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  • 251.
    Axelsson, Malin
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Report on personality and adherence to antibiotic therapy: a population-based study2013In: BMC Psychology, E-ISSN 2050-7283, Vol. 1, no 1, p. 24-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:Antimicrobial resistance results from inappropriate use of antibiotics and makes common or life-threatening infections more difficult or sometimes impossible to treat. Proper adherence to antibiotic therapy is one among several measures required to prevent antimicrobial resistance. Knowledge of personality traits could help in identifying patients who need support with their adherence behaviour. Previous research has presented associations between personality traits and adherence to long-term medication treatment in individuals with different chronic diseases. However, there is limited knowledge about associations between personality traits and adherence to both antibiotic therapy and to shorter treatment periods. The aim was to explore the relation between personality and adherence behaviour in people prescribed antibiotics for common infections.METHODS:In a population-based study, 445 respondents reported on their prescribed antibiotic therapy and completed the Neuroticism, Extraversion, and Openness to experience Five-factor Inventory and the Medication Adherence Report Scale. Data were statistically analysed using descriptive statistics, t-tests, bivariate correlations, multiple and logistic regressions.RESULTS:Non-adherence was estimated to be 9.4%. The most common reasons for stopping therapy prematurely was that the respondent was now healthy and that the respondents experienced side-effects. Non-adherent respondents scored lower on the personality traits Agreeableness and Conscientiousness. A logistic regression showed that higher scores on Agreeableness decreased the risk for non-adherence to antibiotic therapy. In a multiple regression, Neuroticism was identified as a negative predictor, and both Agreeableness and Conscientiousness were identified as positive predictors of adherence behaviour.CONCLUSIONS:Preventive measures to decrease non-adherence may be to inform patients not to interrupt the antibiotic therapy when they start to feel healthy and to inform them about how to prevent and handle common side-effects. As associations between personality and adherence mainly have been described in relation to long-term treatments in chronic diseases, the current study add to the literature by showing that personality traits also seem to be reflected in adherence to shorter treatment periods with antibiotics for common infections. More studies in this specific area of adherence research are recommended.

  • 252.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, Jesper
    Avdelningen för psykologi, Göteborgs Universitet.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Personality traits in relation to health-related quality of life in persons with asthma and/or allergic rhinitis2011In: 30th Congress of the European Academyof Allergy and Clinical Immunology in Istanbul, 2011Conference paper (Refereed)
  • 253.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, Jesper
    University of Gothenburg, Department of Psychology.
    Lötvall, Jan
    University of Gothenburg, Krefting Research Centre, Internal Medicine, Institute of Medicine, Sahlgrenska Academy.
    The influence of personality traits on reported adherence to medication in individuals with chronic disease: An Epidemiological study in West Sweden2011In: PLOS ONE, E-ISSN 1932-6203, Vol. 6, no 3Article in journal (Refereed)
    Abstract [en]

    Background: Limited research exists exploring the influence of personality on adherence behaviour. Since non-adherence is a major obstacle in treating prevalent chronic diseases the aim was to determine whether personality traits are related to reported adherence to medication in individuals with chronic disease. Methodology/Principal Findings: Individuals with chronic disease (n = 749) were identified in a random population sample of 5000 inhabitants aged 30-70 in two municipalities in West Sweden. Data on five personality traits, Neuroticism, Extraversion, Openness to experiences, Agreeableness, and Conscientiousness, and medication adherence behaviour was collected by questionnaires. Statistical analyses resulted in a negative relationship between Neuroticism and medication adherence (P<0.001), while both Agreeableness (P<0.001) and Conscientiousness (P<0.001) were positively related to adherence. At high levels of Conscientiousness, low adherence was related to higher scores in Neuroticism. At high levels of Agreeableness, low adherence was related to low scores in Conscientiousness and high scores in Openness to experiences. Conclusions: This study demonstrated that multiple personality traits are of significant importance for adherence behaviour in individuals with chronic disease. The findings suggest that several personality traits may interact in influencing adherence behaviour. Personality traits could putatively be used to focus efforts to educate and support patients with high risk of low medical adherence. © 2011 Axelsson et al.

