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  • 251.
    Boman, Åse
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Bohlin, Margareta
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Eklöf, Mats
    University of Gothenburg, Department of Psychology, Gothenburg, Sweden.
    Forsander, Gun
    The Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Munthe, Christian
    University of Gothenburg, Department of Philosophy, Linguistics and Theory of Science, Gothenburg, Sweden.
    Törner, Marianne
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Health care to empower self-care in adolescents with type 1 diabetes mellitus and an immigrant minority background2017In: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 5, article id 2050312117700056Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The pediatric diabetes team aims to support health, quality of life, and normal growth and development among adolescents with type 1 diabetes mellitus. Adolescents with an immigrant background have been found less successful in self-care. Previous research indicated that adolescents who had integrated the disease as a part of their self-image reasoned differently about their self-care to those who had not.

    OBJECTIVE: The aim of this study was to identify elements in the patient-pediatrician consultations that might influence such integration of the disease among adolescents with type 1 diabetes mellitus.

    METHODS: A total of 12 pediatrician-adolescent consultations were video-recorded and analyzed. The adolescents all had an immigrant background.

    RESULTS: Integration of the disease appeared enabled when responsibility was shared; when hope, autonomy, and emotions were confirmed; and when the pediatrician asked probing questions. Letting objective data dominate the adolescent's experiences, using risk as a motivator, neutralizing emotions in relation to having diabetes, and confirming forgetfulness, may instead inhibit disease integration.

    CONCLUSION: An extended person-centered approach with focus on the adolescent's experiences of everyday life with a chronic disease and less attention on physical parameters in the pediatrician-adolescent consultations may increase integration of the disease.

  • 252.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Bohlin, Margareta
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Eklöf, Mats
    University of Gothenburg, Gothenburg.
    Forsander, Gun
    University of Gothenburg, Gothenburg.
    Törner, Marianne
    University of Gothenburg, Gothenburg.
    Conceptions of Diabetes and Diabetes Care in Young People With Minority Backgrounds.2015In: Qualitative health research, ISSN 1049-7323, Vol. 25, no 1, p. 5-15Article in journal (Refereed)
    Abstract [en]

    Adolescents with type 1 diabetes (T1DM) need stable self-care routines for good metabolic control to minimize future cardiovascular health complications. These routines are demanding, and might be particularly challenging in underprivileged groups. The aim of this study was to gain in-depth knowledge on the experience of adolescents with T1DM and a non-Swedish background regarding factors that might influence their ability to take care of themselves; in particular, factors that might influence diabetes management routines, their social situation, and the support they receive from caregivers. We interviewed 12 adolescents with T1DM and minority backgrounds. The results indicated resources and constraints in the adolescents' social context and in the health care organization. The adolescents developed conceptions that helped to explain and excuse their self-care failures, and their successes. These findings highlight the importance of integrating T1DM as part of the individual's personal prerequisites. We discuss implications for the organization of diabetes care for adolescents.

  • 253.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Borup, Ina
    Nordic School of Public Health, Gothenburg.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Parents' discursive resources: Analysis of discourses in Swedish, Danish and Norwegian health care guidelines for children with diabetes type 12012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 2, p. 363-371Article in journal (Refereed)
    Abstract [en]

    The incidence of diabetes type 1 in children, the most common metabolic disorder in childhood, increases worldwide, with highest incidence in Scandinavia. Having diabetes means demands in everyday life, and the outcome of the child's treatment highly depends on parents' engagement and involvement. The aim of this study was to explore and describe discourses in health care guidelines for children with diabetes type 1, in Sweden, Norway and Denmark during 2007-2010, with a focus on how parents were positioned. As method a Foucauldian approach to discourse analysis was applied, and a six-stage model was used to perform the analysis. The findings shows a Medical, a Pedagogic and a Public Health discourse embedded in the hegemonic Expert discourse. The Expert discourse positioned parents as dependent on expert knowledge, as recipients of education, as valuable and responsible for their child's health through practicing medical skills. This positioning may place parents on a continuum from being deprived of their own initiatives to being invited to take an active part and could result in feelings of guilt and uncertainty, but also of security and significance. From this study we conclude that guidelines rooted in the Expert discourse may reduce opportunities for parents' voices to be heard and may overlook their knowledge. By broadening the selection of authors of the guidelines to include patients and all professionals in the team, new discourses could emerge and the parents' voice might be more prominent. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.

  • 254.
    Boman, Åse
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers' involvement in their child's diabetes care - seen from a health promotion perspectiveIn: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549XArticle in journal (Refereed)
  • 255.
    Borgede, Emma
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vuxna personers upplevelser av att leva med funktionsnedsättningen ADHD: - en självbiografistudie2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    ·ADHD  is a syndrome characterized by attention deficits, difficulty of concentration, restlessness and lack of control. The number of persons diagnosed with ADBD have increased over the past few years. One reason for the increase is believed to be that the knowledge has increased in recent years and more persons can be diagnosed . As a nurse it is important to know about ADHD and how it affects the persons with it.

    Aim. The purpose of this autobiography study was to describe the experience of adult persons living with the disability ADHD.

    Method. A qualitative approach was used for this literature review. In this study two biographies were analyzed. Qualitative content analysis was used with a manifest focus.

    Results The analysis of the biographies revealed two main categories; perceptions of lack of control and experiences of various emotions. The results shows that the person experience disorder in life, impulsiveness, difficulty of concentration, feeling different, anger and anxiety and being brave and curious.

    Conclusion To live with ADHD is something that effects the whole life for the person. To get the diagnosis is a relief and an explanation for their behavior. The authors of the biographies had both had a hard school time where extra help and support would have been valuable. The persons thinks that ADHD gives them both benefits and difficulties. Nurses can better help the persons by seeing each individual based on their own potential

  • 256.
    Borgström, Kajsa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kartunnen, Marlene
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att växa upp med ADHD: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Around five percent of all school children in Sweden are living with ADHD. ADHD is a neuropsychiatric disability which is manifested through hyperactivity, impulsiveness and difficulties to concentrate. As more children get diagnosed with ADHD, general nurses are required to meet these children more frequently in health care. It is therefore very important for the nurses to have good knowledge about how these children should be treated. Through increased knowledge about how children with ADHD experience their situation, a better understanding about the needs can be gained. Therefore the aim of this study was to illuminate experiences growing up with ADHD. Method: A literature-based study with analyses of qualitative studies was conducted. The analytical method was based on Friberg's five-step model. The results of a total of 10 scientific articles were compiled. Results: The result revealed three main themes and eight sub themes. The three main themes were; experiences of being different, the experiences of support and understanding from surroundings and impact from the environment. Conclusion: The result showed that the participants were affected by how they were treated by society. An accepting and understanding environment enabled the children to better manage daily life. Better understanding of ADHD by the society, including general nurses, and an increased acceptance of the children’s behavior and how they should be treated, could change their daily life in a positive way.

