person's experiences and perceptions. The studies were analyzed with the method evidence-based care with the foundation in the analysis of qualitative research.

    Result: Three main themes were created: The struggle to accept the illness and self-care treatment, the desire for adequate knowledge of the disease and self-care treatment, the need for guidance to manage the disease and self-care treatment. A number of sub-themes specified each theme.

    Conclusion: The results of the study show that the chronically ill person struggle to accept both suffering from a chronic disease but also being responsible for managing home self-care. By using knowledge and guidance they were able to govern themselves and adapt their treatment, leading to increased health and well-being.

  • 209.
    Jantuah Sund, Felicia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jonsson, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Tror de ens på mig när jag säger att jag är sjuk?: Kvinnors upplevelser av att leva med långvarig smärta2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Pain is a common problem and in Sweden every fifth person lives with chronic pain but it is more common among women. Therefore this study aims to highlight women’s experiences of living with chronic pain based on a literature based study. Results shows that living with chronic pain affects the whole person, not just the physical approach. Women experienced different ways to handle their pain, and those were to keep on fighting, fight with the body instead of against it and hiding the pain. It also shows that women experience that good relationships and support has a positive impact on life, and bad ones has a negative impact and makes it harder to deal with the situation. The women often have feelings of guilt and shame associated with family, work and other daily aspects. The women also felt that they were not believed or understood neither by their family, friends, colleagues or health care professionals. The women experienced as if it is a rollercoaster with emotions going up and down all the time, feelings of changed or lost identity and pain as a limit. In conclusion the women experienced a life with chronic pain in different ways but also had a lot in common, such as guilt and shame related to family, friends, work and the expectations on them according to social norms and culture.

  • 210.
    Janus, Gabriella
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Michaela
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vem är jag som anhörig när min familjemedlem blir akut sjuk: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In the year 2016 there were over 2 million acute ill adults who visited the emergency department and of those 2 million, 1,3 million were being remitted. The definition of being acute ill is a person who needed emergency care. The nurses' role in the emergency care was to evaluate and prioritize the acute ill medical need. In the acute situation the relatives were often put aside and that would cause a negative wellbeing experience.

    Aim: The purpose of the study was to investigate the relatives' experiences of having family members who became acute ill.

    Method: A literature study based on an analysis of eleven qualitative scientific articles was conducted.

    Results: The analysis resulted in two themes; Mixed feelings and experiences when a family member has become acutely ill and Experience in the meeting with a health professional. The results showed the importance of clear and understandable information from nurses. How the relatives were treated also had a significant impact on how they reacted to the acute situation.

    Conclusion: When a family member becomes acutely ill the relatives experienced the situation as difficult and were concerned over the family member's health. Despite that they were grateful for the opportunity to be present because they experienced that they were comforted and calmed. To have access to professional support and company helps the relatives to control and react to the situation.

  • 211.
    Johannesson, Anita
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ask, Anna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Fysisk aktivitet i samband med psykisk ohälsa ur patienters perspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The relationship between mental illness and physical inactivity is known as a problem area. While perceived physical activity is a neglected and less used form of treatment for these patients. Increased knowledge about patients experience of physical activity will help the nurse in her health promotion.

    Aim: The purpose of the literature review was to describe how patients with mental disorders experienced physical activity as part of the treatment. Method: The method used was a literature review in qualitative inductive approach where we searched for recent research that existed within the problem area. We found nine articles with a qualitative approach which were analyzed on the basis of similarities and differences.

    Results: The analysis of the articles resulted in three main themes. The first theme was about obstacles that patients experienced to be able to perform physical activity. Patients stated that lack of motivation, low self- esteem, mental illnesses and external factors was constricting. The second theme that emerged from the analysis was the strategies used to achieve the objectives to perform physical activity. Increased knowledge and support in everyday life was important. The third theme was the effects that patients experienced by physical activity. The effects were greater quality of life and increased self-esteem.

    Conclusion: The results of the study demonstrate the importance of physical activity for patients with mental illness, as well as the obstacles and the useful strategies to overcome these obstacles. By working person-centered and to conduct motivational interviewing the nurse can help patients to reach their goals.

  • 212.
    Johansson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olofsson, Josefine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelse av livskvalité och hälsa efter genomgången bröstcancerbehandling: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer accounts for about 30% of the cancer diagnoses in today's society. About twenty women are diagnosed every day. After treatment, a stressful period awaits which influences the women's health and quality of life. The treatment affects the body even after the treatment has ended and not always in a positive way.

    Aim: The purpose of this study is to highlight women's experience of health and quality of life after completed breastcancer treatment.

    Method: Analyzing of 11 scientific articles were conducted and resulted in this literature study with qualitative approach.

    Results: The analysis led to three themes: emotional experiences that affects the health, factors that affect the quality of life and experiences of support. The result showed that fatigue, lymphedema, anxiety, fear, loneliness and scars after mastectomy were the side effects that affected women's health and quality of life the most.

    Conclusion: The result shows that women are affected differently after a breast cancer treatment. Negative side effects affect women's quality of life and health to the extent that they are limited in their daily lives and experience changes in themselves.

  • 213.
    Johansson, Anette
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sumári, Gabriella
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelse av att vårda äldre med depression2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is an increasing problem in todays’ society and depression is the number one cause of this. The elderly population is affected in great number by depression but their illness can often go undiagnosed, as the symptoms are more difficult to detect in older people. A nurses’ mission is to promote health and to relieve suffering. It is therefore important that the nurse gets the time needed, in order to identify early signs of depression and better understand the individuals’ needs. Aim: The aim of this study was to illustrate the nurses’ experience of caring for elderly people with depression. Method: This study has a basis in qualitative research, analyzing nine articles as a ground for the information in the study.

    Results: Our study showed two main categories and four sub categories. The first main category showed that the significance of knowledge is important to be able to identify, prevent and treat depression. The second main category showed that the significance of time is important to be able to create good relationship and to be able to see the individuals’ needs. Conclusion: The study shows that, in the nurses’ experience, the nurse lacks both the necessary knowledge about depression and time needed to care for the elderly. Therefore, more education and resources are needed to meet the needs of depressed elderly

  • 214.
    Johansson, Angelica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Flink, Madeleine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ett för tidigt fött barn vårdat på neonatal intensivvårdsavdelning: föräldrarnas upplevelse2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: All expectant parents can suffer a premature birth. In today's society, 5% of all born children are preterm born. How parents experience the care at a neonatal intensive care unit is not fully known. As a nurse, it is important to have knowledge of how parent's experiences having their preterm infant cared for at a neonatal intensive care unit in order to provide parental participation and family centered care. Aim: The aim was to illustrate parent's experiences to have their preterm infant cared for at a neonatal intensive care unit. Method: A literature-based method was used, where 10 qualitative articles were analyzed with the five-step model by Friberg.

