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  • 251.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brändström, Yvonne
    Department of Medicine, Uddevalla Hospital, Sweden.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Herlitz, Johan
    Sahlgrenska University Hospital, Department of Molecular and Clinical Medicine.
    Karlson, Björn W.
    AstraZeneca R&D, Mölndal, Sweden.
    Illness consequences after myocardial infarction: Problems with physical functioning and return to work2008In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 64, no 6, p. 587-594Article in journal (Refereed)
  • 252.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Cliffordson, Christina
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Herlitz, Johan
    Department of Cardiology, Sahlgrenska University Hospital.
    Karlson, Björn W.
    Medicine and Science, AstraZeneca R and D, Mölndal.
    Dimensions of the Somatic Health Complaints Questionnaire (SHCQ) in a sample of myocardial infarction patients2007In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 6, no 1, p. 27-31Article in journal (Refereed)
  • 253.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Karlson, Björn W
    Sahlgrenska University, Division of Cardiology.
    Hallberg, Lillemor R M
    Halmstad University, School of Social and Health Sciences.
    Health-related quality of life in women and men one year after acute myocardial infarction2005In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 14, no 3, p. 749-57Article in journal (Refereed)
    Abstract [en]

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

  • 254.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Karlson, Björn W
    Medicine and Science, AstraZeneca R&D, Mölndal.
    Hallberg, Lillemor R-M
    Halmstad University, School of Social and Health Sciences.
    Readjustment 5 months after a first-time myocardial infarction: reorienting the active self.2006In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 53, no 4, p. 403-11Article in journal (Refereed)
    Abstract [en]

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

  • 255.
    Brink, Eva
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Persson, Lars-Olof
    University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Karlson, Bjön W.
    Astra Zeneca RandD, Mölndal.
    Coping with myocardial infarction: Evaluation of a coping questionnaire2009In: Scandinavian Journal of Caring Sciences, Vol. 23, no 4, p. 792-800Article in journal (Refereed)
    Abstract [en]

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

  • 256.
    Brodin, Frida
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Forsberg, Ludwig
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Föräldrars upplevelse av att leva med barn som har Autismspektrumtillstånd2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

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

    Aim:

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

    Method:

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

    Results:

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

    Conclusion:

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

  • 257.
    Broeren, Jurgen
    et al.
    Sahlgrenska Akademin, Göteborgs Universitet.
    Pareto, Lena
    University West, Department of Economics and IT, Division of Media and Design.
    Johansson, Britt
    NU-sjukvården, Uddevalla kommun.
    Ljungberg, Christer
    University West, Department of Economics and IT, Division of Computer Science and Informatics.
    Rydmark, Martin
    Sahlgrenska Akademin, Götebrog Universitet.
    Stroke rehabilitation using m-Health Care and 3D virtual environments: work in progress2010In: Proceedings of the 8th International Conference on Disability, Virtual Reality and Associated Technologies / [ed] Sharkey, Paul & Sánchez, Jaime, 2010, p. 115-122Conference paper (Refereed)
    Abstract [en]

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

  • 258.
    Brolin, Andreas
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Ida
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Riskfaktorer för suicid hos män inom kriminalvård: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

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

    Aim:

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

    Method:

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

    Results:

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

    Conclusion:

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

  • 259.
    Brzovic, Ana
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Alm, Nikolina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    "Jag är inte mer än människa": En kvalitativ studie om de utmaningar behandlingsassistenter möter i att skapa och upprätthålla en professionell relation till ungdomar vid transitboenden2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 260.
    Brämberg, Elisabeth Björk
    et al.
    University of Gothenburg, The Sahlgrenska Academy, Institution of Health and Care Sciences,.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Määttä, Sylvia
    Centre for Gender Equal Care, Göteborg, .
    Lack of individualized perspective: A qualitative study of diabetes care for immigrants in Sweden2012In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 14, no 2, p. 244-249Article in journal (Refereed)
    Abstract [en]

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

  • 261.
    Brändström, Linnea
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Mazaz Pozveh, Nader
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nurses experience of collaboration between community healthcare and psychiatric in-patient care: a Swedish study2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

    Method: Qualitative content analyses of focus group interviews.