  • 254.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lötvall, Jan
    University of Gothenburg, Krefting Research Centre, Institute of Medicine and Clinical Nutrition, Internal Medicine, Sahlgrenska Academy.
    A personality and gender perspective on adherence and health-related quality of life in people with asthma and/or allergic rhinitis.2014In: Journal of the American Association of Nurse Practitioners, ISSN 2327-6886, E-ISSN 2327-6924, Vol. 26, no 1, p. 32-39Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Poor adherence to medication treatment for asthma and allergic rhinitis could challenge a positive health outcome. Health-related quality of life (HRQL) is an important measure of health outcome. Both personality and gender could influence adherence and perceptions of HRQL. The purpose was to clarify the role of personality and gender in relation to adherence and HRQL in people with asthma and/or rhinitis.

    DATA SOURCES: Participants (n = 180) with asthma and allergic rhinitis, selected from a population-based study, filled out questionnaires on the five-factor model personality traits-neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness-HRQL, and adherence to medication treatment. Data were statistically analyzed using t-tests, Mann-Whitney tests, bivariate correlations, and multiple regressions.

    CONCLUSIONS: Personality traits were associated with adherence to medication treatment in men. The influence of personality traits on HRQL also differed between men and women. These differences suggest that both a personality and gender perspective should be considered when planning care support aimed at improving adherence and HRQL in people living with asthma and/or allergic rhinitis.

    IMPLICATIONS FOR PRACTICE: It is suggested that both a personality and gender perspective be taken into account in care support aimed at improving adherence and HRQL in people with asthma and allergic rhinitis.

  • 255.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Lundgren, Jesper
    Avdelningen för psykologi, Göteborgs Universitet.
    Patients´ adherence reasoning in relation to asthma medication2011In: 30th Congress of the European Academy of Allergy and Clinical Immunology in Istanbul, 11-15 june 2011, 2011Conference paper (Refereed)
  • 256.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Lundbäck, Bo
    Krefting Research Centre, Göteborgs universitet.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    The function of medication beliefs as mediators between personality traits and adherence behavior in people with asthma2013In: Patient Preference and Adherence, E-ISSN 1177-889X, Vol. 7, p. 1101-1109Article in journal (Refereed)
    Abstract [en]

    Background:

    There is evidence that both personality traits and personal beliefs about medications affect adherence behavior. However, limited research exists on how personality and beliefs about asthma medication interact in influencing adherence behavior in people with asthma. To extend our knowledge in this area of adherence research, we aimed to determine the mediating effects of beliefs about asthma medication between personality traits and adherence behavior.

    Methods:

    Asthmatics (n=516) selected from a population-based study called West Sweden Asthma Study completed the Neuroticism, Extraversion and Openness to Experience Five-Factor Inventory, the Medication Adherence Report Scale, and the Beliefs about Medicines Questionnaire. Data were analyzed using confirmatory factor analysis and structural equation modeling.

    Results:

    Three of the five investigated personality traits – agreeableness, conscientiousness, and neuroticism – were associated with both concerns about asthma medication and adherence behavior. Concerns functioned as a partial mediator for the influencing effects of agreeableness, conscientiousness, and neuroticism on adherence behavior.

    Conclusion:

    The findings suggest that personality traits could be used to identify individuals with asthma who need support with their adherence behavior. Additionally, targeting concerns about asthma medication in asthmatics with low levels of agreeableness or conscientiousness or high levels of neuroticism could have a favorable effect on their adherence behavior.

  • 257.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Emilsson, Maria
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, J.
    University of Gothenburg, Department of Psychology.
    Torén, K.
    University of Gothenburg, Sahlgrenska Academy, Department of Community Medicine.
    Lötvall, J.
    University of Gothenburg, Sahlgrenska Academy, Department of Internal Medicine.
    Personality, adherence, asthma control and health-related quality of life in young adult asthmatics2009In: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 103, no 7, p. 1033-1040Article in journal (Refereed)
  • 258.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Health Sciences, Section for nursing - graduate level.
    Lötvall, Jan
    Krefting Research Center, Göteborgs universitet.
    Recent educational interventions for improvement of asthma medication adherence.2012In: Asia Pacific allergy, ISSN 2233-8276, Vol. 2, no 1, p. 67-75Article in journal (Refereed)
    Abstract [en]