    Results: The results are presented in one overarching theme: From being passive to becoming active, illustrating the timeline of becoming a parent to a premature infant. It was built on three main themes: To become a parent; Parent's needs; Being a parent to my child and eight subthemes. The results show that parents express feelings of helplessness and fear when being separated from their baby and the parents need support and supervision to become participated in the care of their child. Conclusion: This study shows that parents are doing a journey going from becoming a parent until being a parent to my child. Parents with preterm infants at neonatal intensive care unit need to participate and get continuous information, support and privacy during their stay, in order to be actively involved.

  • 215.
    Johansson, Jenny
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Oliv, Sabina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av lidande och hopp vid vård i livets slutskede i hemmet: utifrån de närståendes perspektiv2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    During 2016 more than 91000 people died in Sweden. Most of them were in need of palliative care towards the end of lives. Providing support for the relatives is important and the need of support is varied. The aim of this study was to illustrate experiences of suffering and hope at the end of life care at home – based on relatives’ perspective. The result is based on ten qualitative articles with relatives’ perspectives. Fribergs “femstegsmodel” was used for the analysis. The findings show both negative and positive aspects derived from the relatives’ experiences of suffering and hope. The conclusion was that the right support, right treatment and good communication between those involved make the grief process easier and affect the experiences of suffering and hope.

  • 216.
    Johansson , Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Magnusson, Lina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Palliativ vård i hemmet − närståendes upplevelser av vård vid livets slutskede: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 80 percent of the people dying in Sweden are considered to have been in need of palliative care. When death is approaching, due to age or illness, the ill person's and the relatives' needs must be met which is the main aim of palliative care. It has been increasingly common that people choose to be cared for in their own home in the end of life and therefore knowledge of the relatives' experience is important for the healthcare professionals.

    Aim: To highlight relatives' experience of palliative care at the end of life in the dying person's home.

    Method: A literature review based on qualitative studies. Eight articles were analyzed in five steps according to Friberg's qualitative content analysis for literature based studies.

    Results: Three main themes and six sub-themes emerged through the analysis. The main themes were: To fulfill a wish, To experience security and To be a caregiver.

    Conclusion: In order for relatives to feel confirmed as caregivers and to preserve a good health it is of great importance that the nurse communicates and makes them feel involved by giving them both support, information and the possibility to participate in the care but also to be unloaded.

  • 217.
    Johansson, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lavén, Linnea
    Ett känslomässigt yrke: en litteraturbaserad studie av sjuksköterskors erfarenheter av att möta patienter med cancer i palliativt skede2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    The word cancer is a term used to describe about 200 different diseases. Cancer patients often receive palliative care, where the purpose is to relive suffering and promote quality of life. Previous research shows that nurses often have a negative approach towards cancer, especially because the lack of knowledge and insecurity in how to communicate with these patients.

    Aim

    The aim of this study was to describe nurses' experiences of caring for patients with cancer receiving palliative care in a hospital ward.

    Method

    The method used in this study was a literature review based on qualitative studies. Fourteen articles were analysed according to Friberg's (2006) qualitative content analyse in five steps for literature-based studies.

    Results

    The result showed that nurses have mixed feelings about meeting patients with cancer in a palliative phase. They had feelings of inadequacy and they felt a great responsibility, many nurses experienced feelings of gratitude towards working with palliative patients with cancer. Nurses also expressed that communication and a trusting relationship with the patients were important. The nurses often felt that they didn't have enough time to give the care that the patients deserved because of a high workload.

    Conclusion

    Patients with cancer in a palliative phase are a complex area. Nurses may experience providing care to patients in palliative care as emotionally stressful. To be able to provide high quality care trusting relationships were essential between nurses and patients. Patients with cancer are in need of support from the nurse, but the nurses experienced that time is not enough.

  • 218.
    Johansson, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Amandha
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med diabetes typ 22016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is a lifestyle-related disease and is becoming more common in countries where obesity is increasing. Around 400 000 Swedes have diabetes and the most common types are type 1 and 2. With the disease comes lifestyle changes such as diet and physical activity.

    Aim: The aim was to describe patients experiences of living with type 2 diabetes.

    Method: A literature based study with qualitative articles.

    Results: Eleven themes emerged, meaning of support from social care, meaning of support from relatives, feeling of insecurity about the future, feel like a burden for the family, feel challenged, feel diminished and frustrated, feel guilt, experience the powerlessness, feeling of resignation, reduce their disease and feel secure in their diabetes.

    Conclusion: The result showed that the participants had a sense of insecurity in their illness. The disease had a major impact on the participants' daily life when lifestyle changes were part of the treatment. Participants shared experiences about the time they were diagnosed and experienced powerlessness and insecurity facing the disease. Nurses have an important role to be aware of what is the best support for persons diagnosed with type 2 diabetes.

  • 219.
    Johansson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Toresson, Alicia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När det oväntade sker - anhörigas erfarenheter av oväntad död inom familjen: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Death can be expected or unexpected. This can lead to a shocking and traumatic experience for the relatives. A nurse often meets with the relatives in the midst of their grief and must be there to provide support. Support can be providing guidance or counteracting ill health and suffering of the relatives.

    Aim: The aim of the study was to describe the relatives' experiences of unexpected family deaths.

    Method: The method that used was a literature study, based on nine qualitative articles that corresponded to the aim of the study.

    Result: The relatives want a correct and direct information from the healthcare staff. How a relative reacts after an unexpected death is individual, anger, crying and guilt were common emotions. It shows important for the relatives to see the body of their dead family member, which made it easier for the relatives to accept what had happened. The relatives wanted support, help and empathy from their families, friends and health care professionals. They wanted follow-up in the form of support groups or a follow-up telephone calls from the healthcare staff.