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

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

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

  • 262.
    Brändström, Linnéa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. Primary Health Care in Sollebrunn.
    Mazaz, Nader
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. The Psychiatric Clinic, Norra Älvsborg County Hospital, Trollhättan.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Nurse collaboration in community and psychiatric care: a Swedish study2015In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 20, no 6, p. 297-303Article in journal (Refereed)
    Abstract [en]

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

  • 263.
    Brändström, Yvonne
    et al.
    NU Hospital Group, Trollhättan, Department of Internal Medicine, Heart Center.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Grankvist, Gunne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Herlitz, Johan
    Sahlgrenska University Hospital, Department of Molecular and Clinical Medicine.
    Karlson, Björn W
    AstraZeneca R&D, Mölndal.
    Physical activity six months after a myocardial infarction2009In: International journal of nursing practice, ISSN 1440-172X, Vol. 15, no 3, p. 191-7Article in journal (Refereed)
    Abstract [en]

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

  • 264.
    Bräutigam, Filippa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hossain, Golam
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hur sjuksköterskor främjar välbefinnande hos barn med malnutrition i Indien: en intervjustudie2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract:

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

  • 265.
    Brülde, Bengt
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Art and science, facts and knowledge2007In: Philosophy, Psychiatry, and Psychology, ISSN 1071-6076, E-ISSN 1086-3303, Vol. 14, no 2, p. 111-127Article in journal (Refereed)
  • 266.
    Brülde, Bengt
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Can successful mood enhancement make us less happy?2007In: Philosophica, ISSN 0379-8402, Vol. 79, p. 39-56Article in journal (Other academic)
    Abstract [en]

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

  • 267.
    Brülde, Bengt
    University West, Department of Nursing, Health and Culture.
    Lyckoforskning och etisk reflektion2009In: Omvårdnadshandledning: ur etiskt och tvärdisciplinärt perspektiv / [ed] Barbosa da Silva, António, Berggren, Ingela, Nunstedt, Håkan, Lund: Studentlitteratur , 2009, 1., p. 145-159Chapter in book (Other academic)
  • 268.
    Brülde, Bengt
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Mental Disorder and Values2007In: Philosophy, Psychiatry, and Psychology, ISSN 1071-6076, E-ISSN 1086-3303, Vol. 14, no 2, p. 93-102Article in journal (Refereed)
    Abstract [en]

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

  • 269.
    Bubach, Ronja
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Göransson, Diana
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur patienter med HIV eller AIDS upplever bemötandet av vårdpersonal2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

  • 270.
    Buic, Ivan
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kazempour, Mitra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser och erfarenheter av att leva med fatigue efter en stroke: En litteraturbaserad studie grundad på analys av kvalitativ forskning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

  • 271.
    Bylund, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Olsson, Marielle
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Faktorer av betydelse vid överrapportering mellan ambulans och akutmottagning2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

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

    Aim

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

    Method

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

    Results

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

    Conclusion

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

  • 272.
    Bylund, Julia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Liljeblad, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara förälder till ett barn med cancer: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 273.
    Bäckebjörk, Christine
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Gustafsson, Maria
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Distriktssköterskans erfarenheter av att uppmärksamma och tillgodose patientens andliga och existentiella behov2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 274.
    Bååw Wennerstrand, Nina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Thorsén, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Familjens upplevelse av att leva med barn som haren neuropsykiatrisk funktionsnedsättning: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 275. Bégat, Ingrid
    An inquiry into the influence of clinical nursing supervision: Nurses’ professional ethics and experiences of well-being, focusing on the psychosocial work environment2006Doctoral thesis, comprehensive summary (Other academic)
  • 276.
    Bégat, Ingrid B E
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth I
    Mental Health Nursing, Department of Nursing Education, Hedmark College, Oslo.
    Nurses' reflections on episodes occurring during their provision of care: an interview study2001In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 38, no 1, p. 71-7Article in journal (Refereed)
    Abstract [en]