    Poor adherence to asthma medication treatment is a dilemma as it decreases the chance of achieving and maintaining a proper asthma control. Another dilemma is that there seems to be a small range of functional interventions that enhance adherence to long-term medication treatments. The aim was to review the last five years of published educational interventions for improving adherence to asthma medication. Through systematic database searches 20 articles were identified, which matched the inclusion criteria and described educational interventions to improve asthma self-management including adherence. The current review showed that addressing unintentional non-adherence in terms of incorrect inhaler technique by recurrent education improved the technique among many patients, but not among all. Phoning patients, as a means to remove medication beliefs as adherence barriers, seemed to be an effective educational strategy, shown as increased adherence. Involving patients in treatment decisions and individualising or tailoring educational support also seemed to have favourable effect on adherence. To conclude, addressing specific adherence barriers such as poor inhaler technique or medication beliefs could favour adherence. To change adherence behavior, the current review proposes that educational adherence support should be a collaborative effort between the patient and the health-care professional based on each individual patient's needs and patient factors, including elements such as personality traits.

  • 259.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lötvall, Jan
    Krefting Research Centre, Institute of Medicine, Internal Medicine, Sahlgrenska Academy, University of Gothenburg.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Self-efficacy and adherence as mediating factors between personality traits and health-related quality of life2013In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 22, no 3, p. 567-575Article in journal (Refereed)
    Abstract [en]

    Purpose Personality traits are rather stable dispositions inadulthood, while self-efficacy and adherence may bemodified through targeted interventions. Health-relatedquality of life (HRQL) serves as a vital outcome measure.The present aim was to explore the function of self-efficacyand adherence as mediators for the influencing effect ofpersonality traits on HRQL in people with chronic disease.Methods An epidemiological sample of 786 personscompleted questionnaires on personality, general self-efficacy,adherence behaviour and HRQL. Data were statisticallyanalysed using descriptive statistics, correlationanalyses and path models.Results Self-efficacy mediated the effect of Extraversionand Conscientiousness on mental HRQL. Neuroticism hada direct effect on both physical and mental HRQL.Adherence partially mediated the effect of both Agreeablenessand Conscientiousness on mental HRQL.Conclusions The mental HRQL in people scoring low onExtraversion or low on Conscientiousness could beimproved by strengthening general self-efficacy. Increasingadherence in people scoring low on Agreeableness orConscientiousness could improve their mental HRQL, butthe improvement was small and may be of lesser clinicalrelevance. These results argue for personalized interventionsintended to positively affect health outcomes inpeople with chronic disease.

  • 260.
    Axelsson, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lötvall, Jan
    Krefting Research Centre, Institute of Medicine, Internal Medicine, Sahlgrenska Academy, University of Gothenburg.
    Lundgren, Jesper
    Department of Psychology, University of Gothenburg.
    Brink, Eva
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg.
    Motivational foci and asthma medication tactics directed towards a functional day2011In: BMC Public Health, E-ISSN 1471-2458, Vol. 11, p. 809-Article in journal (Refereed)
    Abstract [en]

    Background:

    There appears to be an obvious gap between a medical and patient adherence perspective.

    Deviating from a medication prescription could be regarded as fairly irrational, but with respect to patients' goals and/or concerns it could be seen as understandable. Thus, the aim was to elucidate adherence reasoning in relation to asthma medication.

    Methods:

    This was a qualitative study; data collection and analysis procedures were conducted according to Grounded Theory methodology. Eighteen persons, aged 22 with asthma and regular asthma medication treatment, were interviewed.

    Results:

    The emerged theoretical model illustrated that adherence to asthma medication was motivated by three foci, all directed towards a desired outcome in terms of a functional day as desired by the patient. Apromotive focus was associated with the ambition to achieve a positive asthma outcome by being adherent either to the received prescription or to a self-adjusted dosage. A preventive focuswas intended to ensure avoidance of a negative asthma outcome either by sticking to the prescription or by preventively overusing the medication. A permissive focus was associated with unstructured adherence behaviour in which medication intake was primarily triggered by asthma symptoms.