    Conclusion: The study describes the relatives' experiences of care and their surroundings after unexpectedly losing a family member. Previous research revealed that the meeting between healthcare professionals and relatives often fails because of poor communication skills and ambiguity in messages. It is therefore of great importance to improve the knowledge of the healthcare staff and to be able to alleviate the suffering of relatives.

  • 220.
    Johansson, Marie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Thomé, Alyssa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Betydelse av simulering för sjuksköterskors professionella kompetens: En Litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Simulation has been a part of medical education throughout history as a way for medical students to bring together medical theory and the practice of procedures. It was not until aviation proved that simulation actually can prevent accidents drastically. The medical community began, therefore, to further develop and implement simulation into the education of both doctors and nurses. Although simulation plays a large role in the education of nursing students, the roll of simulation on registered nurses is not fully understood. Aim The aim of this study was to describe the potential importance of simulation for registered nurse’s competence. Method Two scientific literature databases were used to gather both qualitative and quantitative literature. Results The results highlight simulations potential to provide nurses opportunity to increase their medical and care competence. Simulation gives an opportunity for nurses to reflect and provides a sense of comfort and security during technical procedures. Nurses also gain knowledge about evidence best practices as well as an increased motivation to continue learning and developing their skills, both technical and non-technical. Conclusion In conclusion simulation seems to be a needed intervention for registered nurses to improve upon clinical skills and knowledge, which in turn can increase patient safety as well as the quality of care.

  • 221.
    Johansson, Prapod
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olsson, Ida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hemmet, en säker zon: en litteraturbaserad studie om yngre patienters upplevelse av livet efter en stroke2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The 2014 yearly report from The Public Health Agency of Sweden determine that the mortality and illness of stroke has decreased, but first-time onset in the young and middle-aged have increased. Stroke onset can result in big changes in daily life, especially for young people of working age whose life situation looks a bit different from "the typical stroke-patient" of retirement age.

    Aim: The aim of this study was to describe young adults' experience of daily life after a stroke

    Method: A qualitative literature-based method was used to determine young adult's experience of daily life after a stroke. Ten articles were found and analyzed by a five-step method explained by Friberg (2012).

    Results: Three major themes were identified: Loss of social interaction, Sense of being unable to rely on their own body and To feel the loss, but still have hope. The patients tend to isolate themselves in their homes due to tiredness, loss of self-confidence, disabilities and feelings of being misunderstood by their social environment. Their home was a safe zone where they could protect themselves from difficult situations. They also experienced a change of roles in their family and in their working life, which resulted in that they felt as a burden. Many felt a loss of status and identity and at the same time, they could not rely on their bodies anymore.

    Conclusion: Young adults who have suffered a stroke struggle to get back to "normal" social life. They feel afraid of not being good enough and of being judge by others preconceptions. People in their social environment fail to see these patients, their difficulties and needs. Even care professionals struggle to face their needs and tend to generalize these patients.

  • 222.
    Johansson, Sofia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Stina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser hos personer som lever med kolostomi eller ileostomi2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stoma surgeries are increasing in Sweden each year. Colorectal cancer, inflammatory bowel diseases, and trauma are some conditions that might lead to an ostomy. Having an ostomy could bring changes to the body and the person’s body image, leaving the person feeling imprisoned in his or her own body. Aim: The aim was to illuminate people’s experiences of getting and living with an ostomy. Method: A literature-based study was conducted in which nine qualitative articles were studied and analysed. Three new themes and eight sub-themes arose from the analysed articles. Results: The main themes of the study were: ”Changes in close relationships and sexual life”, where it was found to be difficult to start a new sexual relationship after the surgery and that the stoma also had effects on family relations and friendships. ”Limitations in social and physical activities”, where the result showed that persons with ostomies were constantly worried about leakage and odour, and had difficulties performing physical activities such as work or exercise. ”A new self”, people who had had stoma surgery were found to experience difficulties in adapting to their new body and accepting the stoma as part of their body. Common for all themes was the importance of support from family and friends. Conclusion: Persons who have had colostomy or ileostomy surgery all have different needs and challenges. It is important to see to their individual needs

  • 223.
    Johansson, Sofia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Stina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser hos personer som lever med kolostomi eller ileostomi2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stoma surgeries are increasing in Sweden each year. Colorectal cancer, inflammatory bowel diseases, and trauma are some conditions that might lead to an ostomy. Having an ostomy could bring changes to the body and the person’s body image, leaving the person feeling imprisoned in his or her own body. Aim: The aim was to illuminate people’s experiences of getting and living with an ostomy. Method: A literature-based study was conducted in which nine qualitative articles were studied and analysed. Three new themes and eight sub-themes arose from the analysed articles. Results: The main themes of the study were: ”Changes in close relationships and sexual life”, where it was found to be difficult to start a new sexual relationship after the surgery and that the stoma also had effects on family relations and friendships. ”Limitations in social and physical activities”, where the result showed that persons with ostomies were constantly worried about leakage and odour, and had difficulties performing physical activities such as work or exercise. ”A new self”, people who had had stoma surgery were found to experience difficulties in adapting to their new body and accepting the stoma as part of their body. Common for all themes was the importance of support from family and friends. Conclusion: Persons who have had colostomy or ileostomy surgery all have different needs and challenges. It is important to see to their individual needs.

  • 224.
    Johansson, Therése
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mirblom, Elin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hemsjukvården, en daglig utmaning: Sjuksköterskors erfarenheter av att vårda patienter i hemmet2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: With a greater life expectancy and patients being discharged from hospitals earlier than before, the health care profession has recognised an increasing need for qualified nurses in the in-home health sector. Health care provided from a patient’s home often expose its own set of challenges, such as offering care on their terms whilst being considerate of their needs. Aim: The aim of this study was to illustrate the experiences faced by nurses while providing care directly from a patient’s home. Method: Through a qualitative literature review where the findings analysed according to a five-step model. The qualitative analysis resulted in 4 main themes and 11 sub-themes. Results: Many nurses experienced heavy workload. Many nurses also felt they sometimes lacked the knowledge required when faced with different situations, highlighting a need for continued learning to improve competency. Relationships were viewed as important for the care sector; including patient, family of the patient and co-workers. The nurses also experienced deep personal involvement in the patient’s life-situation. Conclusion: A common observation made by nurses in the home-based healthcare sector is how a lack of knowledge and experience creates an unsafe work environment. Another important observation was how relationships with patients and their next of kin could make a great improvement to the quality of the homecare given. Many nurses express a huge commitment and duty of care to their patients; a trait which demonstrates great conviction to the nursing occupation.