  • 257.
    Boström, Annika
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Mehmedovic, Edina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Rättspsykiatriska vårdares attityder till patienter diagnostiserade med Antisocialt personlighetssyndrom2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 4 % of the Swedish population meet the criteria for the diagnosis of antisocial personality disorder (ASPD). Individuals with ASPD are a difficult patient group to work with. Their personality can trigger different attitudes among the health care staff. The attitudes among the personnel can have an effect on the quality of the care that is given. Aim: The aim of this study was to describe forensic care staff attitudes toward patients diagnosed with ASPD.Method: A quantitative descriptive study has been performed. Forensic care staff completed a questionnaire about their attitudes towards patients diagnosed with ASPD. Data was analysed with Mann-Whitney test. Two main scales, "Work-satisfaction" and "Motivation" were created and with their help the study subject were categorized as "Satisfied" or "Unsatisfied" and "Motivated" or "Unmotivated". The impact of these categories on attitudes was studied in the sample.Results: The overall attitude of caregivers toward patients with ASPD was from neutral to negative. Only 12% of respondents indicated a positive attitude to this specific patient group and 65% of them had only low motivation to work with them. Those who were satisfied with their job had a neutral attitude toward patients with ASPD and they considered these patients dangerous. The result showed also that the motivated caregiving members actually had a low level of belief that their work is useful or that ASPD-patients can be treated, and these caregivers had a more negative attitude towards patients with ASPD. Conclusion: The conclusion of this study is that forensic caregiver have a neutral attitude towards patients diagnosed with ASPD. Low motivation and work-satisfaction was identified among the respondents and these factors do not correlate with each other.

  • 258.
    Boström, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Runge, Jenny
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Den inre konflikten: Sjuksköterskors förhållningssätt till och upplevelser av att vårda individer med substansbrukssyndrom.2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research shows that individuals with substance use disorder experience stigmatization in society, close relationships and even negative attitudes in health care. These individuals increase in number and are a patient group that general nurses can meet in their daily work. It has also been shown that nursing treatment with regard to these individuals may be crucial for seeking and maintaining treatment. This study therefore focuses on nurses’ attitudes towards these individuals but also on their experiences when caring for them. Aim: To investigate the nurse’s attitudes to and experiences of care of individuals with substance abuse disorder. Method: The method used was a systematic literature study with basic qualitative analysis. Result: The results is presented in two domains; "Nurses’ approach" and "Nurses’ experiences" with seven categories. What turned out was a link between high level of knowledge and awareness and good care. The results also showed that some nurses had negative expectations for this patient group, which negatively affected nursing care. We could also discern an inner conflict within the nurses, who often felt insufficient and unable to provide the care the individual was entitled to. Conclusion: Nursing approaches and experiences varied. A link between knowledge and awareness and provision of good care and preventing or reducing prejudice, was found. Society and its culture tend to affect the nurses’ views of individuals with substance abuse disorder. The inner conflicts occurred when nurses did not give the individual the care that he or she were entitled to.

  • 259.
    Bouchatta, Otmane
    et al.
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Ouhaz, Zakaria
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Ba-Mhamed, Saadia
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Kerekes, Nóra
    University West, Department of Health Sciences, Section for health promotion and care sciences. University of Gothenburg, Centre for Ethics, Law and Mental Health (CELAM), Institute for Neuroscience and Physiology, Sweden; Swedish Prison and Probation Service, Gothenburg, Sweden.
    Bennis, Mohamed
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Acute and chronic glue sniffing effects and consequences of withdrawal on aggressive behavior2016In: Life Sciences, ISSN 0024-3205, E-ISSN 1879-0631, Vol. 152, p. 14-20Article in journal (Refereed)
    Abstract [en]

    Drug abuse act on brain mechanisms that cause a high-risk individual to engage in aggressive and violent behavior. While a drug-violence relationship exists, the nature of this relationship is often complex, with intoxication, neurotoxic, and withdrawal effects often being confused and/or confounded. Glue sniffing is often a springboard to the abuse of more addictive drugs. Despite its high prevalence and serious consequences, we know relatively little about the aggressive behavioral effects of volatile inhalants abuse, especially glue. The aim of the present study was to investigate the link between the duration of glue exposure, a common substance abuse problem in Morocco, and the level of aggressive behavior during withdrawal. For this we used the isolation-induced aggression model "residents" in three groups of mice. The first group served as control resident animals (n=10, without exposure); the second group as experimental resident mice (n=10) tested before and after acute (first day) and chronic exposure to the glue, and at 1 and 2weeks of withdrawal; and the third group of 10 intruder animals. The results showed that the number of attacks decreased (halved) and the latency of the first attack increased (doubled) following acute glue sniffing. However, the effects of chronic exposure and of 1week of withdrawal led to an increase in the intensity of agonistic encounters. After 2weeks of withdrawal, the intensity of aggressive behavior decreased again. These results indicated that chronic glue exposure and the first week of withdrawal are associated with increased aggression in mice.

  • 260.
    Bourne, Frans
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rydberg, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personcentrerad vård vid demens2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a disease that is increasing among the population. It is an incurable disease that affects memory, cognitive function, communication and everyday activities. The treatment is mainly focused on care - as the available medicine only acts to reduce symptoms of the disease. The disease is associated with behaviors like unease, agitation and aggression. A way to meet the increased care-needs of a person with dementia is to apply person centered care. It is a form of care that focuses on the individual and their needs.

    Aim: The aim of this study was to illuminate nurse's experiences of applying person centered care to persons living with dementia.

    Method: A qualitative literature-based study. Twelve articles were selected and analyzed. Results: The results show that the nurses' felt that the relationship with the person with dementia is important in order to be able to carry out person-centered care. This relationship is created by learning about the person and their background and current needs. The results show that the nurses' experiences of person-centered care was that attitudes created a basis for giving appropriate care. These experiences also showed the possibilities to handle questions of an existential nature. Furthermore, the nurses found that the physical environment had a great impact on their ability to interact with the person and to meet the persons' challenging behaviors in a satisfactory way. They also found that their knowledge of the person greatly improved which led to the soothing of the persons suffering. The nurses' experiences show that the person-centered care-method requires specific circumstances. 

    Conclusion: This study provides a crucial insight into the experiences of nurses when applying person-centered care on persons living with dementia. The nurses play a key role in soothing unease and limiting the amount of suffering a person has to endure whilst they are in a new and unfamiliar environment. There is a definite lack of knowledge among the nurses in how to communicate efficiently with a person living with dementia

  • 261.
    Bratt, Ewa-Lena
    et al.
    University of Gothenburg, Institution of Health and Care Sciences, Gothenburg, Sweden..
    Burström, Å
    Karolinska Institute, Institution for Women's and Children's Health, Stockholm, Sweden..
    Hanseus, K
    Department of Pediatric Cardiology, Skåne University Hospital, Lund, Sweden.
    Rydberg, A
    Umeå University, Department of Clinical Sciences, Pediatrics, Umeå, Sweden..
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Pediatrics, The Queen Silvia Children's Hospital, Gothenburg, Sweden.
    Do not forget the parents: Parents' concerns during transition to adult care for adolescents with congenital heart disease2018In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 44, no 2, p. 278-284Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Growing up with congenital heart disease (CHD) often means transfer to adult care and lifelong medical follow-up. An optimal transition process usually involves a multipart collaboration between the patient, their parents and other family members, and the healthcare providers. Taking an active role while knowing when it is time to step aside can be difficult for all the concerned parties, even the healthcare professionals. The aim of the present study therefore, was to explore parents' expectations and needs during their adolescent's transition to adult care.