    Conclusions:

    As all participants had consciously adopted functioning medication tactics that directed them

    towards the desired goal of a functional day. In an effort to bridge the gap between a patient- and a medical adherence perspective, patients need support in defining their desired functionality and guidance in developing a person-based medication tactic.

  • 261.
    Axelsson, Marcus
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Erfarenheter av vården hos patienter med HIV2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    HIV is a serious infection that leads to AIDS when it's untreated. HIV-epidemic started in the early 80's. Homosexuals became infected and the disease were seen as a "gay-disease". The disease is still today by some seen as a "gay-disease", and affect the patients well-being. The aim of this study was to illuminate experiences of care in patients with HIV. The method was a literature-based study of qualitative scientific articles. The result shows that the patients still experience discrimination and stigmatization. There is a lot of negative attitudes towards the patients, and some health professionals shows a lack of empathy. A lot of the health professionals have a lack of knowledge, and a fear of being contaminated. More knowledge about the diesea, and focus on the patients well-being could make a differens in the patients experiences of care.

  • 262.
    Ayari, Amanda
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter av personcentrerad vård till äldre på sjukhus: en sammanställning av kvalitativ forskning2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Providing person-centred care to the elderly in hospitals is a global challenge that has consequences for both nurses' work environment in the form of a higher workload, and for the quality of patient safety. With an aging population, the need for person-centred carebecomes clearer. Nurses' voices are increasingly being raised that a change should take place. Previous analyses on the subject show that there is potential for improvement in the quality of person-centred care in Swedish healthcare. Thus, the need to make feasible changes increases, in order for person-centred care to work. Aim: To highlight nurses' experiences of providing person-centred care to older people in hospitals. Method: Literature review based on qualitative studies. Three systematic searches were carried out in two scientific databases. A total of nine studies were included and analyzed. Results: Two main themes and six subthemes emerged. The main themes were "barriers in person-centred care" and "opportunities in person-centred care". It was found that health care activities have an important role in supporting nurses' practice of person-centered care. The organisation served as a link between decision-makers, nurses and elderly patients. Nurses needed the conditions to be able to provide person-centred care that corresponds to the needs of an elderly patient, and the nurses themselves needed to be able to prioritize assigned tasks. Based on their experiences, the nurses emphasized how important it was to get support from other professions. By working together, it made it easier for the nurses and was highlighted as necessary, in order for the elderly's path through the care to work as well as possible. Conclusion: By taking into account nurses' experiences, the needs can be clarified and conditions for the implementation of person-centered care can be created and the opportunities can be safeguarded.

  • 263.
    Ayewubo, Celestine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patel, Archana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av livet efter hjärttransplantation2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 264.
    Azimi, Salma
    et al.
    University West, Department of Health Sciences.
    Olsson, Mariola
    University West, Department of Health Sciences.
    Specialistsjuksköterskors upplevelser av att skatta och lindra smärta hos nyfödda och spädbarn med icke-farmakologiska omvårdnadsåtgärder: En integrativ litteraturstudie2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 265.
    Aziz, Baskcha
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    El Saidi, Sara
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Erfarenheter av kontakt med vården för kvinnor som utsatts för könsstympning2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 266.
    Azizi, Marielle
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Singstrand, Nicole
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med ulcerös kolit: En litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 267.
    Azzeddine, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Brimark, Mia
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Livet efter en hjärtinfarkt: en litteraturstudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Heart and vascular disease are the most common causes of deaths in Sweden and in the rest of the world. Myocardial infarction is by far the most frequent cause of death in Sweden. By using modern intervention methods the number of deaths in myocardial infarction has decreased. As a result of this the demands on healthcare will increase. Risk factors for suffering a heart attack are well known and may be affected by a healthier lifestyle. For many patients who have had a heart attack lifestyle changes become a necessary measure to prevent recurrence which leads to many changes in daily life.

    Aim: The aim of this study was to describe patient´s experiences after myocardial infarction.

    Methods: A literature study was made of twelve qualitative studies.

