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  • 2101.
    Wennberg, Peter
    et al.
    Stockholm University.
    Dåderman, Anna Maria
    Stockholm University; Karolinska Institutet.
    Alcohol-related symptoms in a sample of male forensic psychiatric patients and a normal representative cohort of Swedish males2000In: German Journal of Psychiatry, ISSN 1433-1055, E-ISSN 1433-1055, Vol. 3, p. 21-26Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was to compare alcohol habits in a forensic psychiatric sample to those of a normal representative one with respect to alcohol-related symptoms. Two male samples were compared with respect to self-reported alcohol-related symptoms, a forensic psychiatric sample (n=60; mean age 27 years) and a control sample (n=106; mean age 36 years). As expected, there was a higher proportion of alcohol-related symptoms in the forensic psychiatric sample. The frequencies of specific symptoms were compared between the samples.

  • 2102.
    Wennerberg, Mia M.T.
    et al.
    University of Gothenburg,Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Eriksson, Monica
    University West, Department of Health Sciences, Health and culture.
    Danielson, Ella
    University of Gothenburg,Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Lundgren, Solveig M.
    University of Gothenburg,Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Unravelling Swedish informal caregivers' Generalized Resistance Resources2016In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, no 3, p. 602-603Article in journal (Refereed)
    Abstract [en]

    BackgroundInterlinked aspects, as demographic changes, accentuation on home-based community care, increase the amount of informal caregivers to older adults. To preserve and enhance their health are subsequently essential and a reoccurring topic on political agendas. How this may be achieved is vividly debated and mainly focused on elimination of risks and stresses associated with caregiving. Within health promotion, the salutogenic approach focusing on resources to health is recognised and this approach was used to acquire necessary knowledge to enhance caregivers' health 'the salutogenic way'.AimTo present Generalised and Specific Resistance Resources (GRRs/SRRs) described by caregivers as stemming from themselves and their carerecipients.MethodologyTo unravel caregivers' GRRs/SRRs, a theory-driven, explorative design guided by definitions of GRRs/SRRs was utilised. Data were collected through salutogenically guided interviews with 32 Swedish caregivers in one municipality. Inductively, data were analysed using content analysis to identify each caregiver's SRRs and thereafter deduction to identify the population's GRRs.FindingsThe synthesis of findings, caregivinghood, encompasses several domains of GRRs seemingly involved in caregivers' movements towards health. In the caregiver domain, 'Being someone significant in my own eyes' unites the essence of having access to GRRs stemming from oneself and 'Being "blessed" with a co-operative co-worker' that of having access to GRRs stemming from the carerecipient. This may be the core in an orientation to life which creates positive life experiences, since it enables caregivers to find a 'fit' between the possible and desired when resolving challenges.Conclusion and implicationsHealth-promoting initiatives should be conducted as partnerships between formal and informal sources due to the versatility of GRRs. It also seems essential to empower both parties so that they may make sense of their situation and use their available GRRs/SRRs in this 'joint venture' of managing. Thereby, their motivation to continue the journey through Caregivinghood may be enhanced.

  • 2103.
    Wennerberg, Mia M.T.
    et al.
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden..
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Lundgren, Solveig M.
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden..
    Danielson, Ella
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden..
    Unravelling Swedish informal caregivers' Generalized Resistance Deficits2018In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 32, no 1, p. 186-196Article in journal (Refereed)
    Abstract [en]

    In salutogenic theory, individual/contextual, immaterial/material characteristics enabling movements towards health are labelled Specific and Generalised Resistance Resources, SRRs/GRRs, and characteristics counteracting such movements Specific and Generalised Resistance Deficits, SRDs/GRDs. The aim of this paper was to present SRDs and GRDs described by caregivers as stemming from themselves and their care recipient. Guided by salutogenic theory, an explorative design was used to collect data through interviews with 32 Swedish informal caregivers. During the theory-driven analysis, SRDs were unravelled using within-case approaches. To be able to unite them as GRDs across cases, a serviceable GRD definition was developed from the existing theoretical GRR definition. In findings, SRDs are visualised in citations and GRDs described in detail. Caregivers' experiences of SRDs/GRDs are presented as themes: 'Experiencing personal deficiencies', when stemming from themselves; and 'Struggling with an uncooperative co-worker', when stemming from their care recipients. Findings indicate that if these themes dominate a caregiver's view of life, she/he seems to have reached the 'breaking point' when caregiving ends due to lack of usable SRRs/GRRs. To prolong the time until this occurs, support, making otherwise unusable SRRs/GRRs usable, is needed. When designing this type of 'salutogenic' support, it seems essential to involve the target group (e.g. caregivers, care recipients), to ascertain what their SRRs/GRRs and SRDs/GRDs may consist of. Such knowledge regarding SRRs/SRDs could be used to design individualised support, and regarding GRRs/GRDs to design generalised support at group level. This study suggests how such new knowledge regarding resistance resources and deficits could be acquired.

  • 2104.
    Wennerberg, Mia M.T.
    et al.
    University of Gothenburg, Department of Homecare Health and Nursing, Municipality of Orust , Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg , Sweden.
    Lundgren, Solveig M.
    University of Gothenburg , Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg , Sweden.
    Eriksson, Monica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Danielson, Ella
    University of Gothenburg, Department of Nursing , Mid Sweden University, Östersund, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg , Sweden.
    Me and You in Caregivinghood: Dyadic resistance resources and deficits out of the informal caregiver's perspective2019In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 23, no 8, p. 1041-1048Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:To present Specific and Generalized Resistance Resources (SRRs/GRRs) and Deficits (SRDs/GRDs) described by 32 informal caregivers as originating from themselves and their older adult carerecipients as dyads.METHOD:Salutogenic interviewing was used to assemble data from caregivers. A theory-driven, memo-guided and comparative analysis using within- and across- case analysis was applied to unravel resources and deficits influencing the outcomes when they managed tension associated with caregiving.FINDINGS:Living in fellowship in a well-functioning dyad unites the essence of having access to dyadic SRRs/GRRs. Such access enables dyads to use their specific dyadic tension management to resolve challenges through cooperation, derives 'positive' life-experiences and preserves dyad functioning. Struggling alone in a malfunctioning dyad indicates the presence of dyadic SRDs/GRDs counteracting such a development. If these SRDs/GRDs accumulate, the dyad become less able to resolve challenges, 'negative' life-experiences accumulates, the carerecipient's capability to cooperate decreases, caregiver's workload increases, the dyad becomes increasingly malfunctioning and moves towards the point where caregiving ends due to lack of usable SRRs/GRRs.CONCLUSIONS:Findings reveals the complex duality of caregiving and the necessity to assess all available SRRs/GRRs and SRDs/GRDs for caregiving dyads, including out of the carerecipient's perspective. Appropriate 'salutogenic' support reduces SRDs/GRDs, makes available SRRs/GRRs usable or provides alternative SRRs/GRRs, thereby dyadic tension management and dyadic functionality is preserved during this phase of life labelled Caregivinghood. The study adds new knowledge to the salutogenic framework regarding central, theoretical concepts and suggests how data for health promoting initiatives conducted the 'salutogenic way' may be acquired.