  • 225.
    Johnsson, Anette
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level. Jönköping University, School of Health and Welfare, Sweden.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, Sweden.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Voices used by nurses when communicating with patients and relatives in a department of medicine for older people: An ethnographic study2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 7-8, p. E1640-E1650Article in journal (Refereed)
    Abstract [en]

    AIM: To describe how nurses communicate with older patients and their relatives in a department of medicine for older people in western Sweden.

    BACKGROUND: Communication is an essential tool for nurses when working with older patients and their relatives but often patients and relatives experience shortcomings in the communication exchanges. They may not receive information or are not treated in a professional way. Good communication can facilitate the development of a positive meeting and improve the patient's health outcome.

    DESIGN: An ethnographic design informed by the sociocultural perspective was applied.

    METHOD: Forty participatory observations were conducted and analyzed during the period October 2015 to September 2016. The observations covered 135 hours of nurse-patient-relative interaction. Field notes were taken and 40 informal field conversations with nurses and 40 with patients and relatives were carried out. Semi-structured follow-up interviews were conducted with five nurses.

    RESULTS: In the result, it was found that nurses communicate with four different voices: a medical voice described as being incomplete, task-oriented and with a disease perspective; a nursing voice described as being confirmatory, process-oriented and with a holistic perspective; a pedagogical voice described as being contextualized, comprehension-oriented and with a learning perspective; and a power voice described as being distancing and excluding. The voices can be seen as context-dependent communication approaches. When nurses switch between the voices this indicates a shift in the orientation or situation.

    CONCLUSION: The results indicate that if nurses successfully combine the voices, while limiting the use of the power voice, the communication exchanges can become a more positive experience for all parties involved and a good nurse-patient-relative communication exchange can be achieved.

    RELEVANCE TO CLINICAL PRACTICE: Working for improved communication between nurses, patients and relatives is crucial for establishing a positive nurse-patient-relative relationship, which is a basis for improving patient care and healthcare outcomes. This article is protected by copyright. All rights reserved.

  • 226.
    Johnsson, Anette
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level. Jönköping University, School of Health and Welfare, Jönköping, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, Jönköping, Sweden.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Striving to establish a care relationship-Mission possible or impossible?: Triad encounters between patients, relatives and nurses2019In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: When patients, relatives and nurses meet, they form a triad that can ensure a good care relationship. However, hospital environments are often stressful and limited time can negatively affect the care relationship, thus decreasing patient satisfaction.

    OBJECTIVE: To explain the care relationship in triad encounters between patients, relatives and nurses at a department of medicine for older people.

    DESIGN: A qualitative explorative study with an ethnographic approach guided by a sociocultural perspective.

    METHOD: Participatory observations and informal field conversations with patients, relatives and nurses were carried out from October 2015-September 2016 and analysed together with field notes using ethnographic analysis.

    RESULT: The result identifies a process where patients, relatives and nurses use different strategies for navigating before, during and after a triad encounter. The process is based on the following categories: orienting in time and space, contributing to a care relationship and forming a new point of view.

    CONCLUSION: The result indicates that nurses, who are aware of the process and understand how to navigate between the different perspectives in triad encounters, can acknowledge both the patient's and relatives' stories, thus facilitating their ability to understand the information provided, ensure a quality care relationship and strengthen the patient's position in the health-care setting, therefore making the mission to establish a care relationship possible.

  • 227.
    Johnsson, Anette
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level. Jönköping University, School of Health and Welfare, Jönköping University, Sweden.
    Wagman, Petra
    Jönköping University, School of Health and Welfare, Jönköping University, Sweden.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    What are they talking about? Content of the communication exchanges between nurses, patients and relatives in a department of medicine for older people: An ethnographic study2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 7-8, p. E1651-E1659Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To explore and describe the content of the communication exchanges between nurses, patients and their relatives in a department of medicine for older people in western Sweden.

    BACKGROUND: Information, messages and knowledge are constantly being communicated between nurses, older patients and relatives in the healthcare sector. The quality of communication between them has a major influence on patient outcomes. A prerequisite for good care to be given and received is that there is mutual understanding between the parties involved.

    DESIGN: An ethnographic study was informed by a sociocultural perspective.

    METHOD: Data were collected through 40 participatory observations of meetings between nurses and older patients and/or relatives which covered 135 hours of nurse-patient-relative interaction, field notes, 40 field conversations with 24 nurses and 40 field conversations with patients (n=40) and relatives (n=26). Five semi-structured interviews were conducted with nurses. An ethnographic analysis was performed.

    RESULTS: The analysis identified three categories of content of the communication exchanges: medical content focusing on the patient's medical condition, personal content focusing on the patient's life story, and explanatory content focusing on the patient's health and nursing needs. The content is influenced by the situation and context.

    CONCLUSIONS: Nurses would benefit from more awareness and understanding of the importance of the communication content and of the value of asking the didactic questions (how, when, what and why) in order to improve the patients' and relatives' understanding of the information exchanges and to increase patient safety.

    RELEVANCE TO CLINICAL PRACTICE: Nurses can use the communication content to create conditions enabling them to obtain a holistic view of the patient's life history and to develop an appropriate person-centered care plan. This article is protected by copyright. All rights reserved.

  • 228.
    Jonasson, Anette  
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Lena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vilka hinder kan patienter med typ 2-diabetes uppleva för sin egenvård?: En litteraturbaserad studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is a growing problem worldwide with increasing numbers of people suffering from the disease. Living with the diagnosis entails a great deal of agony for the patient. The disease can lead to serious health effects as well as huge economic consequences for society. Since self-care is an important part of treatment, it is important to find out what barriers patients experience in their self-care.

    Aim: The purpose of this study was to describe what barriers patients with type 2 diabetes experience in their self-care.

    Method: The method was a literature-based study where seven qualitative articles were analyzed.

    Result: The results showed that patients experienced several barriers in their self-care. Three main themes were identified: lack of motivation, feeling of loneliness and worries in everyday life. The results showed that barriers were often a result from lack of motivation, difficulty in changing habits, the fact that patients often felt alone in their illness and that the environment, and that family and friends did not show adequate amount of support and sometimes even sabotaged patients’ attempt to self-care. Insufficient relation to, and lack of support from healthcare providers were also described as barriers in self-care. There were also some barriers in everyday life that affected self-care.