    Results: Four themes were found: Fear, Limitations in daily life, Support from healthcare and relatives and A new chance. After a myocardial infarction the patient finds himself in a state of crisis. Life after myocardial infarction offers limitations concerning physical, psychological and practical abilities. Long time support from healthcare personal and relatives is very important. The majority of the patients were grateful for having received a second chance to go on with their lives.

    Conclusion: A patient who has survived a myocardial infarction must be given full information that he suffers from a life threatening and from a chronical disease. To bring about this understanding it is necessary to adopt a longtime follow up policy from the health care professionals. Relatives and healthcare personal play an important part in supporting the patient. To give the right kind of support the relatives need more knowledge of the disease. Women and men use different methods to cope with the consequences of myocardial infarction

  • 268.
    Baatz Asplund, Catarina
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Gustafsson, Lena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att identifiera patienters alkoholvanor2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Alcohol misuse is a growing problem in the world. In Sweden it is estimated that 1 million Swedes have a hazardous use of alcohol and 330,000 suffer from alcohol addiction. Research shows, that high consumption of alcohol is a contributing factor to the extensive sequelae and suffering for the patient and family. Nurses have an important role in working with the prevention of illness and disease. Nurses meet a lot of patients with hazardous use at work and it is important to identify and help these patients. What experiences have nurses to identify patients' drinking habits?

    Aim:

    The aim of the study was to illuminate nurses´ experiences to identify the patients´ drinking habits of alcohol.

    Method:

    A systematic literature study based on eleven articles, including both

    qualitative and quantitative studies was performed.

    Results:

    Most nurses felt that it was an important work to examine patients drinking habits to promote in the health and prevent disease. Nurses' fears came from experienced emotional negative reactions from the patients. Nurses demand more knowledge about alcohol and its difficulties.

    Conclusion:

    Nurses have a certain ignorance to ask patients about their drinking habits. The result is that they feel uncomfortable with taking up the issue and thus cause a lack of health prevention. Many require information, time and a structured workplace. It also appears that the nurses feel a discomfort in talking about alcohol and a fear of offending the patient or intimidation and violence

  • 269.
    Baatz Asplund, Catarina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lundgren Andersson, Ann-Katrin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors attityder och erfarenheter av att arbeta med patienter med en ohälsosam alkoholkonsumtion: En empirisk studie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 270.
    Babai, Kustan
    et al.
    University West, Department of Health Sciences.
    Mohamed, Barwaqo Farah
    University West, Department of Health Sciences.
    Arbetsrelaterad stress hos sjuksköterskor2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

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

    Aim

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

    Method

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

    Results

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

    Conclusion

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

  • 271.
    Backlund, Linus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Grundvall, Fredrik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Omvårdnad av anhöriga till traumapatienter: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 272.
    Backman, Emma
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Existentiella funderingar och att omvärdera livet efter intensivvård: spelar ålder eller kön någon roll?2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 273.
    Backman, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vårdpersonalens och patienters erfarenheter av den terapeutiska relationen: en systematisk litteraturstudie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 274.
    Bagger, Marie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Johansson, Jenny
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Sjuksköterskans upplevelse av att vårda barn i hemmet2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    As a nurse working in community home care you should today have enough knowledge to provide patients in different stages of life with good and safe care. The number of children receiving care in their home is increasing. There are today no Swedish studies that focus on this topic. How is the nurses experience of provide care of children in their homes?

    Aim

    The aim of this study was to illuminate the nurse's experience of giving care to children in their homes.

    Method

    An interview study was made with eight nurses working in community home care in four different community's in the western of Sweden. The text from the interviews was analyzed through a qualitative content analysis.

    Result

    The analysis resulted in three categories, seven subcategories and one theme.

    The following categories emerged: To feel inadequate, To take notice of the particular family´s needs, To be committed. The theme that emerged was oppressive but .rewarding.

    Conclusion

    The nurses felt inadequate when it came to giving care to children in their homes. The main reason for this was the feeling of lack of knowledge and experience of giving care to children. The nurses experienced that the family had a big and important role when it came to giving care for children in their home and that a good cooperation with the family was important to be enable to give the best possible care to the child. The nurses experienced that it was important to be truly committed when working with children.