  • 2105.
    Wennerblom, Eva
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Möten i livet: En analys av självbiografier skrivna av personer med schizofreni2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Schizophrenia is a psychiatric disorder. Schizophrenia belongs to the group of psychotic disorders which means that the patient loses touch of reality. Schizophrenia is existing all over the world in the same degree. The aim with this study was to illuminate how persons with schizophrenia, experience meetings with other people. The method for reaching the aim in this study was to study, listen and read books written by persons with Schizophrenia and to analyze these books. It felt natural to use autobiographies of schizophrenic persons. The result showed that there were two themes and seven sub themes. The two themes were positive experiences and negative experiences. A positive experience was when they felt some happiness and joy, confirmation, safety and calmness from the person they met. Negative experience was feeling violated, not being confirmed and self- contempt. Conclusions of this study is that giving persons with the diagnosis schizophrenia confirmation and show respect is crucial for a positive experience of meeting with others.

  • 2106.
    Wentz, Elisabet
    et al.
    Institutionen för neurovetenskap och fysiologi, Göteborgs universitet.
    Nydén, Agneta
    Institutionen för neurovetenskap och fysiologi, Göteborgs universitet.
    Osmar Swerkersdotter, Helena
    BNK.
    Niklasson, Lena
    BNK.
    Lindström, Marie
    Hakenäs-Plate, Louise
    BNK.
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Internet-based support and coaching – habilitation of young adults with autism spectrum conditions and other neuropsychiatric disorders. A pilot study2010In: IX International Congress Autism-Europe, A Future for Autism, Catania, Italien 8-10 oktober 2010, 2010Conference paper (Refereed)
  • 2107.
    Werner, Annika
    et al.
    University West, Department of Nursing, Health and Culture.
    Nordberg, Emma
    University West, Department of Nursing, Health and Culture.
    Sjuksköterskors dilemma när patienten motsätter livsavgörande vårdinsatser: en litteraturstudie2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.

    Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.

    Method           A literature review of eight scientific articles with a qualitative approach was performed.

    Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients’ reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislation

    Conclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation.

  • 2108.
    Werner, Gabriella
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Andersson, Jessica
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnor som genomgått mastektomi – Det blir aldrig som förr: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Breast cancer is the most common cancer diagnosis in women. Treatments of breast cancer are constantly developing which leads to a high rate of surviving women. Being affected of breast cancer can result in many intense feelings and a changed body. Most of the women who get affected by breast cancer are treated with surgical treatment. One operation that is used is mastectomy, an surgical operation where one or both breasts are being removed. This may lead to several feelings, changed body image and the women have to adapt to their new body. Aim: The aim of the overview was to explore women's experiences, thoughts and emotions after a mastectomy, due to breast cancer.

    Method:

    A literature overview study based on seven qualitative and three quantitative studies. Results: In the result four themes emerged, The body betrays and is no longer complete, You are not the same person anymore, Femininity and sexuality are lost and The social limitations.

    Conclusion:

    One of the main findings shown in the result was how the mastectomy changed the women's body image. It seemed to be difficult to accept the changed body, which became a constant reminder of the disease. The women no longer recognized themselves and therefore had a hard time when it came to show themselves in front of people in the surroundings. The women also felt limitations in social situations and the body became an obstacle; they did not feel comfortable, isolated themselves and avoided everyday activities. This is important to acknowledge as a nurse and be able to give adequate support in both short term and long term.

  • 2109.
    Wernerliv, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Palmhagen, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patienters sökning efter hälsoinformation via internet inför mötet med distriktssköterskan2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When we as health care nurses meets patients at day care centers, they often have questions regarding health information that they have found on the internet. These questions can be supportive and a guidance in the process of finding appropriate treatment and diagnosis. But the questions can also take important time when the patient interpreted the health information that they found and demand for unnecessary investigations. The aim of this study was to investigate patients search for health information online prior to contact of a Health care nurse. Method: To find participants that used internet for health search we found Facebook as the best place to share a questionnaire. The result of the study was interpreted by both quantitative and qualitative method. The authors used a content analysis to analyse the open questions in the study. The result formed these kategories; trust, participation, empowerment. Conclusion: The result showed that it is important that we as district nurses has knowledge from where patients get their information and that patients are aware the district nurses has the knowledge. Patient needs guidance from the nurses, but the result also shows that patients find it important to be able to discuss the health information they have found. Keywords: district nurse, empowerment, health information, internet, patient

  • 2110.
    Wernerliv, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pihlblad, Sofia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Familjens närvaro vid återupplivning: En litteraturöversikt av sjuksköterskors erfarenheter2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The new guidelines for cardiopulmonary resuscitation states that the family should be given the opportunity to be present at the resuscitation of a close relative. A cardiac arrest is an emotional experience for the family. In addition to being part of the resuscitation effort, the nurse also needs to take care of the family.

    Aim:

    The aim of this study was to describe nurses' experiences of family presence during resuscitation.

    Method:

    A literature review has been made of 13 studies where differences and similarities were analyzed. The articles were published between the years of 2009 – 2013

    Result:

    The nurses' experiences were divided into three categories; Factors that affect family presence, The nurse' experience surrounding the presence of the family, Factors affecting family presence in the resuscitation room. The result showed that, the feeling of confidence, the ability to work under stressful conditions, the reactions of the family and external prerequisites and the presences of a family support person were important. All nurses had unique experiences that influenced their attitudes towards family presence during resuscitation.

    Conclusion:

    Every resuscitation is unique and the family's presence should be evaluated. The need for a family support person was identified as an important factor to ease the family's presence. Local protocols should be created that clearly states the decision process and whom become the family support person. Travelbee's nursing theory facilitates the comprehension of the interactions between the family and the nurse.

  • 2111.
    Wernerliv, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pihlblad, Sofia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Familjens närvaro vid återupplivning: En litteraturöversikt av sjuksköterskors erfarenheter2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The new guidelines for cardiopulmonary resuscitation states that the family should be given the opportunity to be present at the resuscitation of a close relative. A cardiac arrest is an emotional experience for the family. In addition to being part of the resuscitation effort, the nurse also needs to take care of the family.

    Aim:

    The aim of this study was to describe nurses’ experiences of family presence during resuscitation.

    Method:

    A literature review has been made of 13 studies where differences and similarities were analyzed. The articles were published between the years of 2009 – 2013

    Result:

    The nurses’ experiences were divided into three categories; Factors that affect family presence, The nurse’ experience surrounding the presence of the family, Factors affecting family presence in the resuscitation room. The result showed that, the feeling of confidence, the ability to work under stressful conditions, the reactions of the family and external prerequisites and the presences of a family support person were important. All nurses had unique experiences that influenced their attitudes towards family presence during resuscitation.

    Conclusion:

    Every resuscitation is unique and the family’s presence should be evaluated. The need for a family support person was identified as an important factor to ease the family’s presence. Local protocols should be created that clearly states the decision process and whom become the family support person. Travelbee’s nursing theory facilitates the comprehension of the interactions between the family and the nurse

  • 2112.
    Westberg, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alamgir, Sultana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av att leva med en permanent stomi2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Ostomy surgery refers to surgical procedures that reroute the elimination process of the bowel and alters the usual form of elimination. There are different reasons why a person gets a ostomy, depending on the reason for the surgery. The number of persons living with ostomys in Sweden is unknown. However, the reaction to intestinal diversion surgery can be a devastating experience. Living with a ostomy for a longer period may affect the individual. Nurses are important members of the health care team and have a significant role in caring for patients with ostomy.

    Aim: The aim was to describe experiences living with a permanent ostomy.

    Method: A qualitative litterature-based design was used in the study. CINAHL and PubMed databases were used to search qualitative articles. Articles were analyzed and reviewed by the five-step method in Friberg.

    Results: The result is based on ten qualitative articles. After making the analysis three main themes and nine sub-themes were identified. The three main themes were: the altered body appearance, the changing of daily life and interference with anticipated return to normal. The sub- themes were: fear, anxiety, disgrace and irritated skin, body image, acceptance, independence, daily activities, diet, impact on relationships, supporting, loneliness and isolation.