    METHOD: Semi-structured interviews were conducted with 18 parents of 16 adolescents (aged 13-18 years) with CHD in 4 pediatric cardiology settings in Sweden. The interviews were analysed with qualitative content analysis.

    RESULTS: The analysis resulted in 2 main themes: (a) Feeling secure-the importance of being prepared and informed. This theme focused on the need to be prepared and informed about transition and future transfer to adult care. (b) Recognizing when to hand over at the right time. This theme addressed the process of handing over the responsibility from the parent to the adolescents and contained handing over from pediatric care to adult care.

    CONCLUSION: Being prepared and informed about the upcoming transition process was essential. The parents underlined the importance of being involved in the transition planning for gradually handing over responsibility to the adolescent. They also considered establishing contact with the adult healthcare team before transfer as important and needed to be assured that CHD-related information of importance for the young person's daily life would be given.

  • 262.
    Brink, Charlotte
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jönsson, Michaela
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det är bara en sjukdom: Människors upplevelser av att leva med HIV2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Through successfully medical therapy of HIV today the population with HIV is an increasing group of patients. These patients have to suffer a lot of difficult challenges and therefor are in a big need of a lot of support. Therefore the experiences of living with HIV is an important knowledge that makes it easier for the nurse in the care and support of persons with HIV. Aim: The aim was to describe peoples experiences of living with HIV Method: A literature-based study based on twelve qualitative studies was performed Results: The study resulted in five main categories which together gives a view over the experiences of living with HIV. The categories is: life takes a different turn, come out or keep it secret, consequences of the diseases, need for support and life goes on. Conclusion: The result shows that living with HIV can be a challenge and the nurse is an important person for this population, who they can get support from. Much support is needed when it can be hard for some to live the life they want and many who is diagnosed with HIV is living with it as a secret. Nurses knowledge about their experiences is important to confirm their feelings and reduce the stigma that is common in the society by sharing their knowledge.

  • 263.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Adaptation Positions and Behavior Among Post–Myocardial Infarction Patients2009In: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, Vol. 18, no 2, p. 119-135Article in journal (Refereed)
  • 264.
    Brink, Eva
    University West, Department of Nursing, Health and Culture.
    Considering both health-promoting and illness-related factors in assessment of health-related quality of life after myocardial infarction2012In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 6, no 1, p. 90-94Article in journal (Refereed)
    Abstract [en]

    The present study addresses factors that contributed to explaining the variance in health-related quality of life (HRQOL) one year after myocardial infarction, considering both illness-related and health-promoting factors. The aim was to elucidate the influence of depression, fatigue, optimism and sense of coherence on HRQOL. The sample consisted of 95 persons who had been treated for myocardial infarction. Correlation and multiple regression analyses were performed. The results showed that depression, fatigue, optimism and sense of coherence variables were all correlated with both the physical and the mental dimensions of HRQOL. In two multiple regression analyses where the physical component score (PCS) and the mental component score (MCS) were the criterion variables, fatigue contributed to the explained variance in the PCS (p< 0.001), and both depression (p< 0.01) and fatigue (p< 0.01) contributed to explained the variance in the MCS, after controlling for age and gender. To conclude, fatigue was the most significant variable associated with HRQOL, which was interpreted as having the following clinical implication: When a person suffers from post-myocardial infarction fatigue, this must be addressed first. Clearly, it is time to take the problems of patients who suffer from post-myocardial infarction fatigue seriously. It is of vital importance to develop and evaluate fatigue relief strategies in cardiovascular nursing and to test them in interventional studies. This does not exclude investing in health-promoting factors, e.g. sense of coherence, in coronary care interventions. Intervention strategies focusing on both illness-related and salutogentic factors may be optimal. This is a question for further research.

  • 265.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Psykosociala konsekvenser av hjärtinfarkt.2006In: Inre och yttre världar.: Funktionshinder i psykologisk belysning / [ed] Hjelmquist, Erland., Lund: Studentlitteratur , 2006, p. 129-145Chapter in book (Other academic)
  • 266.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brändström, Yvonne
    Department of Medicine, Uddevalla Hospital, Sweden.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Herlitz, Johan
    Sahlgrenska University Hospital, Department of Molecular and Clinical Medicine.
    Karlson, Björn W.
    AstraZeneca R&D, Mölndal, Sweden.
    Illness consequences after myocardial infarction: Problems with physical functioning and return to work2008In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 64, no 6, p. 587-594Article in journal (Refereed)
  • 267.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Herlitz, Johan
    Department of Cardiology, Sahlgrenska University Hospital.
    Karlson, Björn W.
    Medicine and Science, AstraZeneca R and D, Mölndal.
    Dimensions of the Somatic Health Complaints Questionnaire (SHCQ) in a sample of myocardial infarction patients2007In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 6, no 1, p. 27-31Article in journal (Refereed)
  • 268.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Karlson, Björn W
    Sahlgrenska University, Division of Cardiology.
    Hallberg, Lillemor R M
    Halmstad University, School of Social and Health Sciences.
    Health-related quality of life in women and men one year after acute myocardial infarction2005In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 14, no 3, p. 749-57Article in journal (Refereed)
    Abstract [en]

    The purpose of the present study was, first, to detect possible changes in health-related quality of life (HRQL) over time and, second, to predict HRQL at 1 year based on measures made 1 week and 5 months after a first-time acute myocardial infarction. There was an improvement in HRQL at 1 year, as measured by the questionnaire 36-item Medical Outcomes Study Short-Form (SF-36), for both men and women as compared with the assessment 5 months after the acute myocardial infarction. However, the pattern was somewhat different for women and men. Women mainly reported increased scores on scales reflecting better mental health, whereas men, on the whole, demonstrated higher scores in the physical health domain. Depression (HAD) and fatigue were identified as early predictors of lower HRQL at the 1-year follow-up. Our conclusion is that early assessment of fatigue and depression is worthwhile, as they may indicate decreased HRQL in men and women 1 year after first-time myocardial infarction.