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

  • 277.
    Bégat, Ingrid
    et al.
    University West, Department of Nursing.
    Berggren, Ingela
    University West, Department of Nursing.
    Ellefsen, Bodil
    University of Oslo, Ullevål Hospital, Institute of Nursing Science.
    Severinsson, Elisabeth
    Hedmark College, Department of Nursing Education.
    Australian nurse supervisors' styles and their perceptions of ethical dilemmas within health care2003In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 11, no 1, p. 6-14Article in journal (Refereed)
    Abstract [en]

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

  • 278.
    Bégat, Ingrid
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Ellefsen, Bodil
    Institute of Nursing and Health Sciences, University of Oslo, Norway.
    Severinsson, Elisabeth
    Department of Health Studies, Stavanger University of Stavanger, Norway.
    Nurses' satisfaction with their work environment and the outcomes of clinical nursing supervision on nurses' experiences of well-being -- a Norwegian study.2005In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 13, no 3, p. 221-30Article in journal (Refereed)
    Abstract [en]

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

  • 279.
    Bégat, Ingrid
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Ikeda, Noriko
    Nagano College of Nursing.
    Amemiya, Takiko
    Nagano College of Nursing.
    Emiko, Konishi
    Nagano College of Nursing.
    Iwasaki, Akiko
    Nagano College of Nursing.
    Severinsson, Elisabeth
    Stavanger University College, Faculty of Health and Social Work Education.
    Comparative study of perceptions of work environment and moral sensitivity among Japanese and Norwegian nurses2004In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 6, no 3, p. 193-200Article in journal (Refereed)
    Abstract [en]

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

  • 280.
    Bégat, Ingrid.
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Severinsson, Elisabet
    University of Stavanger, Faculty of Social Sciences, Department of Health Studies.
    Reflection on how clinical nursing supervision enhances nurses' experiences of well-being related to their psychosocial work environment2006In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 14, no 8, p. 610-616Article in journal (Refereed)
    Abstract [en]

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

  • 281.
    Bégat, Ingrid
    et al.
    Nordic School of Public Health, Göteborg.
    Severinsson, Elisabeth
    Ersta University College.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Implementation of clinical supervision in amedical department: nurses' views of the effects1997In: Journal of Clinical Nursing, ISSN 0962-1067, Vol. 6, no 5, p. 389-394Article in journal (Refereed)
    Abstract [en]

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

  • 282.
    Böhn, Veronica
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Emanuelsson, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Regnsbågsfamiljers erfarenheter av möten på BVC2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 283.
    Bölja, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gueye, Soukeyna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur mår sjuksköterskan?: En beskrivning av stressorer i arbetsmiljön2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 284.
    Börjesson, Anna-Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Koitrand, Romy
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Isolera sjukdomen, inte patienten: patienters upplevelse av isoleringsvård på sjukhus2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

  • 285.
    Börjesson, Carin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dagström, Charina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans stöd till anhörigvårdare i hemmet2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Informal caregivers are a group of people that tends to be forgotten in terms of caring. The public health nurse comes in contact with patients and their informal caregivers in their homes, where the family’s life situations has changed due to the course of the illness. It is important for the professional nurse to identify the needs of the informal caregiver and to support the informal caregiver to carry on. Nurses’ ability to loosen the burden of the informal caregiver enables the patient to be in care at home for a longer time, which turns to benefit the society.

    Aim: To enlighten the need of professional nurses’ support to informal caregivers in their home.

    Method: A literature review of nine qualitative studies, analyzed by influence of Friberg´s model for literature overviews.

