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  • 251.
    Berggren, Ida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kjellstorp, Anna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelser av att leva med ett cancersjukt barn: En litteraturstudie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In 2020, 280.000 children worldwide were affected by cancer. Survival for childhood cancer is approximately 80%. Pediatric cancer care is different between low/middle and high-income countries, which depends on several different factors. Since the parents arestanding closest to the children, they need to be close at hand during the whole period of illness. This affects the parents emotionally. It´s the nurse’s responsibility to ensure that the children are having the best possible care. At the same time parents need to be involved through a partnership. Aim: The purpose of the study was to illustrate parent´s experiences of living with a child with cancer. Method: Qualitative literature study based on ten scientific articles. The study resulted in three themes and eight sub-themes. Results: The parent´s experienced mixed feelings such as anxiety, distress and powerlessness. There was an anxiety and distress if the child would survive the disease but also if the cancer would return after the end of treatment.The parents needed to find new strategies to be able to manage the new daily life. It wasn´t justthe child´s illness who was perceived as stressful. Economic crisis and the relationship between the parents were also factors who was stressful. Conclusion: To be able to design good and safe health care for a child diagnosed with cancer there has to be knowledge and understanding from the parent’s point of view. For this to be possible, more research has to be done about this topic. 

  • 252.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vårdandets etik2019In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 151-171Chapter in book (Other academic)
  • 253.
    Berggren, Malin
    et al.
    University West, Department of Health Sciences.
    Johansson, Therese
    University West, Department of Health Sciences.
    Distriktssköterskors upplevelser av att  förskriva fysisk aktivitet på recept (FaR): inom primärvården2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The world's population is becoming increasingly inactive and is at increased risk of developing and suffering from several different public diseases. It has been shown that physical activity is healthy for humans and has a positive impact on human health. Primary care in Sweden has the task of conducting preventive health work. In primary care, there are opportunities for the district nurse to prescribe physical activity on prescription (FaR) for both preventive and secondary preventive purposes. 

    Aim: The purpose of the study was to describe district nurses' experience of prescribing physical activity on prescription (FaR) in primary care. 

    Method: An inductive qualitative research approach with semi-structured interviews with district nurses in primary care were conducted. The data analysis was performed with qualitative content analysis.

    Results: The analysis process resulted in two categories and ten subcategories. The categories described the district nurses' experience of feeling responsible and giving up. The district nurses feel that they have an important role in the health promotion work and that prescribing FaR is an important part of it. It is important to apply a person-centered approach in the meeting with a person who receives a FaR to promote compliance. 

    Conclusion: The study shows a need for new strategies for FaR to be applied by district nurses to a greater extent, but also for physical activity as a health-promoting measure to involve several professions and organizations. 

  • 254.
    Bergh Johnsen, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rosander, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av att få en bröstcancerdiagnos: en litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One of nine women will at some point in life be treated for breast cancer. When a woman receives a cancer diagnosis, it can be a trigger of a life crisis, which manifests itself in different phases: shock phase, reaction phase, processing phase and reorientation phase. Breast cancer affects the women's lifeworld and create suffering.

    Aim: The aim of this study was to describe women's experiences of receiving a breast cancer diagnosis. Method: This is a literature-based study of twelve qualitative articles. The articles was analyzed according to a qualitative content analysis of Graneheim and Lundman (2004).

    Results: The findings of this study were that women with a newly-diagnosed breast cancer went through a life crisis while diagnosed. Three themes emerged; 1: 'To receive the diagnosis of breast cancer'. Subthemes that emerged in this theme was; 'To be in shock', 'Fear of the disease progress and its consequences', and 'Uncertainty about the future'. 2: 'Strategies to master the new life situation'. Subthemes was; 'Activities to manage everyday life', 'Trust in spirituality' and 'To accept the diagnosis'. 3: 'The inherent meaning of support'. Subthemes was; 'The importance of health professionals supportive and informative role' and 'The significance of family and friend's support'. Conclusion: Receiving a breast cancer diagnosis is manifested as multifaceted and had a great impact on women's lives. Spirituality had a great significance for women's life-world. How the diagnosis was received, was highly individual.