  • 269.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Karlson, Björn W
    Medicine and Science, AstraZeneca R&D, Mölndal.
    Hallberg, Lillemor R-M
    Halmstad University, School of Social and Health Sciences.
    Readjustment 5 months after a first-time myocardial infarction: reorienting the active self.2006In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 53, no 4, p. 403-11Article in journal (Refereed)
    Abstract [en]

    AIM: This paper reports on an interview study exploring the self-regulation process in women and men, 5 months after a first-time myocardial infarction. BACKGROUND: Somatic, psychological and social factors affect readjustment after a first-time myocardial infarction, and studies have demonstrated substantial rates of depression in patients after myocardial infarction Women report poorer mental health and physical condition than do men. Reconstruction of the self begins when disease poses novel problems and is more likely to occur in cases of long-lasting and disruptive illnesses. Experiencing myocardial infarction is likely to alter a person's mental representation of self. However, the self-regulation process following first-time myocardial infarction is not yet fully understood. METHOD: Twenty-one people (11 women, 10 men) were interviewed 5 months after first-time myocardial infarction. The grounded theory method provided the strategies for data collection and analysis. FINDINGS: Interviewees' definition of themselves as active was threatened by fatigue and other health problems that kept them from taking part in activities as they had done before the heart attack. Although reorienting the active self was central to the process of recovery from myocardial infarction, reorienting was restricted by illness perception and coping. CONCLUSION: Participants had not established a stable health condition 5 months after first-time myocardial infarction. They mainly preferred to moderate rather than radically change their daily life activities. They needed more knowledge and support. Nurses can help with information and advice on managing daily life activities, including dialogue about lifestyle changes at this phase of readjustment.

  • 270.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Persson, Lars-Olof
    University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Karlson, Bjön W.
    Astra Zeneca RandD, Mölndal.
    Coping with myocardial infarction: Evaluation of a coping questionnaire2009In: Scandinavian Journal of Caring Sciences, Vol. 23, no 4, p. 792-800Article in journal (Refereed)
    Abstract [en]

    Coping with myocardial infarction: evaluation of a coping questionnaire The negative effects of emotional distress on the recovery following myocardial infarction make it important to study coping strategies in this situation. The present study aimed to evaluate the psychometric properties and the validity of a 10 dimensions questionnaire labelled The General Coping Questionnaire (GCQ). The structure of the questionnaire was based on a previous interview study with 26 persons with different diseases. The 10 dimensions are called self-trust, problem-reducing actions, change of values, social trust, minimization, fatalism, resignation, protest, isolation and intrusion. The present study comprised 114 first-time myocardial infarction patients (37 women, 77 men). Five months after myocardial infarction, they answered questions about health-related quality of life, health complaints, sense of coherence and the GCQ. A multi-trait/multi-item analysis showed good item-scale convergent and discriminatory validity when the GCQ was reduced from 47 to 40 items. In conclusion, the results showed that the 40-item GCQ is a well-structured and reliable questionnaire for measuring coping strategies in myocardial infarction patients.

  • 271.
    Brodin, Frida
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Forsberg, Ludwig
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Föräldrars upplevelse av att leva med barn som har Autismspektrumtillstånd2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    There are several reasons why children are born with Autism Spectrum Disorder. The diagnosis is usually obtained in the child´s early years, often before the age of three years. Limits in social interaction, communication and emotions follow with the Autism Spectrum Disorder.

    Aim:

    To describe parents´ experiences of living with a child with Autism Spectrum Disorder in the daily life.

    Method:

    A literature-based study of nine articles with qualitative approach. The authors analyzed the articles with the purpose to obtain a greater understanding of parents´ experiences.

    Results:

    Three themes were constructed with suitable sub-themes. The main findings were that parents experienced isolation from their child and the community. Parents also described their life situation as greatly changed. Emotions that parents felt were anxiety, stress, grief, anger and frustration.

    Conclusion:

    This study provides information about how parents experience living with a child who has Autism Spectrum Disorder. One of the major problems was that the parents felt isolated both from their own child and the community. Parents also found it troublesome to complete family activities. This information gives the nurse opportunity to support and help the parents in an adequate way. Despite this, more study needs to be done to achieve an even better care for these families.

  • 272.
    Broeren, Jurgen
    et al.
    Sahlgrenska Akademin, Göteborgs Universitet.
    Pareto, Lena
    University West, Department of Economics and IT, Division of Media and Design.
    Johansson, Britt
    NU-sjukvården, Uddevalla kommun.
    Ljungberg, Christer
    University West, Department of Economics and IT, Division of Computer Science and Informatics.
    Rydmark, Martin
    Sahlgrenska Akademin, Götebrog Universitet.
    Stroke rehabilitation using m-Health Care and 3D virtual environments: work in progress2010In: Proceedings of the 8th International Conference on Disability, Virtual Reality and Associated Technologies / [ed] Sharkey, Paul & Sánchez, Jaime, 2010, p. 115-122Conference paper (Refereed)
    Abstract [en]

     We have now started testing a telehealth system for stroke rehabilitation in a rural area in Sweden (NU- Hospital Group Area). For collection of assessments and audiovisual communication, the telehealth system has bidirectional contact with the home-based units. To date, three stroke subjects’ participated; they were instructed to play 3D computer games with the hemiplegic upper extremity. The intervention led to clinical changes for all subjects. The analysis of the audiovisual communication revealed that the both stroke subjects and therapists were not yet effective in regulating their turn taking process. The data suggests the feasibility of a distance based approach using 3D virtual environments for upper extremity rehabilitation after stroke.

  • 273.
    Brolin, Andreas
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Ida
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Riskfaktorer för suicid hos män inom kriminalvård: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Suicide is a globally problem and it is the commonest cause of death among young men. Inmates in correctional facilities have higher suiciderate than general population. More knowledge about riskfactors could prevent suicide.

    Aim:

    The aim of this study was do describe suicide riskfactors among men in correctional facilities.

    Method:

    A literature review where both qualitative and quantitative articles were included. Twelve articles were analyzed and thematised into three themes and twelve subthemes.

    Results:

    Three themes were identified as the main riskfactors of suicide. The first theme is individual riscfactors, such as psychiatric disorders and substance abuse. The second theme is riskfactors related to incarceration, which involves enviromental aspects and lack of social relations. The last theme is riskfactors related to history of psycological, physical and social trauma.

    Conclusion:

    Awareness of riskfactors for suicide in correctional facilities is necessary to take adequate actions, in purpose to prevent suicide

  • 274.
    Brunius Charlez, Hilda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Ellinor
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors erfarenheter av att leva med endometrios: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronical disease and it affects 10 % of all human beings living with an uterus. There are still little known about the etiology of endometriosis. The most common symptom is deep pelvic pain and the women who´s living with endometriosis are often affected by the disease in their daily life. Aim: The aim of this study was to gain understanding for women´s experiences of living with the chronical disease endometriosis. Method: This study was a literature-based study and it's based on 10 qualitative articles that were analyzed for the result. The articles were analyzed by using the method of contributing to evidence-based nursing based on analysis of qualitative research. Results: Two main themes emerged from this study as; The impact of the human meeting and the impact on quality of life. Seven subthemes were identified as; to be treated with ignorance, to not been taken seriously, to be confirmed, to get a diagnosis, to find coping strategies, that the social life is affected and that relationships are affected. Conclusion: Conclusions that can be deducted from this study are that women who suffer from endometriosis experience different dimensions of suffering. The need of more knowledge about endometriosis and how that can affect the women’s experiences of the healthcare is another conclusion that can be deducted from the study.

  • 275.
    Brzovic, Ana
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Alm, Nikolina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    "Jag är inte mer än människa": En kvalitativ studie om de utmaningar behandlingsassistenter möter i att skapa och upprätthålla en professionell relation till ungdomar vid transitboenden2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Health is a broad definition and can be explained in different ways. Regardless of how different individuals perceive health, all clients need a good relationship towards professionals to achieve health. To create and maintain a good professional relationship can be demanding for care assistants, especially when working with adolescents under difficult circumstances.