    Conclusion: Having a ostomy is a major event and it affects personal self-concept and restricts their lives in various ways. Nurses need to provide education, support advice and referral for specialist help if required to promote health and reduce suffering.

  • 2113. Wester, Agneta
    et al.
    Larsson, Lena
    Olofsson, Lena
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Caregivers’ experiences of caring for an elderly next of kin in Sweden2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 4, p. 28-32Article in journal (Refereed)
    Abstract [en]

    Background: Care of elderly changed in the 1990s in Sweden; treatment sessions were shortened in particular. Consequently, patients have a greater need for care when returning home from hospital. This task may seem overwhelming and caregivers can feel lonely, worn out and resigned in their situation. Aim: Explore how caregivers experience caring for an elderly next of kin in ordinary living. Method: Qualitative content analysis of semi-structured interviews with eleven Swedish caregivers. Findings: Caregivers experienced their situation as something to be endured. In particular, they felt a need for belonging, a need for controlling everyday life, and a need for support. Conclusion: Home care nurses, health centres and home support workers should be aware of and respect caregivers’ needs in terms of support.

  • 2114.
    Westerberg, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Oskarsson,, Cecilia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nutrition inom den palliativa vården: upplevelser från patienter och närstående2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden many people are in need of palliative care in end of life. The goal with palliative care is to create conditions to improve quality of life when disease can no longer be cured. A natural step in the dying process is that the patients stop eating and this can be difficult to handle for both the patient and their close relatives. Here, the nurse becomes a key to motivate and support.

    Aim: The aim was to highlight the experience of nutrition in palliative care for patients and close relatives.

    Method: A literature-based study based on analysis of nine qualitative scientific studies.

    Results: Themes that emerged in the new result was A desire for extended life, A change in everyday life and Food as a consideration, and associated subthemes. Close relatives often used food as a way of showing love and nursing while patients eat to reduce the anxiety of their close relatives, they ate to please.

    Conclusion: Common to the result was that both patients and close relatives experienced a reduced quality of life related to nutrition and as a reminder that death was approaching. Food was seen as a central and health promoting part of everyday life and a significant part of the social community.

  • 2115.
    Wibom, Linda
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Betydelsen av en personcentrerad vård i omvårdnadsarbetet för att förebygga och lindra oro hos personer med kognitiv sjukdom: En intervjustudie ur omvårdnadspersonalens perspektiv2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sweden's population is getting older and an older population means an increase in cognitive diseases. Today, there is between 130000 and 150000 people with cognitive disease, and approximately 80% of these sometimes suffer behavioral and mental disorders (BPSD) during the course of the disease. For example, these symptoms may manifest as anxiety. It is a challenge for both close relatives and nursing staff to respond to these symptoms and good knowledge of the subject is required to give people a good quality of life and a meaningful life. The nurse is assigned to lead the team in the nursing work and must have knowledge of the staff's competence in order to best contribute to good nursing.

    Aim: The aim of the study was to investigate nursing staff perceptions of nursing interventions being taken to prevent and alleviate anxiety for people with cognitive disease.

    Method: The study has a qualitative inductive approach. Data was collected with semi-structured interviews. Five participants were included in the study and they were nursing staff who worked at a municipal dementia residence. The samples were chosen strategically to get the best possible information to answer the purpose. The collected material was analyzed with qualitative content analysis.

    Results: The results showed that the nursing staff have many good strategies and thoughts on nursing interventions to prevent and alleviate the anxiety of people with cognitive disease. It turned out that a person-centered approach with the person in focus is very important for a good nursing job. Furthermore, the results show that teamwork with good collaboration in the working group and good support from the nurse is of great importance in the nursing work when it comes to nursing measures in case of anxiety among the residents. The participants felt that they had a good working environment that favors nursing work, but that they sometimes felt that they lacked some skills to fully respond to the residents' anxiety.

    Conclusion: Person-centered care is of great importance in the care of people with cognitive disease. The work is challenging and it is important that those working in health care have the right skills and conditions to be able to best prevent and alleviate the anxiety of people with cognitive diseases.

  • 2116.
    Wiesner, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Adolfsson, Sofia
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Sjuksköterskors upplevelser av arbetet med basala hygienrutiner: En litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Every year millions of patients around the world are affected by a nosocomial infection as a consequence of poor hygiene among the caregiving staff. These infections may lead to death, thus the elderly and people with weakened immune systems are at a greater risk. By training all caregivers in proper hygiene and the ways in which infections spread, these cross infections can be avoided.

    Aim:

    The aim of this study was to describe the nurses' experiences of hygiene work. Method: A literature based study was conducted on nine scientific articles extracted from the database CINAHL. These were read, reviewed and analyzed by the authors.

    Results:

    Four themes became apparent; the experience that knowledge matters, the experience that rolemodels matters, the experience that workplace enviroment matters and the experience of a will to protect oneself.

    Conclusion:

    The nurses experienced several reasons for compliance to hygiene including; good role models, easy access to disinfectants, knowledge about hygiene and how infections spread.

  • 2117.
    Wiklund, Nils
    et al.
    Örebro University.
    Dåderman, Anna Maria
    Stockholms universitet.
    Trygg, Linda
    Wirsén Meurling, Ann
    Lunds universitet.
    Lindgren, May
    Lunds universitet.
    Törestad, Bertil
    Stockholms universitet.
    Levander, Sten
    Universitetssjukhuset MAS, Malmö.
    Rorschach används fortfarande projektivt inom svensk rättspsykiatri [Rorchach test is still used projectively within Swedish forensic psychiatry]2002In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 99, no 12, p. 1369-1372Article in journal (Other (popular science, discussion, etc.))
    Abstract [en]

    The continued use of the Rorschach method as a projective test makes Swedish forensic psychiatry more and more unique. Supporters of the Rorschach method claim that it nowadays has good reliability, since it is no longer used as a projective test. According to the RCS, Rorschach Comprehensive System (or the Exner system), it is used as a psychometric test with validation data for specific variables. With this system it is no longer based on psychodynamic theory, but is considered as an empirical non-theoretical perceptual test. The problems, however, remain within Swedish forensic psychiatry, where the method is still used as a projective test.

  • 2118.
    Wikner, Annie
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Stenberg, Linda
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    "Det gör lite ont i hjärtat, de är så unga och ensamma": Om känslor, strategier och lärande i mötet med ensamkommande ungdomar2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    This qualitative study explores and describes the feelings that may occur for contact persons working with unaccompanied minors. The study further describes which strategies contact persons use to manage their difficult emotions and how to learn these strategies. The study was conducted using data-material from semi-structured interviews with fifteen contact persons working with unaccompanied young people. We have used the hermeneutic approach, analyzed and structured our results. Our results show that in their profession contact persons experience good emotions, but also difficult emotions. Contact persons cope with these emotions through both conscious and unconscious strategies. In conclusion, the study supplies new knowledge on how to learn strategies in work through communication, relationships and official tools

    . The study gives an important contribution of knowledge for people working with unaccompanied minors, but also for scholars interested in investigating health aspects och social work