  • 275.
    Bahramirad, Parisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med kronisk obstruktiv lungsjukdom (KOL): En kvalitativ litteraturstudie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 276.
    Bahramvalady, Mozhgan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livskvalitet för patienter med kronisk obstruktiv lungsjukdom2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 277.
    Baic, Zeljka
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Självbestämmande hos personer i livets slut som bor i särskilda boenden: Sjuksköterskors upplevelser2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 278.
    Baker, Jay
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pain and embaressment: Patients' experience of pilonidal disease2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Pilonidal disease describes the occurrence of a cyst, abscess or sinus tract located near or on the natal cleft of the buttocks that contains hair and skin debris, it affects predominantly men and is notable for affecting relatively young patients (15-35 years) and having long healing time. Aim: This study will create a literature review of patients' experience of their post-surgical wounds after surgery for removal of pilonidal sinus tracts, abscess or cysts. By highlighting issues encountered by patients after surgery this study aims to provide nurses with insight as to the specific needs of this group of patients. Method: Literature review based on scientific articles. Eight articles were selected and analyzed. Articles were searched for in the databases; CINAHL, and Pubmed available through University West. Results: Results of this review formed two distinct categories. Firstly pain was identified as a category, this contained subcategories of; pain due to dressing change, sitting and walking post-operatively, pain and analgesia and post-operative pain due to differing operative technique. Secondly embarrassment was identified as a category, this divided into the subcategories of; embarrassment due to malodour and embarrassment connected to altered body image. Conclusion: Pain and embarrassment during extended healing periods may have a significant effect on a patients' quality of life. As the primary patient contact point due to frequent dressing changes, the nurse has the ability to improve patient experience through a combination of applied practice and patient education to improve personal wound

  • 279.
    Baldock, Karina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Anhörigas upplevelser av bemötande inom psykiatrisk vård: Den utfrysta anhöriggruppen2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 280.
    Bancks, Ann-Sofie
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ivarsson, Karin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Förutsättningar som behövs för att implementera personcentrerad vård inom Kommunal Hemsjukvård: En kvalitativ intervjustudie2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 281.
    Bandic, Mia
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Baban, Vian
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Attityder gentemot sexualförbrytare inom kriminalvården2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 282.
    Bang Svendsen, Stine H.
    et al.
    Førsteamanuensis i pedagogikk, Institutt for læreutdanning, NTNU (NOR).
    Areskoug Josefsson, Kristina
    University West, Department of Health Sciences, Section for health promotion and care sciences. Institutt for Atferdsvitenskap, Oslo Metropolitan University, Oslo (NOR).
    Svarstad Solberg, Ada
    Institutt for sykepleie og helsefremmende arbeid, Institutt for atferdsvitenskap, Oslo Metropolitan University (NOR).
    Skaug Sætra, Henrik
    Proba samfunnsanalyse, Oslo (NOR).
    Gunnman Furunes, Mari
    Institutt for tverrfaglige kulturstudier, NTNU (NOR).
    Utdanningene svikter i arbeidet med seksuell og reproduktiv helse og rettig­heter2023In: ForskersonenArticle in journal (Other (popular science, discussion, etc.))
  • 283.
    Barac, Marijana
    et al.
    University West, Department of Health Sciences.
    Berglund, Therese
    University West, Department of Health Sciences.
    Changes in adolescents’ mental health, risk behaviors, psychosocial functioning, and victimization during the first year of the COVID-19 pandemic in a sample of Swedish students2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

  • 284. Barbosa da Silva, António
    et al.
    Berggren, IngelaUniversity West, Department of Nursing, Health and Culture, Division of Nursing.Nunstedt, HåkanUniversity West, Department of Nursing, Health and Culture, Division of Nursing.
    Omvårdnadshandledning: ur etiskt och tvärdisciplinärt pers2009Collection (editor) (Other academic)
  • 285.
    Bardhi, Razije
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Björling, Sonja
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distriktsköterskors och diabetessköterskors erfarenheter av att möta patienter med diabetes som riskerar att få fotsår2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 286.
    Barrsten, Petra
    University West, Department of Health Sciences.
    Att bedöma patienters suicidrisk inom psykiatrisk heldygnsvård: Sjuksköterskors erfarenheter - En litteraturstudie2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