    Conclusion: By meeting patients on their own terms and in their own social, economic and cultural environment, healthcare providers can help patients identify their specific barriers, and thus supporting and motivating patients in self-care. Healthcare providers need to find out more about how they can increase patients' inner motivation for change and develop treatment strategies in cooperation with patients. It is necessary that the nurse understands the barriers that may occur to support patients in self-care to achieve the goal of better health.

  • 229.
    Jonasson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Schultz, Isabella
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stress i sjuksköterskans vardag: En litteraturbaserad uppsats om copingstrategier2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Stress is well known to go hand in hand with registered nurses and the nursing field. The aim was to examine stress related coping strategies experienced and used by registered nurses from different countries all over the world. This qualitative study was done by analyzing the results from 10 different articles. The findings showed that there was multiple coping strategies that is being used by nurses to cope with the stress they experience at work. Some of the coping strategies were done after work; For instance, different physical activities including yoga and sports. Other coping strategies that were found are more work related. For example, the importance of knowing yourself in your nursing role, knowing your limits, and the importance of having a good relationship with your colleagues. Employers can use these strategies on a daily basis both and registered nurses to cope with work related stress.

  • 230.
    Jonsson, Bosse
    et al.
    Mälardalen University.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Work Integrated Learning and Learning Integrated Work: An Approach to Unite Theory and Practice to Praxis2016In: Handbook of Research on Quality Assurance and Value Management in Higher Education / [ed] Nuninger, Walter & Châtelet, Jean-Marie, Hersey, PA: IGI Global , 2016, p. 139-159Chapter in book (Refereed)
    Abstract [en]

    The difference between the professional competence conveyed during education and the competence demanded in working life is substantial and needs to be taken seriously. In this chapter where the case is nursing education, Work Integrated Learning (WIL) and Learning Integrated Work (LIW), are suggested as pedagogical approaches in Higher Education aiming to integrate scientific knowledge and with practical knowledge, and to provide an analytical perspective where students have the opportunity to develop metacognitive skills and praxis by learning through experiences during internship. One way to achieve this in vocational education to learn from the knowledge and skills used when performing inpractice. By integrating scientific and practical vocational knowledge, one promotes professionalization that is exhibited as Learning Integrated Work (LIW), i.e. the capability to perform the expected tasks and learn at work by using a critical and development-oriented attitude in daily work and actively participate in renewals of work assignments.

  • 231.
    Jonsson, Joakim
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Edström, Jonathan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur sjuksköterskan arbetar för att skapa trygghet vid mötet med patienten i sjukhusmiljön: En litteraturstudie med observationer från en akutmottagning i Namibia.2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To feel safe is one of our most fundamental biological needs. It can refer to being safe from danger, financial safety or to be illness free. When a person is sick or injured, the need for help from the outside increases to achieve a feeling of safety. Nurses in the hospital create comfort for patients and make them feel safe. Laws are constantly renewed and updated in the healthcare in favour for the patient to prevent healthcare related injuries.

    Aim: The aim of this study was to enlighten how nurses are working to make the patient feel safe in the hospital environment and how to achieve it.

    Method: To meet the objective of the study the purpose was split into two content areas, which were how nurses work to make the patient feel safe in the hospital environment and the work conditions for the work to create safety. A literature-based study with a literature review was used to analyse four articles that highlighted nurses' approach in the hospital. Simultaneously, eight nurses in the emergency room (ER) at a Hospital in Namibia were observed in patient care situations, using structured observation charts.

    Results: Two main categories were found in the literature-based study, each matching one content area. The categories were to meet the patient with competence and a satisfying work situation, and each category had two associated subcategories. The results of the observations suggest that nurses in Namibia uses factors that are associated with safety by using their body language and communication skills.

    Conclusion: Nurse's workload and the hospital environment affect their ability to provide safe care. The results from the observations agreed to a certain degree with the results of the literature-based method. 

  • 232.
    Josefsson Olsson, Mikaela
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Magnusson, Martina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser efter intensivsjukvård2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nowadays people more often are surviving intensive care, which makes it important to increase the knowledge about the experiences. Illusions, nightmares and unreal experiences are common and often linger for quite some time.

    Aim: The aim of the study was to illuminate patients' experiences after intensive care.

    Method: A literature-based study of 16 qualitative studies was conducted

    Results: A lot of the patients have difficulties moving on, and are haunted by their experience. Memories from the hospital stay are often hazy, and evokes a sense of lacking a part of their life story. There is a need to understand in order to move on. Despite of this, some of the patients manage to find happiness. They find a new meaning in life, and learn to look at things from a brighter side.

    Conclusion: To process the experience, there seems to be a need of further support. Also, patients need to receive more information about what to expect after discharge.

  • 233.
    Jovander, Jeannette
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kaveland, Cecilia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur sjuksköterskans arbetsmiljö påverkar deras hälsa: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Health is a crucial factor for a person’s well-being, but health is a subjective concept and can therefore be experienced differently between individuals. The work environment has a big influence on the nurse’s experience of health. Aim: The aim of this study was to describe what, in the work environment of a nurse, leads to health or illness. Method: A literature overview Results: A well-working organization and a good work environment led to experienced health and well-being among the nurses. The nurses experienced health and life quality when there was an opportunity to affect their working tasks, there was enough staff and got the opportunity to feel involved in the organization. Support from collegiate and the leadership was important, as well as the possibility to further training. Conclusion: A well-functioning organization and a leadership that cares about the health and appreciate the staff is important to create a good health and work environment. In order to achieve this nurses should have an opportunity to be involved in work decisions and to influence the working hours. It is also important to develop the skills through training and / or peer training.

  • 234.
    Jungestrand, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Höggren, Lovisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av att insjukna i akut hjärtinfarkt2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction is a common cause of death in Sweden. The mortality has reduced in men but not in women. Research on myocardial infarction has been done mostly in men even though women suffer approximately to the same extent. Previous studies have shown that men have priority over women when seeking acute care for symptoms of heart-disease. This situation might lead to women suffering and is not supported by Swedish health care law.