    The aim was to enlighten challenges that care assistants encounter while creating and maintaining a professional relationship with adolescents at transit accommodations.

    The study had a qualitative approach and was based on five semi-structured interviews with care assistants at transit accommodations. The interviews were transcribed with the use of qualitative content analysis.

    Results showed the importance for care assistants to separate private life while working and to have clear boundaries to create a good professional relationship towards the adolescents. During the interviews all the participants agreed on the importance of theoretical and practical knowledge to accomplish a professional relationship towards the adolescents. Results also showed how various factors such as age, gender and culture can affect the care assistants ability to create and maintain a professional relationship.

    The conclusion was that care assistants encounter many challenges while working with adolescents. The care assistants need to build up a good professional relationship towards the adolescents in the transit accommodations for adolescents to feel safe and secure. To be able to do so the care assistants need theoretical knowledge and to have a unified staff group through explicit rules and policies.

  • 276.
    Brämberg, Elisabeth Björk
    et al.
    University of Gothenburg, The Sahlgrenska Academy, Institution of Health and Care Sciences,.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Määttä, Sylvia
    Centre for Gender Equal Care, Göteborg, .
    Lack of individualized perspective: A qualitative study of diabetes care for immigrants in Sweden2012In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 14, no 2, p. 244-249Article in journal (Refereed)
    Abstract [en]

    This study describes the care provided by a diabetes nurse specialist, and the care needs expressed by people with type 2 diabetes mellitus and an immigrant background. Clinical encounters between a diabetes nurse specialist and 10 people diagnosed with type 2 diabetes mellitus were observed and analyzed by means of qualitative content analysis. One theme, "the diabetes nurse specialist as the conductor of the visit", and four categories emerged from the findings, illustrating the power imbalance between the patients and the diabetes nurse specialist, as well as the lack of an individual perspective. Shifting from a medical perspective to one of openness towards the people's experiences provides a possibility for caregivers to empower patients suffering from type 2 diabetes mellitus. The medical perspective seemed to steer the visit towards curative activities. Thus, technique-centered care should be developed by including individualized care. © 2012 Blackwell Publishing Asia Pty Ltd.

  • 277.
    Brändström, Linnea
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Mazaz Pozveh, Nader
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nurses experience of collaboration between community healthcare and psychiatric in-patient care: a Swedish study2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Aim: The aim of the study is to examine register nurses experiences of collaboration between community healthcare and psychiatric in- patient care.

    Background: Register nurses indicate a need of routines in collaboration between community health care and psychiatric inpatient care in the western Sweden region.

    Method: Qualitative content analyses of focus group interviews.

    Results: Register nurses experienced the healthcare communication program as a big obstacle in a developing process of a collaboration plan. The deficiencies in collaboration between the register nurses were due to poor knowledge about each group of nurses working tasks.

    Conclusion: The findings contribute an understanding of the barriers in collaboration between register nurses in the Community healthcare and Psychiatric in- patient care. That requires improvement from the nurse managers to contribute well function routines.

    Implications for Nursing Management: Nurse Managers need to develop a more structured collaboration plan between units to create a better collaboration in caring of the patient

  • 278.
    Brändström, Linnéa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Primary Health Care in Sollebrunn.
    Mazaz, Nader
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. The Psychiatric Clinic, Norra Älvsborg County Hospital, Trollhättan.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Nurse collaboration in community and psychiatric care: a Swedish study2015In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 20, no 6, p. 297-303Article in journal (Refereed)
    Abstract [en]

    Aim The aim of the study was to examine registered nurses’ (RNs) experiences of collaboration in the community health care and psychiatric inpatient care systems. Background RNs in one area in the west of Sweden have indicated the need for collaborative routines between the community health care and psychiatric inpatient care systems. Method Qualitative content analysis of focus group interviews. Results RNs felt the web-based health-care communication programme was a major obstacle to the development of a collaboration plan. The poor collaboration between RNs was due to the absence of knowledge about the duties of each nursing team. Conclusion The findings contribute to the understanding of the barriers to collaboration between RNs in community health care and psychiatric inpatient care, and highlight the need for nurse managers to ensure well-functioning routines.

  • 279.
    Brändström, Yvonne
    et al.
    NU Hospital Group, Trollhättan, Department of Internal Medicine, Heart Center.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Herlitz, Johan
    Sahlgrenska University Hospital, Department of Molecular and Clinical Medicine.
    Karlson, Björn W
    AstraZeneca R&D, Mölndal.
    Physical activity six months after a myocardial infarction2009In: International journal of nursing practice, ISSN 1440-172X, Vol. 15, no 3, p. 191-7Article in journal (Refereed)
    Abstract [en]

    In the present study, we wished to explore physical activity in middle-aged patients 6 months after a myocardial infarction and to compare the patients' self-reported activity level with pedometric measures of footsteps/day. The sample comprised 89 patients with myocardial infarction, aged

  • 280.
    Bräutigam, Filippa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hossain, Golam
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hur sjuksköterskor främjar välbefinnande hos barn med malnutrition i Indien: en intervjustudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract:

    Malnutrition is a widespread problem in India and the rest of the developing countries. Children, adolescents and especially female children are suffering from it. Poor diet leads to an increased health risk in terms of infections, neurological diseases and stunting. The aim of the study was to illuminate what nurses do in order to promote wellbeing for children suffering from malnutrition in India. The study was a qualitative interview study with an inductive approach. The seven informants worked as nurses or clinical teachers at a pediatric clinic in a private hospital, East India. All informants had a long working experience of children care. Content analysis has been used to analyze the data material. The informants underlined the fact that there is an overall lack of knowledge about nutrition in the Indian society. The concept of a balanced diet is missing. The result also showed that the children´s wellbeing is promoted by playing and building their self-esteem. The findings can be used by nurses choosing to work in developing countries or when they meet refugees with a bad nutritional status.

  • 281.
    Brülde, Bengt
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Art and science, facts and knowledge2007In: Philosophy, Psychiatry, and Psychology, ISSN 1071-6076, E-ISSN 1086-3303, Vol. 14, no 2, p. 111-127Article in journal (Refereed)
  • 282.
    Brülde, Bengt
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Can successful mood enhancement make us less happy?2007In: Philosophica, ISSN 0379-8402, Vol. 79, p. 39-56Article in journal (Other academic)
    Abstract [en]

    The main question is whether chemically induced mood enhancement is (if successful) likely to make us happier, or whether it may rather have detrimental effects on our long-term happiness. This question is divided into three: (i) What effects are mood-enhancing drugs likely to have on the long-term happiness of the person who takes these drugs? (ii) How would these drugs affect the happiness of the immediate environment of the people who take them, e.g. children or spouses? (iii) What effects would a wide-spread use of mood-enhancing drugs have on society as a whole, and how would this affect the long-term happiness of its citizens? My answers to these questions are very tentative, partly because we know too little about what non-hedonic effects these drugs can be expected to have. It is possible that these drugs would have detrimental effects on some determinants of happiness, however, e.g. marriage and friendship, social and physical activity, rational problem-solving and mental effectiveness, political participation and interpersonal trust. But on the other hand, there are also a number of determinants of happiness that might be positively affected by a wide-spread and frequent use of mood-enhancing drugs.