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  • 255.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Is being physically active the key to a good quality of life for patients living with Fontan circulation?2016In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 11, p. 1257-1258Article in journal (Other academic)
  • 256.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. Sahlgrenska Academy, Institute of Medicine.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Rydberg, Annika M.
    University of Umeå, Department of Clinical Sciences, Pediatrics.
    Dellborg, Mikael
    Sahlgrenska Academy, Institute of Medicine.
    Ekman, Inger
    University of Gothenburg, Centre for Person-Centred Care.
    Committed to Life: Adolescents’ and Young Adults’ Experiences of Living with Fontan Circulation2015In: Congenital Heart Disease, ISSN 1747-079X, E-ISSN 1747-0803, Vol. 10, no 5, p. 403-412Article in journal (Refereed)
    Abstract [en]

    Background Single ventricle defects are among the most complex congenital heart defects and the development of advanced surgical procedures in recent decades has created the first generation of adolescents and young adults living with this condition. Yet little is known about how these individuals experience life and what impact the heart defect has on their life in general. Objective The aim was to illuminate and gain a deeper understanding of adolescents’ and young adults’ experiences of living with a surgically palliated univentricular heart. Design Seven open-ended in-depth interviews were conducted, transcribed, and analyzed according to the henomenological hermeneutical method. All adolescents and young adults operated before 1995 according to the Fontan procedure or the total cavo-pulmonary connection procedure at one pediatric cardiology unit were included in the study. They were 17–32 years of age (median age 22 years). Results The interpretation of the interview transcripts showed that the participants experienced living with a surgically palliated univentricular heart in terms of feeling exceptional, strong, and healthy. This was supported by two structural analyses, where three themes emerged: happiness over being me, focusing on possibilities, and being committed to life. Conclusion Living with a Fontan circulation included negative experiences but the analyses clearly demonstrated a feeling of being strong and healthy. An appreciation of having survived and being committed to life was found to be an integral part of the development of the interviewees’ existential growth. This probably strengthens them further in their ability to balance expectations and hurdles in life. This study provides valuable insights into the experience of patients after the Fontan procedure and the importance of a positive health care environment throughout their lives.

  • 257.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, B.
    Umea University, Department of Public Health and Clinical Medicine, Umea, Sweden.
    Mattson, E.
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Moons, P.
    The Sahlgrenska Academy at Gothenburg University, Institute of health and caring sciences, Gothenburg, Sweden;.
    Dellborg, M.
    University of Gothenburg, Institute of medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    Exploration of disagreement between the patient’s self reported limitations and limitations assessed by caregivers in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no Suppl 1, article id 2406Article in journal (Refereed)
    Abstract [en]

    Background: The New York Heart Association (NYHA) classification is applied in a wide spectrum of heart diseases including adult patients with congenital heart disease (ACHD). The NYHA-class assessment is often based on the evaluation by the caregiver, but to what extent it correlates with the patient's view of their function is not fully known.Purpose: To investigate the relation between the patient's self-reported physical limitations, symptoms, other heart defect related factors and NYHA-class assessed by the caregiver.Methods: Eligible patients (n=333, age 39.2±13.6 years) were identified and randomly selected from the national registry for CHD. All of the patients completed a standardized questionnaire measuring different PRO-domains. By combing self-reported data with registry data including NYHA-class, analyses of agreement of physical limitations were performed.Results: Almost 30% of the patients rated their limitations higher compared to the NYHA-class estimated by the caregiver. Patients with self-reported limitations and their NYHA-class underestimated by caregivers, more often reported symptoms, anxiety, lower health and worked fewer hours/week compared to other patients with CHD. There were no differences regarding sex, type of symptoms, prescribed medications, or complexity of cardiac lesion. In patients without self-reported limitations agreement with NYHA-class estimated by caregivers was 97%.Conclusion: Adult patients with CHD and self-reported limitations may not be correctly identified by the care-giver. Instruments for patient reported outcomes might improve the assessment of physical limitations and could further improve the correctness in evaluating the patient's status.