    Results: The findings revealed three themes with subthemes: To feel safe, including the nurse´s presence, the nurse´s availability, and the conversation with the nurse. To be informed, including to be given information by the nurse and the content of the information. To be taken seriously, including to be recognized and to trust the nurse´s readiness to act.

    Conclusion: Informal caregivers have needs of the professional nurses´ support and their expectations of the nurse is large. To for fill all these needs can be a challenge. A person-centered care based on knowledge of the treatment and communication are in focus in order to give requested support to informal caregivers who care for relatives in their home.

  • 286.
    Börjesson, Elin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Strömberg, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att vara förälder till ett barn med självskadebeteende: En litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Self- harm among children is a growing problem in Sweden. The behavior means that persons deliberately hurt themselves. It´s not only the child who suffer from this behavior, it also affect the parents and siblings. It’s important that the nurse can give parents the support and information that they need. Research is limited when it comes to parents’ experience of having a child who deliberately harm her-/himself.

    Aim: The aim of this study was to illuminate parents’ experiences of living with a child with deliberate self-harm.

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

    Results: The result are presented in three categories; "Feeling responsible", "Desire to be a better parent", "Feeling invisible and extradited"

    Conclusion: Nurses need more knowledge about self-harm and how parents perceive their situation. Parents need more support and information from the nurse.

  • 287.
    Bøhmer Jensen, Bjørnar
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sköld Reuterskiöld, Frida
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters erfarenheter av sjuksköterskans bemötande på en akutmottagning: En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    : During the first half-year of 2013 2.4 million people sought care at Sweden's hospital-bound emergency departments. The national board of health and welfare describes problems like long waiting times and a high workload on the emergency departments. The nurse has a central place in patient care at emergency departments, and patients´ experiences of nurse's attitude is an important factor in the quality of care.

    Aim:

    The aim was to describe patients´ experiences of nurses' treatment and aspects that affect the meeting at a somatic hospital-bound emergency department.

    Method:

    Literature review based on qualitative and quantitative empirical research.

    Results:

    The result showed that nurses encounter patients in an environment where the patient may be worried about their medical condition, about long waiting time, about the new environment, being in pain or the patient may feel alone and abandoned. The results are organized in three themes: "Responding to the waiting patient", "treatment during triage and priority" and "the patient's need for nurse's attention".

    Conclusion:

    The patient's experience of nurses is that a positive attitude and communication during the waiting period give the patient a feeling of being seen and reduces anxiety. Inadequate treatment during the waiting time can create a feeling of being neglected, ignored, forgotten and not being taken care of. In general patients are impressed by the nurses caring skills and almost all patients felt they were treated with respect and consideration, and they experienced the nurse as good or very good.

  • 288.
    Cabdi, Naimo
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sejdic-Smajic, Alma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelser av att ha ett barn som har astma: en systematisk litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Asthma is a chronic inflammatory lung disease that most often emerges in childhood and affects millions of children around the world. Asthma can affect parents and their children more or less depending on how severe asthma is. When children are cared for, parents are an important and necessary resource for the child's well-being. That´s why it´s important to support not only the child but also parents in the care process.

    Aim: The purpose of this literature study is to describe experiences of parents who care for a child with asthma.

    Method: This study was based on systematic literature search which was based on ten qualitative articles that responded to the purpose of the study.

    Results: The results showed that parents caring for a child with asthma often experienced concern, frustration, hope and need for knowledge about asthma. Parents experienced great deal of concern before child was diagnosed, during deterioration periods and concern about negative side effects medication could cause in the future for the children. Frustration emerged when dealing with health care professionals and school/preschool staff. Despite everyday concern, frustration, lack of knowledge parents still felt hope for the future.

    Conclusion: Nurses have continuous contact with parents that care for children with asthma. Parents caring for child with asthma need a great deal of support from health care system to be able to manage child's illness best way they can. Increased understanding and knowledge about parents experience makes it possible for nurses to have an open dialog with parents and include them better in their child's care.