  • 283.
    Brülde, Bengt
    University West, Department of Nursing, Health and Culture.
    Lyckoforskning och etisk reflektion2009In: Omvårdnadshandledning: ur etiskt och tvärdisciplinärt perspektiv / [ed] Barbosa da Silva, António, Berggren, Ingela, Nunstedt, Håkan, Lund: Studentlitteratur , 2009, 1., p. 145-159Chapter in book (Other academic)
  • 284.
    Brülde, Bengt
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Mental Disorder and Values2007In: Philosophy, Psychiatry, and Psychology, ISSN 1071-6076, E-ISSN 1086-3303, Vol. 14, no 2, p. 93-102Article in journal (Refereed)
    Abstract [en]

    It is now generally agreed that we have to rely on value judgments to distinguish mental disorders from other conditions, but it is not quite clear how. To clarify this, we need to know more than to what extent attributions of disorder are dependent on values. We also have to know (1) what kind of evaluations we have to rely on to identify the class of mental disorder; (2) whether attributions of disorder contain any implicit reference to some specific evaluative standard; and (3) whether the concept of mental disorder is value laden in the definitional or in the epistemic sense. I will argue that the evaluations we have to rely on are mainly considerations of harm, but that we also need to rely on other evaluations; that there should be no references to specific evaluative standards; and that even though mental disorders are necessarily undesirable, "mental disorder" may well be a descriptive phrase.

  • 285.
    Bubach, Ronja
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Göransson, Diana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur patienter med HIV eller AIDS upplever bemötandet av vårdpersonal2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: HIV and AIDS is a severe infectious disease. The first cases of AIDS were recorded amongst homosexual men in the United States. The disease has been found in more than 200 countries. There is a stigma surrounding the disease and patients are still being exposed to discrimination and indignity. Bad interactions between patients and healthcare personnel (HCP) caused concern and the patients avoided care to great extent. Aim: The aim was to increase the understanding of HIV and AIDS patients' experiences of the encounters with HCP in a medical context.

    Method: The method was grounded in analysis of qualitative research and was used to create an oversight of a specific phenomenon. Systematic searches in PubMed and Cinahl along with unsystematic searches resulted in 11 qualitative articles. The articles was analyzed and resulted in three main and six under themes.

    Results: The result indicated that the patients experienced both positive but mainly negative experiences. The experiences that was described was attributes among the HCP, actions in the meetings and feelings among the patients. The attitude towards the patients failed in healthcare situations and was uttered through discrimination and indignity. Confidentiality was breached and patients were denied care.

    Couclusion: The stigmatatism was widely figured in the healtcare system and had its core in the lack of knowledge about the disease. It is of fundamental importancy to increase the knowledge about the disease, for both HCP and the public.

  • 286.
    Buic, Ivan
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kazempour, Mitra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser och erfarenheter av att leva med fatigue efter en stroke: En litteraturbaserad studie grundad på analys av kvalitativ forskning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stroke is the third largest cause of death in Sweden, each year about 30 000 people are diagnosed. Fatigue after stroke is a common hidden dysfunction that has been known only the last 10 years. It has earlier been perceived and treated as a symptom of depression after stroke. The prevalence of fatigue is 72 % in the first year after stroke, with evidence illustrating a decrease to 33% after 2 years. The aim of this study was to illustrate patient's experiences of living with fatigue after stroke. The method used was a literature study based on qualitative scientific articles.

    The results of the study shows five core themes: 'Barriers to return to employment', 'Lack of knowledge and understanding', 'Change in roles', 'Invisible disabilities' and 'Limitation to perform activities'. Conclusion: Fatigue after stroke leads to the suffering of the patient and relatives. Commonly, fatigue manifests itself most often when the patient is discharged from the hospital and can occur without the presence of physical disabilities. Fatigue limits the social life and creates conflicts in family relations. Furthermore, it creates difficulties to work and to perform physical activities. This ultimately leads to a loss of 'the self' and threatens the patient's sense of coherence. Healthcare workers have insufficient knowledge regarding fatigue to be able to provide adequate care and rehabilitation.

  • 287.
    Bylund, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Olsson, Marielle
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Faktorer av betydelse vid överrapportering mellan ambulans och akutmottagning2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Handover occurs as a daily task for health care professionals in all levels of care. Handover between ambulance crew and emergency department staff stands for the first exchange of information about a patient’s condition. Different factors may impact the handover communication and make it vulnerable.

    Aim

    The aim is to highlight factors of importance at handover between the ambulance and emergency room.

    Method

    A literature review of thirteen studies with qualitative and quantitative research approach. The purpose of this literature review was to provide an overview of the area.

    Results

    Experiences for health care professionals is that communication is important for patient handover between ambulance and emergency department. This information, as well as how information is structured and communicated, is an important part of the handover process. Knowledge, skills, responsibility and professionalism is conducive for making professional judgments. Health care workers pressured work environment, and lack of organizational structure are factors that can compromise patient safety.

    Conclusion

    Lack of good work environment, structure and common language has a negative impact on communication. Good attitudes as active listening and interest among staff increases prerequisites for good cooperation in handover

  • 288.
    Bylund, Julia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Liljeblad, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara förälder till ett barn med cancer: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background In Sweden about 300 children are diagnosed with cancer every year. Behind everychild there is a family who is as present as the patient itself. After the cancer diagnose, parent's everyday life is drastically changing and their mental stressors are put to the test. Parents have an important role in caring for the child and it's important that the nurse support and involve the parent's in their caring. Aim The aim of the study was to describe parents' experiences of having a child cared for cancer. Method The method of this study was to contribute to evidence-based nursing based on analysisof qualitative research. This research was to convey parent's perspective for a better understanding of their experience in nursing. An analysis of twelve qualitative articles was performed. The analysis resulted in three themes and eight subthemes. Result The results of this study showed that parent's experience a hard time after their child is diagnosed with cancer. They reported fear, anxiety, stress, sorrow, chaos and hope as a few feelings during the period of illness. Also, how the family's dynamics changed during the course of time and the importance of nurse's approach to maintain parent's well-being and security. Conclusion The parents described a lack of support and information from the nurse in the caring of their child and expressed a need for greater participation and better reception. Keywords care, childhood cancer, experience, parent's perspective, support

  • 289.
    Bäckebjörk, Christine
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Gustafsson, Maria
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Distriktssköterskans erfarenheter av att uppmärksamma och tillgodose patientens andliga och existentiella behov2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In today's society and in health care are interests increasing in spiritual matters and spirituality importance. As district nurses, we shall meet the whole human consisting of body, soul and spirit. The district nurse ability to see and recognize the spiritual and existential needs are crucial for the holistic care.