  • 258.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. The Sahlgrenska Academy at University of Gothenburg, Institute of Medicine, Gothenburg, Sweden.
    Mattsson, Eva
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Moons, Philip
    University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Dellborg, M.
    The Sahlgrenska Academy at University of Gothenburg, Institute of Medicine, Gothenburg, Sweden.
    Comparison of participants and non-participants in patient-reported outcome surveys: the case of Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study2017In: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 27, no 3, p. 427-434Article in journal (Refereed)
    Abstract [en]

    Background: The last decade has seen a vast increase in the use of patient-reported outcomes. As patient-reported outcomes are used in order to capture patients’ perspectives of their health and illness, it is a prerequisite for accurate patient-reported outcome evaluations to use representative samples. In order to evaluate representativeness, the present study focussed on the comparison between participants and non-participants in the Swedish branch of the international study APPROACH-IS (Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease – International Study), regarding demographic, clinical, and health status characteristics. Methods: Eligible patients for APPROACH-IS were identified and selected from SWEDCON, the Swedish registry for congenital heart disease (CHD). Overall, 912 eligible patients were identified, of whom 471 participated, 398 did not participate, and 43 were either unreachable or declined to participate in APPROACH-IS. The participants and non-participants were compared in terms of statistical significance and effect sizes. Results: Significant differences were observed between participants and non-participants for sex, age, primary diagnosis, number of cardiac operations, and fatigue; however, the effect sizes were in general small, except for the difference in primary diagnosis. No differences between the two groups were found in number of catheterisations, implanted device, the distribution of NYHA functional class, or health status and symptoms. Conclusions: This study shows that participants and non-participants are relatively comparable groups, which confirms the representativeness of the participants. The Swedish data from APPROACH-IS can therefore be reliably generalised to the population of adults with CHD in Sweden. © Cambridge University Press 2016

  • 259.
    Berglund Blank, Micael
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pappan: den andra föräldern2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Several previous studies have shown that men or fathers feel neglected in contact with the child healthcare service. They do not consider themselves to have been seen or taken seriously.

    Aim: The purpose of the study was to investigate how fathers experience their contact with the child healthcare service.

    Method: The study had a qualitative approach where data collection was done through in-depth interviews with fathers who participated during child healthcare services check-up's with various child health service nurses. The method is qualitative content analysis based on Graneheim and Lundman's model.

    Selection: Five fathers who attended the child health care services were interviewed about their experiences.

    Results: The analysis resulted in three categories; seen and included, set aside, and physical environment. The fathers appreciated continuity in meeting the same child health care service nurse and they appreciated being seen as parents on equal terms. They felt set aside when they were not asked or were not included in conversations as the mothers were. De also felt that the physical environment was important to be able to feel welcome at the child healthcare service

    Conclusion: To make the fathers feel included at the child healthcare service the health care personnel need to be attentive and aware of that fathers need support in their new role as parents. The health care personnel need to create possibilities for the fathers to participate, such as an equal communication in fathers groups

  • 260.
    Berglöv, Louise
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Söderqvist, Anna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Personcentrerad vård inom BVC2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Person centered care (PCC) is about understanding the totality of individuals' lives and what context they are in. Therefore, flexibility can be seen as an important feature in specialist nurses work with PCC at the child health center (CHC). Today, PCC is recognized in healthcare and shows good results, however, there is a resistance among the professionals. Research on PCC in child health care is deficient, while at the same time studies show that children do not feel respected.

    Aim: The aim of the study was to describe child health nurses view of person centered care with focus on the child in relation to the parents.

    Method: Nine individual semistructured interviews with specialist nurses were conducted and data analyzed through qualitative content analysis.

    Results: The specialist nurses all agreed that PCC was about seeing the child and the parents, meeting them here and now and always having the child in focus. Allowing the child to participate and to share their stories was a prerequisite for working person centered. The specialist nurses also considered that their own professional experience played a crucial role. There were also obstacles and difficulties, the reasons for that were several, but most often was it about ignorance and uncertainty.

    Conclusion: The fact that the focus always on the child and that the specialist nurse always assumes the best interests of the child is the most important when it comes to PCC at the CHC. Family focused care and person centered care complement each other where it is up to the specialist nurse to decide which of them who is the most important in the current situation.