  • 2119.
    Wikström, Ann-Charlott
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Knowing in practice: a tool in the production of intensive care2007Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim with the the present thesisi was to find out how intensive care is produced by focusing on the ICU staffs interaction with each other and the technological tools they use. Theoretical perspective draws on socio cultural theory and the concepts accounting practices, moralöity in discourse and workplace research. The method used is ethnography and the data has been collected through participant observations and interviews in an intensive care unit in Swedish health care. The result... mer

    is presented through four papers. The first paper shows that intensive care to a great extent is produced through rutines. The division of labour is marked and taken for granted by the ICU staffs. Verbal reports, visual displays and activities make the information avaliable and shared understanding seems to make words redundant when the everyday practices are carried out. Further technology seems to be embedded in the caring for the patients. In the second paper the findings also show that technology intervenes in the division of labour and both challenges the ICU staffs' practical knowing and refurmulates practice. The awareness of routine problems is connected to the ability to "see" and to the ICU staffs cultural/contextual knowing. Knowing in practice transforms when new technology is introduced in the ICU. Problems are solved in concert often in a hierarchical way. The third paper in turn illuminates that the meaning of technology seems to be connected to the ICU staffs' accounting practices, i.e. their experiences of intensive care, thaier education, how long they have worked in the ICU and their positions in the network. Accounting practices is also socially shaped by the interaction among the ICU staff.It is the knowing that has been developed over time and it is the knowing that new ICU staff members have to learn to be competent actors in the ICU environment. Furthermore it is found in the fourth paper that moral values are negotiated in assessments of patients, medical decisions, other professionals (in)competence and othe institutions' activities. Thus it seems that moral values embedded and intertwined in the ICU staffs' everyday practices. It is concluded that the ICU staffs competence i.e. knowing in situated activities could be seen as a tool in the production of intensive care. And this knowing seems to be distributed between the humans and between humans and the technological tools to make everyday practices more flexible. The ICU staff does not solve problems solely through individual cognitive work rather staff members "borrow" knowing from each other and solve problems in concert. Intensive care is produced here and now at the same time as the past is present in the everyday pracitices. The meaning is shaped in context and moral values are embedded in the intensive care discourse. In this sense intensive care could be described as a technically, cognitively and morally intense environment.

  • 2120.
    Wikström, Ann-Charlott
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Cederborg, Ann-Christin
    Department of Behavioural Sciences, Linköping University.
    Johanson, Marita
    University West, Administration .
    The meaning of technology in an intensive care unit-an interview study2007In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 23, no 4, p. 187-195Article in journal (Refereed)
  • 2121.
    Wikström, Ann-Charlott
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Johanson, Marita
    University West, Administration .
    Plos, Kathy
    Cederborg, Ann-Christin
    Morality in discourse in a intensive care unit: a field studtArticle in journal (Refereed)
  • 2122.
    Wikström, Ann-Charlott
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Larsson, Ullabeth Sätterlund
    Sahlgrenska Academy at Göteborg University, Institute of Health Care Pedagogics.
    Technology -an actor in the ICU: a study in workplace research tradition.2004In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 13, no 5, p. 555-61Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The present study focuses on human-machine interaction in an intensive care unit in the West of Sweden. AIMS: The aim of the present study was to explore how technology intervenes and challenges the ICU staff's knowing in practice. THEORETICAL PERSPECTIVE: The study's theoretical starting point draws on workplace research tradition. Workplace studies encompass the interaction between the actors' situated activities and the technological tools that make their activities possible. METHOD: Fieldwork or in situ studies of everyday practice in an intensive care unit documented in written field notes constituted the data. RESULTS: The findings show first how technology intervenes in the division of labour when the taken-for-granted "old" everyday practice is disrupted when a new machine intervenes in the morning's work; secondly, it reveal how technology challenges practical knowing and thirdly, it shows how technology reformulates practice. Staff members' awareness of routine problems is often connected to the ability to see, which is always related to cultural/contextual competence. CONCLUSION: It is concluded that it is not talk alone that helps the caregivers to "(dis)solve" the problems. The ability to see the problems, the work environment and to find the relevant supporting tools for "(dis)solving" the routine problems is also crucial. But it is not possible to say that it is the skillful work of humans that solve problems, nor do we claim it is the tools that do so. Humans and tools are interwoven in the problem-solving process. Relevance to clinical practice. Routine problems in the intensive care unit are not "(dis)solved" through the cognitive work of individual staff members alone. Problems are also "(dis)solved" jointly with other staff members. Staff members "borrow" the knowing from each other and problems are re-represented through communication. The knowing has to be distributed among the intensive care unit staff to make the everyday work flexible.

  • 2123.
    Wikström, Ann-Charlott
    et al.
    University West, Department of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Sätterlund Larsson, Ullabeth
    Sahlgrenska Academy at Göteborg University, Institute of Health Care Pedagogics.
    Patient on display: a study of everyday practice in intensive care2003In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 43, no 4, p. 376-83Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: This study investigates the situated organization in a workplace producing intensive care, that is an intensive care unit (ICU). The workplace research tradition concerns work and interaction/communication in technology-intensive environments. Communication is seen as social action and cannot be separated from production or from the context in which the activities are situated. AIM: The aim of the present study was to explore how intensive care is produced by analysing a recurrent situated activity in the ICU, namely the delivery and reception of a patient coming from the operation unit. METHOD: In the fieldwork, participant observations was used to study everyday practice in an ICU, combined with written field notes. FINDINGS AND DISCUSSION: Intensive care is to a great extent produced through routine practices. The division of labour is marked and is taken for granted: everyone knows what to do. The actors' physical location in the room is connected to their functions and work with supportive tools. Verbal reports, visual displays and activities make the information transmission available to everyone in the patient room. Shared understanding of the situation seems to make words redundant when the activities of competent actors are co-ordinated. There is also coordination between the actors in the ICU and the technological equipment, which constantly produces new information that must be interpreted. Enrolled Nurses are physically closest to the patients, the physician is the one most physically distant from patients and Registered Nurses bridge the gap between them. These actors produce and re-produce intensive care through constant sense-making in the here and now at the same time as the past is present in their activities.

  • 2124.
    Wilczek-Ruzyczka, Ewa
    et al.
    Jagiellonian University, Cracow, Poland.
    Basinska, Beata A.
    Gdansk University of Technology, Faculty of Management and Economics, Poland.
    Dåderman, Anna Maria
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    How I manage home and work together: occupational demands, engagement, and work-family conflict among nurses2012In: Book of Proceedings: Proceedings of the 10th European Academy of Occupational Health Psychology Conference / [ed] Jain, Aditya,Hollis, David, Andreou, Nicholas, Wehrle, Flavia, Nottingham: I-WHO, International House, Jubilee Campus , 2012, p. 201-Conference paper (Refereed)
    Abstract [en]

    Background: Nursing is an accountable profession due to the concern with patient safety (Aiken et al., 2002). In recent years, growth requirements and a reduction in rewards within this profession have been observed (Basinska & Wilczek-Ruzyczka, 2011). Most nurses are women and it is known that women often try to put together professional duties and family life. The conflict between private and professional life is bidirectional in nature. The negative impact of work on private life is observed more frequently than the reversed relation (Greuters et al., 2003).

    The aim of this study was to evaluate the impact of conflict work-family and family-work on the perception of occupational stress and engagement. Professional demands were defined as work overload and interpersonal conflicts at work. Positive engagement was characterized by vigor, dedication and absorption (Schaufeli et al., 2002).

    Methods: The following methods were used: Interpersonal Conflict at Work Scale and Quantitative Overload Inventory (Spector & Jex, 1998), Utrecht Work Engagement Scale – short version (Schaueli, Bakker, & Salanova, 2006), and Work-Family Conflict and Family-Work Scales (Netemeyer, Boles, & McMurrian, 1996). The study consisted of 98 nurses from southern Poland (mean age 41 years, SD = 5.7) with an average seniority of 19 years (range 1.5 – 30). Most of them were married (85%) and had a working partner (82%); 10% didn’t have any children.