    Aim: To describe district nurses’ experiences to observe and meet the patient´s spiritual and existential needs.

    Method: An empirical qualitative study was set up. Eight district nurses were interviewed about their experiences to observe and meet the patient´s spiritual and existential needs. The interviews were analyzed by using a content analysis.

    Results: The analysis resulted in two main categories and nine subcategories. The main categories were: "To observe and feel of the patient's state of mind" and "To have a developed excellent dexterity in meeting the patient." A main theme pervaded the result: "To be responsive."

    Conclusion: This study can work as a basis for discussion for professionals in health care and thereby contribute to increased knowledge about the experiences of observing and meet the patient's spiritual and existential needs. It can contribute to reflection that result in increased awareness of the spiritual and existential dimension in the holistic health care

  • 290.
    Bååw Wennerstrand, Nina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Thorsén, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Familjens upplevelse av att leva med barn som haren neuropsykiatrisk funktionsnedsättning: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The two most common neuropsychiatric disabilities are attention deficithyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Functional impairmentsentail some difficulties for the child that affects the family situation such as interaction withother people and learning and memory difficulties.

    Aim: The aim of this study was to illuminate the family's experience of living with childrenwho have a neuropsychiatric disability.

    Method: A qualitative approach was used for this literature based study. The CINAHL and PubMed databases were used to search for scientific articles. Through systematic searches we found ten articles and these were analyzed using Friberg's five-step method.

    Results: The result is presented on the basis of three themes: An everyday battle, Experiences of understanding and support from the outside world and Family life in light and darkness. It shows that it was a daily struggle for family members in their daily lives. The parents experienced a lack of understanding from the outside world and received limited support. Several parents felt socially isolated and alone. Their daily situation ended up in strong emotions.

    Conclusion: This study provides an understanding of how family members experience their everyday situation with the child with neuropsychiatric disability. The family relationship was affected in one way or another and it was important for family members to receive support. The nurse has an important responsibility to provide the support and care that family members need to avoid suffering.

  • 291. Bégat, Ingrid
    An inquiry into the influence of clinical nursing supervision: Nurses’ professional ethics and experiences of well-being, focusing on the psychosocial work environment2006Doctoral thesis, comprehensive summary (Other academic)
  • 292.
    Bégat, Ingrid B E
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth I
    Mental Health Nursing, Department of Nursing Education, Hedmark College, Oslo.
    Nurses' reflections on episodes occurring during their provision of care: an interview study2001In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 38, no 1, p. 71-7Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate nurses' reflections and interpretations regarding their provision of care, through interviews (N 46), using a hermeneutic method of analysis. Nurses work in a milieu that has undergone constant changes such as, in organisation, decreased number of staff, and with patients demanding more advanced care. The care provided, based on the nurses' narrated episodes were interpreted as two main aspects: interpersonal oriented aspects and task oriented aspects. The subaspects were identified as 'nurse-patient relationship', 'ability to understand the patients' suffering' and 'taking responsibility'.

  • 293.
    Bégat, Ingrid
    et al.
    University West, Department of Nursing.
    Berggren, Ingela
    University West, Department of Nursing.
    Ellefsen, Bodil
    University of Oslo, Ullevål Hospital, Institute of Nursing Science.
    Severinsson, Elisabeth
    Hedmark College, Department of Nursing Education.
    Australian nurse supervisors' styles and their perceptions of ethical dilemmas within health care2003In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 11, no 1, p. 6-14Article in journal (Refereed)
    Abstract [en]

    AIM: To examine clinical nurse supervisors' styles, in terms of models, organization, focus on supervision and theories used in supervision, as well as their perceptions of ethical dilemmas within health care. BACKGROUND: The importance of clinical supervision in clinical practice has been reported. However, literature dealing with its implementation is rare. METHODS: This study is a descriptive-correlational study. Data were collected by means of a questionnaire from two groups of nurse supervisors randomly selected from a university (n = 55) and a hospital (n = 31). Data were analysed using descriptive and inferential statistics. RESULTS: The models most frequently used were 'case-oriented' and 'decision-making oriented'. The nurse supervision was reported as being organized on a one-to-one basis. The focus of supervision was on 'patient problems' and 'cooperation in team'. The theory most commonly used was the theory of reflection. The supervisors' perceptions of moral dilemmas were related to 'decision making' and actions impacting on quality of care resulting from their supervisor styles. CONCLUSION: By correlating the supervisors' styles and their perceptions of ethical dilemmas, we conclude that it is important to contribute to further research on supervisors' styles in order to ensure successful supervision.

  • 294.
    Bégat, Ingrid
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Ellefsen, Bodil
    Institute of Nursing and Health Sciences, University of Oslo, Norway.
    Severinsson, Elisabeth
    Department of Health Studies, Stavanger University of Stavanger, Norway.
    Nurses' satisfaction with their work environment and the outcomes of clinical nursing supervision on nurses' experiences of well-being -- a Norwegian study.2005In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 13, no 3, p. 221-30Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Various studies have demonstrated that nursing is stressful and that the incidence of occupational stress-related burnout in the profession is high. AIM: This descriptive-correlational study examined nurses' satisfaction with their psychosocial work environment, their moral sensitivity and differences in outcomes of clinical nursing supervision in relation to nurses' well-being by systematically comparing supervised and unsupervised nurses. METHODS: Nurses were selected from two hospitals (n = 71). Data collection was by means of questionnaires and analysed by descriptive and inferential statistics. RESULTS: The nurses' satisfaction with their psychosocial work environment was reflected in six factors: 'job stress and anxiety', 'relationship with colleagues', 'collaboration and good communication', 'job motivation', 'work demands' and 'professional development'. The nurses' perceptions of moral sensitivity comprised seven factors: 'grounds for actions', 'ethical conflicts', 'values in care', 'independence patient-oriented care', 'the desire to provide high-quality care' and 'the desire to provide high-quality care creates ethical dilemmas'. Nurses well-being were reflected in four factors 'physical symptom and anxiety', 'feelings of not being in control', 'engagement and motivation' and 'eye strain sleep disturbance'. The moral sensitivity 'ethical conflicts' were found to have mild negative correlations with psychosocial work environment 'job stress and anxiety professional development' and with 'total score' psychosocial work, moral sensitivity factor 'independence were correlated with psychosocial work factor 'relationships with colleagues' and 'total score', moral sensitivity were mildly correlated with 'collaboration and good communication and had a negative correlation to psychosocial work factor 'work demands'. In addition, significant correlations were found between the nurses' well-being profile and demographic variables, between 'engagement and motivation' and 'absence due to illness' and between 'time allocation for tasks', 'physical symptoms and anxiety' and 'age'. Mild significant differences were found between nurses attending and not attending group supervision and between 'physical symptoms and anxiety' and 'feelings of not being in control'. CONCLUSIONS: We conclude that ethical conflicts in nursing are a source of job-related stress and anxiety. The outcome of supporting nurses by clinical nursing supervision may have a positive influence on their perceptions of well-being. clinical nursing supervision have a positive effect on nurses physical symptoms and their feeling of anxiety as well as having a sense of being in control of the situation. We also conclude that psychosocial work have an influence on nurses experience of having or not having control and their engagement and motivation.