  • 289.
    Cardesjö, Malin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Karlsson, Caroline
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Hellre sjuk och mager än frisk och fet: En litteraturbaserad studie av kvinnors upplevelser under behandlingen för anorexia nervosa2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Background

    Anorexia nervosa is a growing problem in society and it is most common among women. It is a complex disease that affects both the mental and the physical health. The disease expresses itself differently from person to person, therefore, treatment should be individualized. Nurses need to gain insight into how patients feel about the treatment in order to understand their experience. Previous studies use statistical research to evaluate treatment. This study focuses on describing patients' concrete experiences during care and treatment for anorexia nervosa.

    Aim

    The aim is to highlight women's experiences of care and treatment for anorexia nervosa at hospital wards.

    Method

    The study was based on qualitative articles containing interviews. Nine articles were analysed according to Friberg's (2012) qualitative content analyse for literature-based studies.

    Results

    Four themes and twelve subthemes emerged from the analyse. The findings of the results are characterized by feeling isolated, not being seen, feeling trust and taking one step at the time. The quality of care affects the outcome of the treatment.

    Conclusion

    Nursing patients with anorexia nervosa is a complex task and skilled staff is required. The whole patient should be treated, both physically and mentally. When treating only the physical the underlying problem still exist and relapse is inevitable. Every individual is different and everyone has different problems. Individualized care is therefore required for the best treatment results.

  • 290.
    Carlbo, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Claesson, Hanna Persic
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Åström, Sture
    Umeå University, Faculty of Nursing, Umeå, Sweden.
    Nurses' Experiences in using Physical Activity as Complementary Treatment in Patients with Schizophrenia.2018In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, p. 1-8Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Schizophrenia is a common disease with a high risk of comorbidity in both psychiatric and somatic diseases. Physical activity is proven effective in reducing symptoms of schizophrenia and increasing overall health. Still it is not used systematically in the care of persons with schizophrenia.

    AIM: The aim of this study is to describe nurses' experience, including personal motivation, in using physical activity as complementary treatment in patients with schizophrenia.

    METHOD: Interviews in three focus groups with 12 participating nurses were conducted. Qualitative content analysis was used to analyze data.

    RESULTS: Physical activity was commonly used. Although several nurses signaled positive patient response, i.e. less anxiety and better quality of sleep, the overall consensus was an uncertainty regarding the benefits. It was perceived as non-evidence based form of intervention.

    CONCLUSION: The uncertainty of the benefits of physical activity is evident in nursing staff and poses a resistance to implement systematic physical activity as a complementary treatment in schizophrenia. A new awareness of evidence based nursing is suggested to promote a wider and more receptive attitude to reduce patient vulnerability in persons with schizophrenia.

  • 291.
    Carlbo, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Persic Claesson, Hanna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nurses' experiences in using physical activity as complementary treatment in patients with schizophrenia2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Schizophrenia is a common disease with a high risk of comorbidity in both psychiatric and somatic diseases. Physical activity is proven effective in decreasing symptoms of schizophrenia and increasing overall health. Still it is not a natural part of the care in persons with schizophrenia. Aim: The aim of this study is to describe nurses' experience in using physical activity as complementary treatment in patients with schizophrenia. Method: Three focus groups with 12 participants were conducted. Qualitative content analysis was used to analyze data. Results: An uncertainty of the benefits was expressed through continuous query of questioning the result of physical activity. Nurses also expressed that physical activity was commonly used but questioned, in caring for persons with schizophrenia. However, it was perceived as a non-evidence based form of intervention and was used with uncertainty of the effects. Conclusion: The uncertainty of the benefits of physical activity is evident in nursing staff and pose a resistance to implement physical activity as a complementary treatment in schizophrenia. A new awareness of evidence based nursing is suggested to promote a wider and more offensive care to reduce patient vulnerability in persons with schizophrenia.