    Aim: To describe women's experiences of symptoms of acute myocardial infarction and to answer following questions: How did the women experience their symptoms? How did the women manage their symptoms? How did the women experience the given care?

    Method: A systematic literature-based study based on content analysis of ten qualitative articles.

    Results: The result is presented in three main categories with following subcategories based on the questions. Women's experiences of their symptoms; descriptions of symptoms and interpretation of symptoms. Women's manageability of their experienced symptoms; reduction of symptoms, prioritize the needs of others and confirmation of next to kin. Women's experiences of the given care; fear of not being taken seriously and the meeting with medical staff.

    Conclusion: Nurses need to gain more knowledge about women's symptoms, how they manage their symptoms and how they experience the given care. Nurses need to take women's symptoms seriously, need more knowledge about how to support women to make sure they seek medical care in time and how to give women good care.

  • 235.
    Karam, Jihane
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Abdi, Sima
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers med diagnosen diabetes typ 2, upplevelse av mötet med sjuksköterskor i vården2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is a global health problem that will change the life style related to diet and physical activity. Research has shown that the encounter with the nurse is important for the person to be able to change their lifestyle. The relation between nurse and patient is crucial in building trust and security. Aim: The aim was to describe persons with diabetes type two, experience of encountering registered nurses in health care.

    Methods: The study was conducted as aliterature study based on ten qualitative articles. The analysis was performed with the inspiration of Friberg (2012). Results: The result is presented as five categories. The experiences in the meeting were: To feel independent, to feel support, to feel depressed, to not feel involved and to feel seen. Conclusion: The results of the study, patients with type 2 diabetes need support and advice for changing lifestyle and manage their disease based on their own needs and their own situation.

  • 236.
    Karlsson, Adam
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Behöver jag hjälp?: Aspekter som påverkar initiativtagande till vård hos patienter med riskbruk eller missbruk av alkohol2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Alcohol is the most widely used intoxicant in the western world. The negative effects of alcohol on the individual, group and societal level results in a wide array of problems which effect both the person using the substance and his/her relatives. Aim: The aim was to illuminate which aspects influence help-seeking for individuals with alcohol misuse. Method: The method was a literature review. Eleven articles were the base for the analysis. Both qualitative and quantitative articles were included. Results: Three themes and six sub-themes were identified. The themes were: Personal aspects, Social aspects and Structural aspects. The identified sub-themes were: "To have or to lack insight", "To feel guilt", "To believe that the problem can be solved on one´s own", "To feel stigma", "To feel a lack of trust in health care" and "To lack information and accessibility". Personal aspects were the most commonly described as both barriers and incentives for help-seeking. Another identified aspect of importance for help-seeking for individuals with alcohol misuse was the individual's perception of healthcare. A negative opinion of the available healthcare had a negative impact of help seeking while the opposite had a positive impact. Conclusion: The results showed that help-seeking behaviours is a complicated and multifaceted issue involving many different aspects which interacts with each other. It is important that nurses in every field of healthcare have knowledge of these aspects in order to have the tools and knowledge to motivate and support these patients to get the care they need.

  • 237.
    Karlsson, Alexandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pettersson, Marie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När det inte blev som det var tänkt: en litteraturbaserad studie av kvinnors upplevelser av missfall2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Today approximately one pregnancy out of five ends with a miscarriage. The women who suffered miscarriages experienced a lot of mixed feelings. The nurse plays an important role for the affected women with regards to information and support. This study focuses to describe women's  actual experiences after at least one miscarriage, in order to make the nurses able to understand their feelings and reaction after a miscarriage.

    Aim The aim of the study was to describe women's experiences of miscarriage before 22nd week.

    Method A literature-based study based on analysis of ten qualitative articles was performed

    Results The result are presented in three theme "A ruined world", "Anger of the own body" and "Unfulfilled expectations of the healthcare professionals".

    Conclusion Many women became depressed after having been through a miscarriage. They felt a mix of emotions and they blamed themselves for what happened. The women need better support and information from the healthcare professionals. By supporting the women and giving them customized information, the nurses create a safer environment, which they need in the difficult situation they find themselves in after the miscarriage. In order to do this nurses need more knowledge about women's experiences of miscarriage to be able to understand their needs and to be able to support them in the best way possible.

  • 238.
    Karlsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ahlström, Angelica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelse av hot och våld inom slutenvården2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Within inpatient care violence and threats are a growing problem, which nurses are particularly exposed to in their workplace, especially by patients. It makes an impact on the relationship between them and it also creates consequences in the care of the patient and the ability of the nurse to provide it.  Aim: The aim of this study was to describe nurse experiences of threats and violence within inpatient care. Method: A literature study based on qualitative articles. Ten qualitative articles were used and analysed. Results: The results are grounded in three themes and ten sub-themes. Nurses experiences of violence and threats resulted in feelings of fear and concern when they were exposed to it. They felt difficulties to handle the problems and they asked for more strategies, both personally and in the working environment to deal with the issue.   Conclusion: The results showed that nurse's feelings in this subject were fear and concern in their profession were they need more strategies to handle situations in violence and threat. In the articles nurse's asked for more support programs and reflections from their managers.   

  • 239.
    Karlsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lysell, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers upplevelser av att leva med KOL: En litteraturbaserad studie om att leva med kronisk obstruktiv lungsjukdom2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic obstructive pulmonary disease (COPD) is one of the most common diseases today. COPD is a progressive disease that causes breathlessness, coughing and increased sputum. People living with COPD are often experiencing a hard time accepting the limits that this disease can cause while experiencing stigmatizing condemnation because the presumable cause of the disease.

    Aim: The aim was to describe the experience of living with COPD. 

    Method: This is a literature review based on ten qualitative scientific articles from 20072017, reviewed and quality analyzed. Results: Themes of living with COPD was found to be, loss of self -esteem, social constraints and a lack of resources in everyday life. To be dependent on others and to feel being a burden to your loved ones was associated with a loss of self- esteem. Feelings like fear, shame and isolation were experienced by many of the participants, which led to social constraints. Knowledge and positive thinking was important factors in coping with the disease.

    Conclusion: This study provides a good and useful insight into how people living with COPD experience their illness. Living with COPD affects your entire life. Participants losing their self-esteem because of no longer being able to perform the tasks and activities like before. Therefore, it is important to understand the people living with COPD in order to be able to handle their illness in the best possible way and work with person-centered care.