  • 295.
    Bégat, Ingrid
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Ikeda, Noriko
    Nagano College of Nursing.
    Amemiya, Takiko
    Nagano College of Nursing.
    Emiko, Konishi
    Nagano College of Nursing.
    Iwasaki, Akiko
    Nagano College of Nursing.
    Severinsson, Elisabeth
    Stavanger University College, Faculty of Health and Social Work Education.
    Comparative study of perceptions of work environment and moral sensitivity among Japanese and Norwegian nurses2004In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 6, no 3, p. 193-200Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to explore the relationship between work environment and moral sensitivity among Japanese (n = 138) and Norwegian nurses (n = 71), and to compare the results from a sociocultural perspective using a descriptive-correlational design. Data were analyzed using descriptive and inferential statistics. The results point to a significant relationship between work environment and moral sensitivity for both groups of nurses. In comparison, the Japanese nurses were more focused on 'patient centered oriented care', reported 'work engagement', seeking 'meaning in difficult caring situations' and 'following rules'. In addition, they ranked the factor 'values in action of patient care' as significant and 'relation to superior and colleagues' and 'job stress and anxiety' ranked significant to 'moral conflicts'. The Norwegian nurses were more independent, which was correlated with moderate significance with 'job stress and anxiety'. A significant correlation was found between 'physical and mental symptoms' and 'moral conflicts' among Norwegian nurses.

  • 296.
    Bégat, Ingrid.
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Severinsson, Elisabet
    University of Stavanger, Faculty of Social Sciences, Department of Health Studies.
    Reflection on how clinical nursing supervision enhances nurses' experiences of well-being related to their psychosocial work environment2006In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 14, no 8, p. 610-616Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to make a synthesis of three studies that deal with the following research question: 'How does clinical nursing supervision enhance nurses' experiences of well-being in relation to their psychosocial work environment?' Background: Clinical nursing supervision is one way to support nurses in coping with their stressful work situation. Method: A hermeneutic approach was used to reflect and interpret nurses' experiences of well-being in relation to clinical nursing supervision and psychosocial work environment. Results: The findings suggest that clinical nursing supervision has an influence on nurses' experiences of well-being and in relation to their psychosocial work environment. Nurses attending clinical nursing supervision reported increased satisfaction with their psychosocial work environment. Conclusions: The significance of caring and nursing becomes evident when nurses realize and understand that clinical nursing supervision positively influences their existence and well-being. The value of work becomes clear when nurses reflect on themselves as professionals and as authentic human beings in clinical nursing supervision. This will lead to the emergence of self-recognition. © 2006 The Authors.

  • 297.
    Bégat, Ingrid
    et al.
    Nordic School of Public Health, Göteborg.
    Severinsson, Elisabeth
    Ersta University College.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Implementation of clinical supervision in amedical department: nurses' views of the effects1997In: Journal of Clinical Nursing, ISSN 0962-1067, Vol. 6, no 5, p. 389-394Article in journal (Refereed)
    Abstract [en]

    The purpose of this pilot study was to investigate nurses' views of the effects of clinical supervision in terms of its influence over their working situation, as well as their satisfaction with their working milieu. The nurses who took part in an education programme and a clinical supervision programme worked on two wards in a medical clinic. Nurses answered a questionnaire measuring the psychosocial environment. Data were analysed by means of descriptive statistics. Results showed that the nurses felt more confirmed in their work and more satisfied with the information given after 9 months of clinical supervision. Results point to the need for further investigations concerning clinical supervision as a method of achieving job satisfaction among nurses.

  • 298.
    Böhn, Veronica
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Emanuelsson, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Regnsbågsfamiljers erfarenheter av möten på BVC2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Within child health care, staff meets more and more same sex partnership. Changes in legislation have made it possible for same sex couples to become parents through artificial insemination, surrogacy and adoption.

    Aim: The aim of the study was to illuminate how HBQ families experienced the encounter with a nurse or physician within child health care. Our aim has been to focus on HBQ fathers’ parent ship, as we haven’t been able to find any previous research within this area.

    Method: A qualitative interview study with a content analysis was conducted and resulted in six themes.

    Result: The overall results showed that the informants had a positive experience and that they felt confidence and trust for their child care nurse and that they felt accepted as being a same-sex-parents. Negative aspects in the study were: To feel lack of knowledge around the family constellation, to feel lack of respect from child care nurse, to feel excluded and to feel anxiety before the encounters with nurses or physicians within healthcare.

    Conclusion: Conclusion of our study is that all parents want to be seen, and to be included in topics concerning their child and being seen as a family.

  • 299.
    Bölja, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gueye, Soukeyna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur mår sjuksköterskan?: En beskrivning av stressorer i arbetsmiljön2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stress is a physical reaction to a threat or challenge in daily life. Long-lived stress can lead to illnesses as diabetes, depression, muscle tensions, sleep difficulties, infections and stomach problems. Stress is a known problem among nurses because of dealing with heavy workloads, time pressure and staff shortage. Stress can lead to burnout and is the dominant cause of occupational disease in the nursing staff. The working environment plays a big role in a functioning workplace, and it requires sufficient areas and equipment, enough staff and good communication among colleagues. Aim: The aim of this study is to describe stressors that the nurse is exposed to in relation to the work environment. Method: A literary based survey method was used in this study. Nine qualitative articles was analysed using the qualitative method by Friberg. Result: Three main themes was shaped: Organisational shortage, Collegiate hassle, and Conflict with your profession. Conclusion: Stress was created by shift work, not feeling recovered, lack of leadership, staff shortage and to meet high demands in the workplace, and high amount of patients which increased working tasks and the feeling of not having enough time. Too much documentation that took time from the patients, always having to be available for different requests and interpersonal issues among colleagues also increased stress for nurses.

  • 300.
    Börjesson, Anna-Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Koitrand, Romy
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Isolera sjukdomen, inte patienten: patienters upplevelse av isoleringsvård på sjukhus2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The nursing of patients who require isolation means to meet and care for people and their families in a vulnerable situation. It is important to gain insight into patients' experience to get a better understanding of source isolation. Increased knowledge provides better conditions for the staff to respond to patients in isolation.

    Aim: The aim of this study was to describe patients' experience of isolation in hospital care. Method: A literature review based on previous research. Nine articles were selected, four with qualitative approach, three with quantitative approach and two with mixed design i.e. both qualitative and quantitative approach.

    Results: The study resulted in five categories that reflected patients' experience of isolation in hospital care. Conclusion: The aim was to describe patients' experience of isolation in hospital care. We performed a literature review and came up with five categories: To be marked, Frustration due to lack of understanding, Fear and anxiety, Loneliness and confinement and Satisfaction with health care. Our result show that many patients experience negatively charged emotions while in isolation, but even so, they are not less satisfied with the care compared to nonisolated patients. Comprehension for the impact of isolation on patients' emotional wellbeing can improve the nursing for these patients. "To isolate the disease - not the patient" ought to be the motto for the nurse and the rest of the team involved in the care for the isolated patient.

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