    Results: The value of work-family conflict was stronger than the family-work conflict. Job demands were higher in the group of nurses who felt a greater negative impact of work on the family. Moreover, they felt less vigor, dedication, but more absorption (d =.42 - .85). Nurses who had a stronger negative impact of family on work also experienced a greater influence of the job at home (d = .62). Additionally they were more absorbed by their work (d = 2.04).

    Conclusion: Our results confirm that the work-family conflict is stronger than the family-work conflict. The negative impact of work on private life shows in the differences in perception of occupational stress and engagement in work. However, we have observed that the family-work conflict is more frequent in nurses with high absorption. We suggest to longitudinally investigate the reciprocal relationships between work and private life among nurses.

  • 2125.
    Wilczek-Rużyczka, Ewa
    et al.
    Uniwersytet Jagielloński, Collegium Medicum, Kraków, Polska.
    Basinska, Beata A.
    Gdansk University of Technology, Faculty of Management and Economics, Poland.
    Dåderman, Anna Maria
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Jak pogodzić życie zawodowe i prywatne? – stres zawodowy i zaangażowanie a konflikt praca - dom wśród pielęgniarek [How to balance professional involvement with private life? – job-related stress and professional responsibilities in the light of the conflict between job and private life in the nursing  profession].2012In: Conference "Patient-friendly medicine", Warsaw, 19-20.05.2012: XX Jubilee Conference of Psychosomatic Medicine, Section of the Polish Medicine Association / [ed] Szewczyk, Leszek, 2012, p. 2-Conference paper (Refereed)
    Abstract [pl]

    Wprowadzenie: Większość pielęgniarek to kobiety, które tradycyjnie często godzą profesjonalne obowiązki z życiem rodzinnym. Konflikt pomiędzy sferą prywatną i zawodową ma dwustronną naturę. Negatywny wpływ pracy na życie prywatne jest odnotowywany częściej niż relacja odwrotna (Greuters et al., 2003).

    Celem pracy była ocena konfliktu praca – dom i dom – praca na percepcję stresu zawodowego i zaangażowania w pracę. Wymagania zawodowe zdefiniowano jako przeciążenie pracą i konflikty interpersonalne (Spector & Jex, 1998). Zaangażowanie charakteryzowano jako wigor i poświęcenie (Schaufeli et al., 2002).

    Metody: Zastosowano następujące metody: Skala Konfliktu Interpersonalnego i Ilościowego Przeciążenia Pracą (Spector & Jex, 1998), Utrechtska Skala Zaangażowania w Pracę – wersja skrócona (Schaueli, Bakker, & Salanova, 2006), Skale Konflikt Praca – Rodzina i Rodzina Praca (Netemeyer, Boles, & McMurrian, 1996).

    W badaniu wzięło udział 98 pielęgniarek (średnia wieku 41 lat SD = 5,9) pracujące w zawodzie przeciętnie od 19 lat (zakres1,5 – 33). Większość byłą zamężna (85%), a ich partnerzy pracowali zawodowo (82%).

    Wyniki: Konflikt praca – rodzina był silniejszy niż konflikt rodzina – praca wśród badanych pielęgniarek. Negatywne oddziaływania pracy na życie prywatne, różnicuje percepcję stresu zawodowego (przeciążenie pracą i konflikty interpersonalne) i zaangażowania w pracę (wigor i poświęcenie).  Pielęgniarki, które odczuwały większy konflikt na linii dom – praca doświadczały większego konfliktu praca dom.

  • 2126.
    Wilsson, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Sara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Partners upplevelser av att leva med en person som har en demenssjukdom: Att fysiskt leva tillsammans, men psykiskt stå ensam2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As the population grows older the more often people become affected of dementia. Behind the person with dementia stands a family and often a partner. Partners feel a responsibility to take care of the person with dementia which means to take care of their daily routines, to manage the behavior and take care of the household. It can be such a stressful task that the partner often forgets their own health and wellbeing.

    Aim: The aim of this study was to illustrate partners' experiences to live with a person with dementia disease.

    Method: A literature study with a qualitative content analysis of twelve scientific articles using Fribergs' five step model.

    Results: The study resulted in three main themes: In sickness or in health, A daily fight and The need of support. In sickness or in health got three subthemes, Feel a duty to care, Go from partner to caregiver and A future as individuals instead of a couple. Under A daily fight there was also three subthemes, To not understand, Handle the everyday life and Manage to undure life. The need of support got two subthemes, Insight to need help and Room for own-time.

    Conclusion: When problems occurs in the caring of the person with dementia, partners needs support from the professional care to learn how to handle situations or to get relieved from the caring. They also need to be seen and confirmed for what they do. Therefore, it is important to in good time support this group of relatives through the progress of the disease.

  • 2127.
    Wingstedt, Sanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Ortorexia nervosa : att balansera mellan hälsa och ohälsa2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Orthorexia nervosa is a condition that is used to explain an extremely healthy behavior in terms of food. Ortorexia nervosa is not a diagnosed eating disorder and the concept exhibits both similarities and differences with anorexia nervosa and bulimia nervosa. There are also similarities between orthorexia nervosa and obsessive compulsive disorder.

    Aim

    The aim of this study was to describe the area of knowledge covering the concept of orthorexia nervosa.

    Method

    A literature review was used to analyze eleven quantitative and one qualitative article.

    Results

    The result confirms that orthorexia nervosa is an extremely healthy behavior with consequences like obsessions, malnutrition and becoming socially isolated. The fact that orthorexia nervosa not is a generally accepted diagnosis means difficulties to both measure and to determine prevalence.

    Conclusion

    In the daily work of nurses with health promotion it requires knowledge of what is healthy and what is unhealthy. By understanding what orthorexia nervosa is, an individualized care can be achieved. More research on the concept ortorexia nervosa is required to determine whether there needs to be a diagnosis or if the orthorectic behavior is nothing more than a part of other mental disorders.

  • 2128.
    Winman, Thomas
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Från personlig anteckning till elektronisk patientjournal2009In: Organisation, teknik och lärande / [ed] Larsson, Göran, Stockholm: Carlsson , 2009, p. 187-204Chapter in book (Other academic)
  • 2129.
    Winman, Thomas
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Transforming information into practical actions: A study of professional knowledge in the use of electronic patient records2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Today, technologies are being introduced into historically established settings, which change the conditions for work as well as for work-integrated learning. In health care, electronic patient records (EPRs) has been implemented during the last decades to serve as a tool for planning, decision making and evaluation of care work. The overall aim of the research presented in this thesis is to analyse the complex actions and interactions that occur when EPRs are used in health care practice. Analytically, such an interest is pursued employing a socio-cultural perspective on workplace studies, where the use of technology is studied in action. Through three separate studies, practical actions and practical use of EPRs have been examined and the empirical data draws on observations, video-recordings, audio-recordings and documents from a hospital ward in Sweden. The result shows that technologies such as EPRs both offer and presuppose standardization of terminologies and information structures. This, however, does not mean that EPRs completely format and structure information, or that it is driven by its own logic. When staffs comply with a set of standards, transformations of those standards will gradually occur. Those transformations are collective achievements and since each professional involved act in a conscious and active manner, this affects the use of standards as well as the development of collective proficiency. The results also demonstrate that meaning making in(through) the use of EPRs presupposes extensive knowledge of the indexicality of categories, something that originates in the participants‘ shared institutional history. It is in the process of reliving, creating and exposing the meaning of information, that health care professionals actually bring information in EPRs to life. In further development of EPRs that exceeds institutional and even national boundaries it is important to see this development not as solely technical or organizational questions. To develop systems that enhance the possibilities for professionals in different institutions with different professional domains to make sense of standardized information may be a much more  demanding task than it seems to be. Such boundary-crossing systems are nevertheless of great importance for the further development of health care practice.