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

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

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

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

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

  • 287.
    Battliwala, Rehana
    et al.
    University West, Department of Health Sciences.
    Poudel, Suman
    University West, Department of Health Sciences.
    Barnhälsovårdssjuksköterskors upplevelser av att genomföra screening med Edinburgh Postnatal Depression Scale: En kvalitativ intervjustudie2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 288.
    Bay, Annika
    et al.
    Department of Nursing, Umeå University, Umeå (SWE).
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Burström, Åsa
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm (SWE).
    Holstad, Ylva
    Department of Nursing, Umeå University, Umeå (SWE).
    Christersson, Christina
    Department of Medical Sciences, Cardiology, Uppsala University, Uppsala (SWE).
    Dellborg, Mikael
    Department of Molecular and Clinical Medicine, Sahlgrenska University Hospital, Gothenburg (SWE).
    Trzebiatowska-Krzynska, Aleksandra
    Department of Cardiology and Department of Medicine and Health Sciences, Linköping University, Linköping (SWE).
    Sörensson, Peder
    Department of Medicine, Solna, Karolinska Institutet, Stockholm (SWE).
    Thilén, Ulf
    Department of Clinical Sciences, Cardiology, Lund University, Lund (SWE).
    Johansson, Bengt
    Department of Surgical and Perioperative Sciences, Umeå University, Umeå (SWE).
    Symptoms during pregnancy in primiparous women with congenital heart disease.2024In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 58, no 1, article id 2302135Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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  • 289.
    Bay, Annika
    et al.
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lamas, K
    Umeå University, Nursing, Umeå, Sweden.
    Sandberg, Camilla
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Johansson, Bengt
    Umeå University, Public Health and Clinical Medicine, Umeå, Sweden.
    Facilitators and barriers for physical activity in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no suppl_1, p. 1120-1121, article id ehy566.P5433Article in journal (Refereed)
    Abstract [en]

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

  • 290.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinical Medicine, Umeå University, Sweden; Department of Nursing, Sweden.
    Dellborg, Mikael
    Gothenburg University, Institute of Medicine, The Sahlgrenska Academy, Sweden..
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Sweden.
    Sandberg, Camilla
    Umeå University, Department of Public Health and Clinical Medicine, Sweden.
    Engström, Gunnar
    Umeå University, Department of Surgical and Perioperative Science, Cardiothoracic Surgery Division,.
    Moons, Philip
    KU Leuven Department of Public Health and Primary Care, KU Leuven - University of Leuven, Belgium; Institute of Health and Care Sciences, University of Gothenburg, Sweden..
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Sweden..
    Patient reported outcomes are associated with physical activity level in adults with congenital heart disease.2017In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 243, p. 174-179Article in journal (Refereed)
    Abstract [en]

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

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

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

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

  • 291.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinica Medicine, Sweden.
    Lämås, Kristina
    Umeå University, Department of Nursing, Umeå, Sweden.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Paediatrics, The Queen Silvia Children’s Hospital .
    Sandberg, Camilla
    Umeå University, Department of Public Health and Clinical Medicine, Sweden; Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå, Sweden.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Enablers and barriers for being physically active: experiences from adults with congenital heart disease2021In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 20, no 3, p. 276-284Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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  • 292.
    Bay, Annika
    et al.
    Umeå University, Department of Public Health and Clinical Medicine Department of Nursing.
    Lämås, Kristina
    Umeå University, Department of Nursing, .
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sandberg, Camilla
    Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Sweden.
    Johansson, Bengt
    Department of Public Health and Clinical Medicine.
    It's like balancing on a slackline: A description of how adults with congenital heart disease describe themselves in relation to physical activity2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 15-16, p. 3131-3138Article in journal (Refereed)
    Abstract [en]