  • 292.
    Carlson, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Allmänsjuksköterskors upplevelser av att vårda patienter som lider av Anorexia nervosa2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:. Anorexia nervosa (AN) is a complex disease that is increasing in society. Often the person who suffers from anorexia nervosa has no medical insight and is opposed to the treatment and care. It takes many resources from the nurses to try to get the patient to experience better health. Previous research has limitations on how nurses feel that caring for patients suffering from AN and to be able to have a care of good quality more knowledge about the current topic is needed.Aim: The purpose of this study was to elucidate registered nurses' experience of caring for patients suffering from anorexia nervosaMethod: The study was based on to Friberg's (2012) qualitative content analyse for literature based studies. Five qualitative articles were used in this study, to get a deeper knowledge about this topic.Results: The analysis revealed two categories and four subcategories: creating a relationship and an ongoing struggle. The nurses' role is to create the quality of the meeting between her and her patient. The nurse should see the individual behind the disease and patients respond equally. This is not always easy when patients suffering with AN often sabotages and manipulate, because they do not see the seriousness of AN. This becomes a frustration for the nurse, when they feel they cannot help their patient.Conclusion: Nurses find it tough to meet her patients with anorexia nervosa. They felt failed when they could not help their patients. As future nurses need more knowledge and education.

  • 293.
    Carlsson, E.
    et al.
    Institute for Care and Health Sciences, University of Gothenburg, Sahlgrenska University Hospital.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hallén, A. M.
    Colorectal Unit, Sahlgrenska University Hospital.
    Lindholm, E.
    Colorectal Unit, Sahlgrenska University Hospital.
    Persson, E.
    University of Borås,School of Health Sciences .
    Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and an ostomy2010In: Journal of Wound, Ostomy and Continence Nursing, Vol. 37, no 6, p. 654-661Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer. SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30-87); 35 men and 22 women participated in the study. METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively.Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the 36-Item Short Form Health Survey. Results were compared with population norms. RESULTS: Participants expressed concerns associated with developing cancer, being a burden on others, and related to the uncertain nature of disease. Health-related quality of life scores dropped significantly in 6 of 8 domains when preoperative scores were compared to those obtained 1 month postoperatively, but scores improved at 6 months. There were significant differences between preoperative study group scores and population norms on physical and emotional role function, social function, and for mental health domains. Significant differences persisted when population norms were compared to study group scores 6 months following surgery on all these domains except mental health. Participants identified good relations with significant others, social and leisure activities, psychological issues, and health as important for maintaining QOL. Obstacles to maintaining QOL included fatigue, pain, illness-induced limitations in life, and worries over what their new life would entail. CONCLUSION: Surgical management of rectal cancer raises concerns and profoundly impairs QOL during the first several postoperative months. © 2010 Wound, Ostomy and Continence Nurses Society.

  • 294. Carlsson, Eva
    et al.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Hälsa och sjukdom2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, . Lund: Studentlitteratur , 2008, p. 151-174Chapter in book (Other academic)
  • 295. Carlsson, Eva
    et al.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Persson, Eva
    Stomibandagering.2008In: Stomi- och tarmopererad: Ett helhetsperspektiv, Lund: Studentlitteratur , 2008, p. 69-82Chapter in book (Other academic)
  • 296.
    Carlsson, Ingrid
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Heidenborg, Annika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Möten och vårdande i ett mångkulturellt samhälle: ett sjuksköterskeperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Currently it is a stream of refugees; one of the history´s greatest, and many refugees are coming to Sweden that affects the healthcare. For nurses it is important to have an understanding of different cultures as well as handle different situations in the right way. It is important that every individual receives the care they need and does not get affected by cultural factors. The patients should be treated with respect and the nurses should indicate safety on any level. Aim: To describe factors that affects the meetings between nurse and patient with different cultural backgrounds. Method: A literature study was accomplished based on analysis made by Qualitative and Quantitative articles. Results: The study resulted in two main themes. The first, which is the importance of communication in a meeting and the second is the competences within culture for the nurse in health care. In cross-cultural-meetings the communication is important otherwise there is a risk the caring will not be as good as it can be. Four subthemes showed a finding about how language-barriers can contribute to misunderstandings with more analysis and samplings as a consequence and the need of a professional interpreter. There also was the importance of the need of knowledge about culture diversities and methods to support the nurse in giving good care. The fourth subtheme is about that there are culture diversities in cross-cultural-meeting. Conclusion: The result shows that the significant factor when meetings occur is the lack of communication. For promotion of good healthcare through a respectable meeting, it is necessary to be aware of the importance of a professional interpreter. The result also shows that cultural differences occur and a need for interpreter guidance when necessary is needed to avoid misunderstandings. With good knowledge in the issue the nurses will have better conditions for the meetings with the patients with different cultural backgrounds.