  • 240.
    Karlsson, Charlotta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svanström, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens upplevelse att leva med hemventilator2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are currently 2700 adults living with home ventilator (HMV) in Sweden. These patients have complex needs of caring in life. To live with HMV can change life both physically, mentally, social and existential. It is therefore important for nurses to have knowledge to support those patients. Aim: The aim of the study was to elucidate patients experience living with a home ventilator. Method: A literature based method, with a qualitative focus. The articles were analysed using the Friberg method of analysis. Result: The result is presented in two main themes and four subthemes. The first main theme is about how the patient´s life changes, When life changes, whilst the second main theme is about that their life goes on, When life goes on. In the subthemes for the theme life changes, the patients experience is compared to going out to sea in a stormy weather with feelings of fear and having no control and further on to control their one ship and get back control in life. The subthemes for the theme life goes on shows that the patients are experiencing mixed emotions both feeling free and in captivity and feeling healthy despite illness. Conclusion: Both positive and negative experiences in their entire life situation are shown in the results. Those different experiences contributes to a deeper knowledge and understanding for nurses and give them and better chance to give the best care for this patients.

  • 241.
    Karlsson, David
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nikrad, Elham
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans roll i egenvården hos patienter med hjärtsvikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart failure causes great suffering and affects many elderly people. Through self-care, patients can improve their quality of life through, reduce time in hospital and increase their health. Self-care means that the patient knows and responds to symptoms and uses behaviors that minimize risks and promote good health. The nurse's main subject is nursing that aims to increase the patient's health experience. This can be done by improving the self-care of the heart failure patient. Orem writes that self-care is at natural behavior among humans.

    Aim: The purpose of the study was to describe the general nurse's competence in relation to hear failure and its influence on self-care in patients with heart failure.

    Method: The method of making a literature review was used. A search for relevant literature was made using PubMed and Cinahl.

    Results: The results showed that nurses had a lack of knowledge concerning self-care in heart failure. It also shows that nurses request more knowledge about self-care in heart failure. The patient needs individual support and guidance. This can be achieved by the nurse using various customized methods such as telephone counseling, home visits and information calendar.

    Conclusion: The nurse can improve the patients' self-care using methods like phone-support and home visits. With increased knowledge about the patient the nurse can improve the patients' self-care behavior more efficiently. Patient-centered care is an important part in a successful outcome. The earlier the education of the patient begins the better. The patient's individual needs must be considered by the nurse to identify the obstacles and opportunities for the patient.

  • 242.
    Karlsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vårda barn med cancer: En litteraturbaserad studie om sjuksköterskors erfarenheter2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are 2,2 million children living in Sweden and every day about one child is diagnosed with cancer. Nurses have an important role in nursing the sick child and comforting it´s families. Little is known about the nurses´ experiences in working with this severely ill children. Aim: The aim of this study was to highlight nurses´ experiences of caring for children with cancer. Method: A method to contribute to evidence-based nursing with the ground in analysis of qualitative research was conducted. An analysis of fourteen qualitative articles was carried out. The analysis resulted in four main themes and eleven subthemes. Result: Four main themes emerged; The adequate knowledge needed, Difficulties in ethical stance, Caring relationships where the child is in the centre, Emotional contrasts. The results of the study showed that the nurses experienced that they were not fully-trained and that the knowledge was not sufficient when they were new to childhood cancer. The nurses experienced a lot of emotions caring for children with cancer and felt it valuable to use coping to deal with the upcoming emotions and prevent emotional burn-out. Conclusion:More knowledge in childhood cancer is needed for nurses caring for children sick with cancer. It is important for the nurses to see the child's best, but also to work family-centered. The work is emotionally stressful and requires coping strategies to prevent emotional burnout.

  • 243.
    Karlsson, Fredrik
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lidbeck, Pia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av sjuksköterskors bemötande på en akutmottagning: En litteraturöversikt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Many people visit the emergency departments every day and the complaints from patients in health care are increasing. Patients need to feel they are being seen and the care must be based on respect for each persons’ equal value, which meets the need for security and safety in each patient.

    Objective: The aim of the study was to describe patients’ experiences of nurses’ encounters in emergency departments

    Method: A literature review was made from eleven quantitative studies and one qualitative study.

    Results: Three main themes; To be seen as a patient, To be helped and get information, To get care at the emergency department with a total of six sub themes. The result showed that the patients’ need, in contrast to the nurses’ characteristics, could affect the patients’ experiences of how nurses’ encounters them. Factors that also affect patients´ experience of encounters were mainly confirmation, information and the environment.

    Conclusion: When the patients have the feeling of being confirmed, involved and informed by the nurse the meeting between patients’ and nurses’ were experienced as more satisfying.

    Keywords: Encounters, Emergency department, Nursing care, Patient satisfaction, Person centred care.

  • 244.
    Karlsson, Inger
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Enhus-Krancher, Malin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hinder för och möjligheter till att ge nutritiv omvårdnad2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Undernourishment occurs when the body no longer receives enough nutrition in the form of vitamins, minerals, proteins and other nutrients, which is necessary to maintain the normal function of the body, but also in the inability to digest and absorb food. Older people are therefore at high risk of suffering from complications and admission to hospital care, which entails huge costs, both financially and humanitary. Different forms or assessments are often used to identify the risk of malnutrition. The nurse has a key position regarding assessment, planning, implementation and evaluation of healthcare and care needs. Aim: To identify obstacles and opportunities to provide nutritional care. Method: A literature review based on eleven articles analyzed by content analysis. Results: In order to provide nutritional care of their elderly patients the nursing staff should receive basic information about the elderly resident’s routines and nutritional needs. Nurses described their need of internal courses for nursing staff, on nutrition. Education could be an opportunity to remind the staff the importance of nutrition for the elderly person. Conclusion: Knowledge and education are important parts for nurses to identify malnutrition in patients. The sometimes negative attitude among

  • 245.
    Karlsson, Ketty
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nylund, Lina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelse i mötet med den döende patienten och närstående2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: During 2014 a total of 89062 people died in Sweden. Nurses' will meet patients who are in the end of their life. The work with dying patients can be emotionally draining but also very rewarding for the nurses.

    Aim: The aim of this study was to explore nurses' experiences of meeting the dying patients and their close ones.