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

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

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

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

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

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

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

  • 293.
    Beagan, Eva-Lotta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brandberg, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hälsa och lidande efter en njurtransplantation: En beskrivning av patienters erfarenheter att leva med en ny njure2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 294.
    Beganovic, Melissa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sadinmaa Halttu, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Självskadebeteende: En litteraturöversikt om faktorer som påverkar mötet och bemötandet2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    The definition of self-harm is described as a conscious act of harm towards oneself without the intent of suicide. The hospital staffs attitudes are important in the encounter with a patient who self-harms. A negative attitude can increase the self-harm, while a positive attitude can prevent it. Factors that can influence the attitudes of staff and the encounter with a patient who self-harms include respect, understanding and sympathy. Aim The aim of this study was to illuminate factors that influence the encounter with a patient and the attitudes of hospital staff toward people with a self-injurious behavior, when being treated for self-harming or mental illness. Method The study was conducted as a literature review with both qualitative and quantitative articles. Twelve articles were analyzed with a focus on differences and similarities. This resulted in four themes. Results The overall result

    displays factors that influence the encounter and attitudes toward patients whit self-injurious behavior. The first theme discusses the lack of understanding and knowledge. The second theme underlines the staffs lack of genuine interest, sympathy and responsiveness. The third theme highlights the absence of availability and patience among staff. The final theme illuminates the staffs emotional experiences in the encounter with self-injurious patients.

    Conclusion The study reveals a lack of knowledge, education and sympathy among hospital staff towards patients who self-harm. This affects the encounter and the attitudes negatively. More education on the subject is necessary to ensure an improved and effective care

  • 295.
    Begovic, Selma
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors upplevelser av att vårda patienter enligt modellen Brukarstyrd Inläggning: Ett betydelsefullt ansvar2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 296.
    Beining Dahlgren, Pernilla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Steffenburg Wennberg, Marie
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Faktorer som skapar trygga möten vid smärtsamma procedurer på barn2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Many children are visiting hospitals and health care institutes daily due to a numerous reasons. A child´s experience of pain has for long time been underestimated. Pain together with anxiety could develop mental and physical worries for future meetings with treatment institutes. To upturn the feasibility when a child meets the health care this essay was written.

    Aim:

    The aim was to enlighten factors which creates reassuring meetings for children in painful treatments.

    Method:

    The method used was a literature study based on qualitative and quantitative research. The databases Cinahl and PubMed has been used as sources. All articles has been reviewed according to Friberg.

    Results:

    The result revealed mutual factors with the three pillars in Katie Erikssons nursing theory "Tend, Play and Learn" which are the bases in the result. It's important to please, gain trust, listen, form confidence, participate, share information and utilize the parents as the comfort zone for the child in the meeting. Through distraction and coping strategies moves the interest to cooperate is activated which significant lower the level of distress and fear.

    Conclusion:

    The nurse could by focusing on the patient during the conversation benefit the child personality, resource and caring need by using the three pillars "Tend, Play and Learn". Together with the child and parents the nurse could create solid ground for a safe and sound meeting during a painful examination.

  • 297.
    Ben Ayad, Hatim
    et al.
    UAE/U24FS, FS, Abdelmalek Essaâdi University, Tetouan (MAR).
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Sfendla, Anis
    UAE/U24FS, FS, Abdelmalek Essaâdi University, Tetouan (MAR); High Institute of Nursing Professions and Health Techniques, Fez, (MAR).
    Najdi, Adil
    Faculty of Medicine and Pharmacy of Tangier, Abdelmalek Essaâdi University, Tangier (MAR).
    Senhaji, Meftaha
    UAE/U24FS, FS, Abdelmalek Essaâdi University, Tetouan (MAR).
    Psychometric Properties of Update Arabic Version of the Trait Hope Scale and the Rosenberg Self-Esteem Scale2024In: Indonesian Psychological Research, ISSN 2655-9013, Vol. 6, no 1, p. 1-16Article in journal (Refereed)
    Abstract [en]

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

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  • 298.
    Bengtsson, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mandelholm, Kajsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med diabetes typ 2: Strävan efter balans2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 299.
    Bengtsson, Christine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olofsson, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser vid omhändertagandet av sjuka barn2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 300.
    Bengtsson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nielsen, Ida
    University West, Department of Health Sciences, Section for nursing - graduate level.
    ”Att göra det bästa av situationen”: En kvalitativ studie om sjuksköterskors erfarenhet av vårdmiljöns betydelse för psykiatrisk omvårdnad2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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