  • 297.
    Carlsson, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Therese
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Sjuksköterskans förhållningssätt gentemot patientermed psykisk ohälsa: en litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Mental illness is a growing global burden of disease. Research shows it is common that patients with mental illness are objects for stigmatization. The nurse shall meet the individual needs for all patients. A holistic perspective will embody the view of the patient as a whole and integrate mind and body. Aim: The aim of this study was to illustrate the factors contributing to nurses’ approach toward patients with mental illness in the somatic care. Method: A literature review was used to analyze scientific articles related to the subject area. Five qualitative- and three quantitative studies are included in this review. Results: A central theme of Stigmatization was developed and linked to the major themes of Fear, Frustration and Engagement. Many nurses’ felt frightened and threatened by patients’ unpredictable behavior while some nurses had a more positive attitude. Conclusion: General stigma is common and may have developed early in life. Nurses’ negative approach is also affected by a lack of knowledge in mental illness, resources and support. Some nurses though, show empathy and interest in patients with comorbid mental illness.

  • 298.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Middle managers on the slide2012In: Leadership in Health Services, ISSN 1751-1879, E-ISSN 1751-1887, Vol. 25, no 2, p. 90-105Article in journal (Refereed)
    Abstract [en]

    Purpose

    – This article aims to examine middle managers in health care and how their role has changed in times of fiscal constraints. It seeks to focus particularly on how cost savings influence the position of middle managers in the organisation between governance and advocacy pressure.

    Design/methodology/approach

    – A total of 25 Swedish middle managers from public health care organisations during fiscal constraints were interviewed about what contributes to their positioning in the organisation.

    Findings

    – The loyalty of middle managers is tested in the "in between" role. Excessive loyalty, in any direction, can distance a middle manager from their expected position. In times of a weakening economy, middle managers are expected to be a tool that is used by the management to communicate savings, personnel reductions, redundancies and closures. This contributes to middle managers sliding out of their role in between.

    Practical implications

    – Middle managers' skills are within care itself. In times of cost savings, demands are placed on their ability to handle advanced management tasks. They need to gain a clearer insight into management control, understanding conflict management and leadership.

    Originality/value

    – The article explains not only why middle managers slide up (take on governance roles) and down (take on advocacy roles) in the organisation, which has been described previously. It also explains why middle managers slide out (abdicate responsibility) of the role between governance and advocacy during times of fiscal limitations.

  • 299.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Team, från vaggan till graven2009In: Team i vård, behandling och omsorg: erfarenheter och reflektioner / [ed] Berlin, Johan, Carlström, Eric, Sandberg, Håkan, Lund: Studentlitteratur , 2009, 1. uppl., p. 239-262Chapter in book (Other academic)
  • 300.
    Carlström, Eric
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Berlin, Johan
    Göteborgs universitet / Sahlgrenska akademin.
    Den gula linjen: En kritisk studie av artefakters symbolvärde i hälso-och sjukvårdsteam2009In: Business as usual: The 20th NFF conference, in Turku / Åbo, August 17-21, 2009, 2009, p. 1-22Conference paper (Refereed)
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