  • 2130.
    Winman, Thomas
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Rystedt, Hans
    Department of Education, University of Gothenburg.
    Electronic patient records in interprofessional decision making: Standardized categories and local use2012In: Human Technology, ISSN 1795-6889, E-ISSN 1795-6889, Vol. 8, no 1, p. 46-64Article in journal (Refereed)
    Abstract [en]

    Electronic patient records (EPRs) are a constitutive element of medical practice and are expected to improve interprofessional communication and support decision making. The aim of the current study is to explore the ways in which access to structured information from multiple professions within EPRs enters into the phases involved in arriving at final agreements about patients' future care. The results show that decision making in interprofessional team rounds involves a prestructuring of a pathological reality. Further, the results demonstrate how information in EPRs is deconstructed and recast into patterns that presuppose knowledge about the EPR's structural organization. This means that EPRs are highly flexible technologies and that their design does not determine their usefulness. A major conclusion is that the members' knowledge on how to bridge between standardized categories in EPRs and their local meanings is decisive for understanding the basic conditions necessary for how EPRs could support interprofessional collaboration.

  • 2131.
    Winman, Thomas
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Rystedt, Hans
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Från patientjournal till digitala informationssystem2010In: Omvårdnadens grunder: en specialutgåva för sjuksköterskor / [ed] Edberg, Anna-Karin, Lund: Studentlitteratur , 2010, 1, p. 313-342Chapter in book (Other academic)
  • 2132.
    Winman, Thomas
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Säljö, Roger
    Department of Education, University of Gothenburg.
    Rystedt, Hans
    Department of Education, University of Gothenburg.
    Local knowing and the use of electronic patientrecords: categories and continuity of health care2012In: Health and Technology, ISSN 2190-7188, E-ISSN 2190-7196, Vol. 2, no 3, p. 185-196Article in journal (Refereed)
    Abstract [en]

    The electronic patient record (EPR) is a constitutive element of medical practice and can be conceived of as a multi-purpose tool that is intended to support a range of activities such as planning, decision-making and evaluation. Each of these activities is quite complex in its own right. The aim of the present study is to explore how the standardized format of EPRs intervenes in the work of sustaining continuity in patients ' care. In doing this we analyse ow this standardized format contributes to structure the production and use of information concerning patients' mundane problems in the context of rehabilitation. Data consists of observations, informal interviews and video-recordings from a ward for patients affected by stroke. The results show that there is a tension between the highly uniform structures and standards for documentation in EPRs, on the one hand, and, on the other, how information is designed and put into use by care providers. When staff members use EPRs, they constantly have to contextualize what is written in relation to what they know about patients and/or the current situation. On the local level, the increasing standardization that follows the introduction of EPRs will make it even more necessary for professionals to engage in such interpretative work to close the gap between the standardized categories of the EPR and contextually relevant health care interventions. In spite of requests for increasing standardization there will always be a need to adapt to specific needs for more flexible information structures. Otherwise, there may be the risk that non-standard features the initial standardization was intended to reduce may be re-introduced.

  • 2133.
    Winneby, Ewa
    et al.
    SHD, FyrBoDal, Uddevalla.
    Flensner, Gullvi
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Rudolfsson, Gudrun
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Feeling rejected or invited: Experiences of persons seeking care advice at the Swedish Healthcare Direct organization2014In: Japan Journal of Nursing Science, ISSN 1742-7932, Vol. 11, no 2, p. 87-93Article in journal (Refereed)
    Abstract [en]

    Aim Swedish Healthcare Direct is an organization staffed by registered nurses who act as telenurses and assess callers’ need for care, taking both medical and personal aspects into account. They direct the care seeker to: emergency care (level I), a care center on duty (level II), their regular doctor (level III), or provide advice about self-care strategies (level IV). In this assessment process, the nurse and care seeker should reach mutual agreement. The aim and focus of the present study was to elucidate the care seeker’s situation and experiences of the care received after being triaged and directed to level II, although the telenurse in fact assessed their medical problems as corresponding to level III. Methods A total of eight recent Swedish Healthcare Direct users were interviewed in this qualitative study. Data were analyzed by means of content analysis. Results Three themes emerged – “feeling trapped”, “feeling disrespected”, and “feeling invited” – comprising seven subthemes. Conclusion Care seekers experienced suffering as well as struggling to be allowed to be a patient. When not met by an ethically correct stance, they continued to seek care. In contrast, when they encountered commitment and an ethically correct attitude, their health process began and they had no further need for contact.

  • 2134.
    Winroth, Jan
    University West, Department of Health Sciences, Health and culture.
    Organisation som arena för hälsofrämjande arbete2015In: Salutogenes: om hälsans ursprung : [från forskning till praktisk tillämpning] / [ed] Eriksson, Monica, Stockholm: Liber, 2015, 1. uppl., p. 126-190Chapter in book (Other academic)
  • 2135.
    Winroth, Jan
    et al.
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Rydqvist, Lars-Göran
    Hälsa & Hälsopromotion med focus på individ-, grupp- och organisationsnivå.2008Book (Other (popular science, discussion, etc.))
  • 2136.
    Ylitalo, Natalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ataollahi, Sanaz
    Vuxnas upplevelser av att leva med ADHD: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Attention deficit/hyperactivity disorder (ADHD), a psychiatric disorder that usually give symptoms during early childhood but can in two thirds of the cases persist even into adulthood. However, the problems adult persons diagnosed with ADHD face in their daily lives remain largely unexplored. Aim: The aim was to describe adults experience of living with ADHD. Method: A literature-study based on nine qualitative articles was performed and the result of content analysis was presented in two themes and eight subthemes. Results: The findings were that adults living with ADHD had difficulties following the socially accepted behavior, which led to misunderstandings. The participants struggled with focusing and engaging in daily life. Finally, the result presented that the participants used different coping strategies to help them to manage their daily life. An example could be to set goals and participate in activities of interest to the persons. Conclusion: Adults with ADHD experience difficulties in their daily life. Coping strategies and support is a necessity for them to be able to handle their diagnosis.

  • 2137.
    Yngvesdotter Kaldemark, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Verdrengh, Linnea
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers erfarenheter av att leva med diabetes mellitus typ 22019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 2 is a chronic disease which increased in many countries and is rated as a threat to the public health. In order to be able to handle the disease and prevent severe complications or even death, the person affected with diabetes mellitus type 2 should gather knowledge about the disease and take on great responsibility for proper treatment.

    Aim: The aim of this study was to describe persons' experience of living with diabetes mellitus type 2.

    Method: The method used was a literature study based on qualitative research. The articles were analysed according to Friberg (2017) five step model and resulted in three themes and eight subthemes.

    Results: The themes were The importance of culture, Self-management and Participation in care. The theme The importance of culture described how religion and culture could affect the persons' choice of food and the ways they managed their disease under religious celebrations such as Ramadan. The theme Self-management described the obstacles they could face with their disease, such as medication and how they could manage to control it. The theme Participation in care described different obstacles in health care such as language, culture and lack of insight into the disease.

    Conclusion: One of the most important parts in self-managing diabetes mellitus type 2 was that the persons should realize they suffered from a chronic disease and that they had to change their lifestyles in order to prevent complications related to the disease.