    Method: The method used is a litterature based study with focus on qualitative studies. The articles were processed using the Friberg method of analysis.

    Results: There were ten articles which were analysed and compiled to a result. There are three themes and ten subthemes. The first theme is about seeing the work as a privilege - it's about happiness, gratefulness and benevolence. The second theme is about feeling frustration - it's about not being ready to meet the patient and their close ones, being uncertain and being alone during work. The third and last theme is to experience stress - it's about feeling pressure, feel sadness and to feel stress and anxiety.

    Conclusion: Both positive and negative experiences are shown in the result. The palliative care isn't just about caring for the patient, but also about supporting their next of kin in their mourning process. The nurses experiences can sometimes reflect in their work towards the patient and their kin, which puts the nurses in a difficult situation.

  • 246.
    Karlsson, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jonsson, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När luften inte räcker till: upplevelser av att leva med KOL2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: COPD is one of today's major diseases with at least half a million sufferers in Sweden. COPD is a disease that develops slowly and the symptoms are insidious at first. The symptoms of COPD are breathlessness, cough, phlegm, fatigue, and sometimes weight loss. The disease can't be cured, only symptoms can be relieved. Smoking cessation is the most important treatment. Living with a chronic disease can cause suffering, bringing a sense of life being unfair and create a sense of alienation.

    Aim: The aim was to illuminate person' experiences of living with COPD

    Method: Literature-based study in which 12 qualitative research articles are reviewed and analyzed by both authors. It has been under Friberg (2012) recommendations for analysis. Articles that are used from Cinahl and PubMed are published between 2005-2015.

    Results: Seven major themes were identified: "To feel that you can´t get air", "To feel weakness", "To feel socially isolated", "To feel guilt and shame", "To feel fear", "To feel dependent" and "To feel meaningfulness and affinity".

    Conclusion: Living with COPD have a big impact on daily life. This means that persons often become increasingly socially isolated in their homes. They experience a shrinking life-world, they adapt life after the disease.

  • 247.
    Karlsson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Rydberg, Magdalena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Äldre sköra personer söker främst akutvård?: erfarenheter av kontakt med akutmottagningen.2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Two million of Sweden’s population is 65 years of age or older and the number is increasing. Elderly patients are more frequent users of the emergency department. Forty percent of the visitors in the emergency department are represented by this patient category. Nurses need to understand how individual experiences of care might affect the next visit for the patient. Frail elderly has limited resources to spare and the emergency department is not suited for them. Nurses need to see how they can change and/or adapt to fulfil the needs of this group. The need for knowledge is always a requirement for nurses.

    Aim The purpose of this study was to describe frail elderly person´s experiences of the emergency department.

    Method The method was a literature-based study based on the analysis of nine qualitative studies.

    Results Three main themes emerged in the results; accessibility of the emergency department, experiences leading to seek care in the emergency department and moments that has affected the experience of the emergency department. Experience of the emergency department was also affected by the patient’s health-literacy.

    Conclusion The quality of care, the past experience of care and the accessibility to comprehensive care were factors that influenced why frail elderly choose to seek non urgent treatment in the emergency department, even though they knew they would have to wait. The main reason for seeking care in the emergency department was based on the experience of convenience.

  • 248.
    Karlsson, Margareta
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    The struggle of health care providers to reconcile as human beings in end-of-life care2018In: 39th Annual International Association for Human Caring (IAHC) Conference in Minneapolis, Minnesota, USA May 30th through June 1st 2018., 2018Conference paper (Other academic)
  • 249.
    Karlsson, Margareta
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vidrörd av livet i dödens närhet: Att varda som människa och vårdare i vårdandets gemenskap2016Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of the study is to create a theory model of "becoming" as a human being and health care provider in the caring communion at the end-of-life. The theoretical perspective of the study is caring science as it is developed at Åbo Academy University in Finland outlined in Eriksson's theory of caritative caring with focus on caring ethics. The thesis consists of four sub-studies reported as scientific articles and a summary section. The study has an overarching hermeneutic research approach. The sub-studies I-IV are reinterpreted from viewpoint of the overall question. Empirical assumptions could then be discerned from the substance of the four substudies, which raised questions. The answers to these questions were sought in dialogue with selected texts by Kierkegaard and resulted in a theory model. The theory model results in following theses: 1. To "become" as a human being is to remain in an endless guilt. Guilt is a form of love. It is guilt that give strength and willingness to act in love and mercy when caring for patients at the end-of-life. The guilt as love allows becoming as a human being to be at home in love and mercy. 2. The human being's courage is characterized as the willingness to obtain contact with the life of fellow human beings. This courage develops over time to stand for itself, with a foundation of belief in human beings, and resulting in a selfless, loving way to help the patients grieve and reconcile at the end-of-life. 3. To be "touched" can be illustrated as an inner awakening; an inner movement towards consciousness for the examination of the love for one another, and to love unselfishly. 4. The human being's evolution in its own understanding of life occurs in the care of another human being who is at the end-of-life, as well as to be at home in ethos, love and mercy. Becoming in this context means that the human being evolves to become responsive to the heart's inner voice; an inner strength and joy which opens to the eternal and holy. 5. To overcome external obstacles is characterized as serving human beings in a selfless love; a caring in love that has requirements that need to be expressed by what is true, beautiful and good for patients at the end-of-life. An awareness and understanding of what it means to become as a human being and health care provider in caring community can help health care providers to easily focus on the patient.

  • 250.
    Karlsson, Margareta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hedemalm, Azar
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Assessment and decision-making of Swedish primary care nurses in relation to the use of interpreters2017In: Journal of Health Visiting, ISSN 2050-8719, Vol. 5, no 9, p. 454-460Article in journal (Refereed)
    Abstract [en]

    Communicating with immigrants in primary care can be a challenge for nurses who must assess language proficiency and decide whether to use an interpreter. The aim of this study was to examine primary care nurses’ experiences of assessment and decision-making in relation to the use of interpreters. A qualitative inductive research design was chosen and nurses with experience of professional interpreters were recruited for focus group interviews. The study results showed that primary care nurses respected immigrants as human beings and recognised their right to decline an interpreter in sensitive situations. The purpose of primary care nurses’ experiences of assessment and decision-making in relation to the use of interpreters was ensuring patient safety, the importance of reciprocal information and respect for patient autonomy.

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