  • 2138.
    Yosief, Harena
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Yussuf, Ilhan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att stå på egna ben: Nyexaminerade sjuksköterskors upplevelser av första året inom yrket2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Registered nurses' profession is nursing which includes provide care, assessment and give advice to the patients. Studies have shown that the transition from nursing student to registered nurse was experienced as a challenge. A transition program was given to the newly graduated nurses to prepare them for the profession. Aim The aim of the study was to highlight the newly graduated nurses experience of the first year in practice. Method The method was a literature study based on qualitative researches. Eleven studies from Cinahl, PubMed and Google Scholar where reviewed for qualitative assurance and analyzed by Friberg's five step analysis. Results Four themes and eight subthemes emerged from the analysis of the studyresult. The first theme was to work as a new graduated nurse which included two subthemes bewildering transition to the practice and lacking knowledge in practice. The second theme was to be a part of the group with the subthemes the pursuit of belonging and difficulties in communicating with the team. Third theme was the challenges within the profession with the subthemes stress and anxiety and lack of self-confidence. Fourth theme was the development within the profession with the subthemes expected success of the transition program and development of professional confidence. Conclusion The result highlighted that the nurses experienced difficulties in the transition to the practice because they weren't prepared for their professional role. The nurses needed support for a successful transition to the practice.

  • 2139. Young, Kue
    et al.
    Hassler, Sven
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Injuries and Violoence2008In: Health Transitions in Arctic Populations, Toronto, Kanada: University of Toronto Press , 2008, p. 338-358Chapter in book (Other academic)
  • 2140.
    Zackrisson, Simon
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Westman, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelserna av det första året som yrkesverksam sjuksköterska: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Registered nurses is a profession with long tradition and the profession has undergone many changes over time. In Sweden, today, nursing education leads to an academic degree but also provides a vocational degree. Profession as a nurse requires much of the practitioner for this to be considered competent to maintain credentials. The path from novice to expert is long while the lack of nurses is large and many choose to leave the profession. Aim: The aim was to describe how newly graduated nurses’ experience their first year as professional nurses. Method: A literature-based study was conducted in which ten qualitative studies were retrieved from the databases Cinahl, Proquest and Pubmed. The studies were subjected to quality assurance and Friberg's five-step analysis.  Result: Through the analysis, the results of the articles were compiled into a new result, in which three themes, and nine subthemes were formed. The main themes were “unreasonable expectations about the new profession”, “the first year - a reality shock” and “the need for support in the workplace”. Conclusion: The first year of occupational nurses was experienced a difficult period and was lined with feelings of unpreparedness for what the profession meant and expectations of the profession that did not really correspond. The need for support was considered important for transition from education to professional nurse to be successful. The workplace of the graduates graduated was crucial for whether the nurse came to stay in the profession or not.

  • 2141.
    Zahirovic, Semra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelse av att diagnostiseras och behandlas förbröstcancer samt sjukdomens påverkan på livssituationen: En litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common form of cancer in women. It is considered anappalling disease with its high mortality, demanding treatment and major impact on selfimageand body perception.

    Aim: The aim of this study is to describe women's experiences of being diagnosed and treatedfor breast cancer and how the breast cancer affects their life situation.

    Method: The method used was a literature study based on qualitative research. Eleven studieswere analysed according to the five-step model by Friberg.

    Results: The analysis resulted in three main themes and sex subthemes. The main themeswere: The life is threatened, Suffer from disease and Life continues.

    Conclusion: Suffering from breast cancer imposes changes on all aspects of the women's life,both physically, mentally and socially and evokes various individual coping strategies. In thisprocess it is vital that the nurse, which is closest to the patient, has a good understanding ofthe various patterns of crisis reaction to be able to deliver a good professional care andindividual support to the women.

  • 2142.
    Zotova, Tanja
    et al.
    University West, Department of Nursing, Health and Culture.
    Ljungberg, Nina
    University West, Department of Nursing, Health and Culture.
    Orsaker till låg följsamhet till handhygienföreskrifter: En litteraturöversikt2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hand hygiene is the simplest and most fundamental means to prevent care related infections. It is of great importance that the guideline of hand hygiene is followed for the patient’s sake. Unfortunately, healthcare workers perform hand hygiene too seldom. If the patient comes down with a care related infection, the suffering will increase. The nurse's role is therefore to prevent unnecessary suffering for the patient by following recommendations for hand hygiene. In order to get a broader understanding of the reasons why the compliance of hand hygiene is so low the theory of planned behaviour was used (TPB). This theory explains the human behavior. Aim: The aim of this study was to describe causes of not following recommendations for hand hygiene among health care workers. Method: This literature review was based on quantitative and qualitative scientific articles. Results: The findings indicated that there were several factors that influence the low compliance of hand hygiene recommendations. These were summarized as: workload and lack of time, skin irritation, attitudes and motivation, insufficient access to hand hygiene products, inappropriate glove use, lack of knowledge and unawareness.

  • 2143.
    Zotova, Tanja
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Skogsberg, Gina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans erfarenheter av att kommunicera med patienter via tolk2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of patients with a foreign background is increasing, thereby it can be a challenge for the staff to communicate with those who do not speak the native language. Therefore, the need for good communication is crucial in order to meet patient’s right and secure the quality of nursing care. Interpreters are increasingly used in healthcare today, despite of this the communication between the nurse and patient does not work. Few studies are made where the communication between the nurse and patient through an interpreter is studied in the primary care in Sweden. Aim: The purpose of this study was to describe nurse’s experience of communication with patients through an interpreter in the primary care.

    Method: Eight nurses and district nurses were interviewed individually during winter 2013. The interviews were recorded and transcribed. A qualitative content analysis method was used to analyse the interview texts. Results: Four main categories were revealed: experiences of communicating through an interpreter, family member as an interpreter, professionalism among interpreters and strategies for the use of interpreters. It is a challenge to work through an interpreter since it require more time and resources. There are differences in the interpreter’s skills and to use relatives as interpreters is not optimal for the patient's autonomy. Nurses have their own strategies when it comes to the use of interpreters. In spite of this it is nurses pointed out the need for training in intercultural communication and training in effective use of interpreters. Conclusion: There is a need for better collaboration between the interpreter agency and the nurses there the views and expectations of both sides can be discussed. That could improve quality of the communication with the patient and provide the care that is planned. Training for nurses in intercultural communication should also be improved

  • 2144.
    Zouini, Btissame
    et al.
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Senhaji, Meftaha
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences,Tetouan, Morocco.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Self-reported aggressive and antisocial behaviors in Moroccan high school students2019In: Psihologija, ISSN 1451-9283, Vol. 52, no 3, p. 235-247Article in journal (Refereed)
    Abstract [en]

    The aims of the present study were to map the level and distribution of aggressive and antisocial behaviors in a sample of Moroccan high school students and to define the level of these behaviors in adolescents who reported parental alcohol use problems and/or experienced abuse. In total, 375 high school students completed the "Mental and Somatic Health without borders (MeSHe)" survey that includes the Life History of Aggression scale. Male students had significantly higher scores for aggression and antisocial behaviors than female. The students who reported experience of abuse or parental alcohol use problems scored significantly higher for aggression, self-directed aggression, and antisocial behaviors compared to students not reporting these negative psychosocial factors. Previously shown gender-specific patterns in aggressive and antisocial behaviors, but not in self-harm behaviors were confirmed in these Moroccan high school students. Reported experience of abuse and/or parental alcohol use problems were associated with increased frequency of aggressive and antisocial behaviors.

  • 2145.
    Zouini, Btissame
    et al.
    Abdelmalek Essaadi University, Department of Biology, Faculty of Sciences, Tetouan, Morocco.
    Sfendla, Anis
    Higher Institute of Nursing Professions and Health Techniques, Errachidia, Morocco.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Senhaji, Meftaha
    Abdelmalek Essaadi University, Faculty of Sciences, Tetouan, Morocco.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Mental health profile and its relation with parental alcohol use problems and/or the experience of abuse in a sample of Moroccan high school students: An explorative study2019In: Annals of General Psychiatry, ISSN 1744-859X, E-ISSN 1744-859X, Vol. 18, no 1, article id 27Article in journal (Refereed)
    Abstract [en]

    Background: Studies on mental health are scarce from Arab countries, especially studies focusing on adolescents. In addition to the neurobiological and physiological changes that occur during adolescent development, psychological, societal and cultural influences have strong effects on adolescents’ behavior and on their somatic and mental health. The present study aimed (1) to describe the mental health profile, operationalized as psychological distress, of a sample of Moroccan adolescents, and (2) to investigate how specific psychosocial factors (parental alcohol use problems and the experience of physical and/or psychological abuse) may affect adolescents’ mental health. Methods: The sample included 375 adolescents from conveniently selected classes of four high schools in the city of Tetouan in Morocco. The participants responded to an anonymous survey containing, beside other inventories, the Brief Symptom Inventory (BSI) and identified those reporting parental alcohol use problems and/or the previous experience of abuse. The sample characteristics were defined using descriptive statistics. The effects of the defined psychosocial factors were identified using the Kruskal-Wallis test, followed by the post hoc Fisher’s least significant difference test. Results: The most common problems found in high school students from an urban region of Morocco were memory problems, concentration difficulties, restlessness, fear, nervosity and feelings of inadequacy during interpersonal interactions. The female students reported significantly higher psychological distress levels when compared to the male students (p < 0.001). The adolescents reporting parental alcohol use problems and the experience of physical/psychological abuse showed significantly higher levels of psychological distress (p = 0.02), especially symptoms of somatization (p < 0.001), hostility (p = 0.005) and anxiety (p = 0.01), than those not reporting any of these psychosocial factors. Conclusion: The mental health profile of female adolescents from an urban area of Morocco is worse than that of their male fellow students. Adolescents reporting parental alcohol use problems and/or the experience of physical/psychological abuse need synchronized support from social- A nd healthcare services. © 2019 The Author(s).

  • 2146.
    Åhlund, Camilla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åström, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara medvandrare i en andlig och existentiell livsvärld: En kvalitativ litteraturbaserad studie om sjuksköterskors erfarenheter av andliga och existentiella möten vid livets slut.2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 91000 people died in Sweden in 2016 and of those who died an estimate of 70000-75000 needed palliative care. When facing one’s own death it actualises questions about life and death and what happens thereafter. An important aspect of caring for patients at the end of life is the existential and spiritual dimension and therefore it is important that nurses have adequate knowledge and insight to be able to provide the best possible spiritual care for the patients. Aim: The aim of this study was to illustrate nurses’ different experiences of existential and spiritual encounters with patients at the end-of-life. Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was used. An analysis of thirteen qualitative articles was carried out and resulted in 3 main themes and 12 subthemes. Results: The results of the study showed that some important factors with regards to existential encounters were courage, good communication skills, presence and the ability to care with love and compassion and to instill a sense of hope. For the nurses the encounters fostered a process of inner growth as they started to reflect on their own sense of spirituality and on issues of death and dying. Barriers included lack of time, knowledge and staff shortages. Conclusion: There is a need for sufficient time, education and support for the nurses to feel more prepared and comfortable in meeting the existential needs of the patients. Keywords: Palliative care, existential, spiritual, experience, nurse

  • 2147.
    Åhs Hultgren, Sofia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Suslova Olsson, Anna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    En litteraturbaserad studie med syfte att belysa personers upplevelser efter en organtransplantation2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a person suffers from organ failure, an organ transplantation can save life. Persons on the waiting list often have mixed feelings like uncertainty and hope for the future. Even the time after transplantation is described like a period of physical and mental challenges during the recovering.

    Aim: The aim of this study was to highlight persons´ experiences after an organ transplantation.

    Method: The method used was a literature-based study based on qualitative articles. A total of eight articles were analyzed with a Qualitative content analysis.

    Results: The results from the study showed that people experienced mixed feelings after transplantation and these were described in three main themes: A new reality, New strategies and Emotional roller coaster.

    Conclusion: People who have undergone an organ transplant experience both physical and mental stress during recovery.

  • 2148.
    Åkerlund, Sofia  
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lindgren, Jenny
    University West, Department of Health Sciences, Section for nursing - graduate level.
    "Försöka känna hopp samtidigt som jag försöker vara förberedd på det värsta": att vara närstående till en patient som vårdas på intensivvårdsavdelning.2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Relatives of a critically ill patient being cared for at an intensive care unit are in great need of support from the intensive care nurse. To be able to handle the stressful situation they need information, the opportunity to be involved and to be greeted in a positive manner.

    The purpose of this study was to describe relatives' psychiatric health at an intensive care unit.

    A cross-sectional study using a survey and qualitative content analysis was chosen as the design for this study.

    The result reveals that relatives feel great concern and have a hard time relaxing. A lot of them feel anxiety and depression as a result of the strains from the time at the intensive care unit. To oscillate between hope and despair meant that they lived with great uncertainty and made it difficult to keep their motivation up. They describe that their psychiatric health is affected by the promotion of relationships, as they're living with uncertainty, as they're being able to handle the situation and as they're experiencing a loss of control.

    The result of this study showed that relatives of a critically ill patient being cared for at an intensive care unit have a high occurrence of anxiety and depression. Resources need to be allocated to caring for relatives to prevent illness.

  • 2149.
    Åkerman, Karin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Setterberg, Jenni
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    "Jag är inte rädd för att tolka men jag är rädd för att missa någonting. Det är ett stort ansvar.": En intervjustudie om språktolkens erfarenhet2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It is important to use a language interpreter in health care meetings where patients do not speak Swedish to increase the understanding and participation among the patients. The use of a language interpreter in the health care meeting requires the interpreter and the caregiver to follow the regulations and guidelines at hand. It is a challenge for the language interpreters to be able to efficiently convey whatever is said during the meeting since there can be obstacles such as for the interpreter to be misunderstood or mistrusted in their job.

    Aim: To describe the language interpreter´s experiences of being a tool in the health care meeting. Methods: A qualitative study where interviews have been made with eleven language interpreters. The interviews have been analyzed by qualitative content analysis. Result: The language interpreter found his or her work rewarding with a great responsibility in conveying messages correctly between the parts. In some cases the language interpreter experienced that the caregiver or the patient didn't trust the interpretation to be correct. It was found hard to perform a proper interpretation when the caregiver or the patient lacked knowledge of the interpreter's role. According to the informants, the quality of the interpreted conversation increased significantly if both the language interpreter and the caregiver had experience in language interpretation. Conclusion: There is doubt about how to use a language interpreter in the health meeting according to the interviewed language interpreters. Even though there are regulations on, and guidelines to, how to conduct a meeting where a language interpreter is used, there are few caregivers who have knowledge about what their own role and the language interpreter role should be in the health care meeting.

  • 2150. Åman, J
    et al.
    Samuelson, Gösta
    Tuvemo, T
    Problemfri overgång till insulin 100 for barn  och ungdom1989In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 38, p. 3161-3162Article in journal (Other academic)
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