  • 261.
    Bergman, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Westbring, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars behov av stöd från sjuksköterskan2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background When a child is in need for care, they are mostly accompanied by their parents. In the meeting with the family, the nurse has to give comfort, attention and support to everyone, not least the parents. Due to swedish law it is the nurse’s responsability to give information and encourage good care. The parents needs to have support to be involved and feel safe in the care of their child. To achieve all of this, the nurse has a big responsability to see each person as a unique individual. Aim The aim of this study was to describe parents' need of support from the nurse when their child requires care at hospital.  Method A literature-base study has been made of qualitative articles retrieved from database Cinahl. The studies were found used systematic searches. The result of a total of eight scientific articles from different countries around the world were compiled. Results The themes highlight what kind of support parents need when their child requires care at hospital. To be a confidence-giving nurse, to be guided as a parent, to be involved, individually adapted information, education about the child’s condition and a functional communication were highlighted in the study. The main themes were- "An involved nurse" and "Verbal and non verbal support for the parents".  Conclusion Parents are in need of support when their child is in need of care. Each parent is unique and the support must be built from each individual parent. The relationship between parents and nurse could be important for the support and for the involvement of the parents.

  • 262.
    Bergman, Cassandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Hektor, Micaela
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Svenska gymnasieelevers drogvanor2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Studies indicate that drug use has increased the last 12 years among Swedish high school students. There is also a clear gender difference in the frequency of drug use where male high school students use more often drugs than female students. There is a difference in the risk factors between the genders. Biological factors are dominant riskfactors for men's drug use while for females there are more dominant environmental riskfactors. It's of high importance to asses updated information about adolescents' drug use habits, because drug use can lead to sever and chronic mental ill-health, criminal behaviors and social marginalization.

    Aim: The aim of the present study is to measure the drug use habits and describe it by gender and age in a sample of Swedish high school students.

    Method: The study used descriptive and comparative statistical (Shapiro-Wilks test, Spearman correlation and Mann-Whitney U-test) methods. Information assessed from 280 Swedish high school students about their drug use habits with the instrument Drug Use Disorders Identification Test (DUDIT). Previously validated cut-off ≥ 6 for male and ≥ 2 points for female students were used to identify students with drug related problems/dependence.

    Results: The result showed that about 10 % of the Swedish high school students have some form of drug use habit. The male students scored higher than the female students concerning their drug use habits (they used drugs in a greater extent) meanwhile the female students showed a drug related problems/dependence in a younger age than their male classmates. According the previously validated cutoffs about 4% of male and 8% of female high school students have drug related problems/dependence.

    Conclusion: In a sample of Swedish high school students male students reported more serious drug use habits than female students, while a larger proportion of the female students had drug related problems/ dependence, which also emerged in earlier ages than in their male classmates. The study raises the question of the need of a new validation of the cut-off for a gender specific identification for Swedish adolescents with drug related problems/dependence.

  • 263.
    Bergman, Emelie
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Tynkkinen, Tanya
    University West, Department of Health Sciences, Nursing Programme.
    Faktorer som påverkar ungdomars återfall i drogmissbruk2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Drugs have been around for ages. Previous studies show that drug use among young people is a problem that exists in large parts of the world. In Europe, 11.2% of young adults aged 15-24 have used cannabis in 2011. A survey conducted in Swedish schools shows that drug abuse is the number of students using drug increase but consumption is increasing. Objective: The aim of this study was to describe factors that affect relapse in drug abuse among young people. Method: A literature review of 10 scientific articles from the years 2003 to 2015 were used in which various factors that affect relapse in adolescents discerned.

    Results: The factors that affect a relapse can vary from individual to individual and therefore it is difficult to point out one single factor. The factors found to counteract a relapse is physical health, physical activity, treatment and the environment surrounding youth including engagement of family. Conclusions: The interaction of influencing factors is complex and indicates that no factor alone can be considered as anti-relapse into drug abuse. The study shows that several factors need to cooperate to prevent a relapse, such as the environment and the emotional state of the youth. Interacting factors have been shown to minimize the risk of recurrence.

  • 264.
    Bergqvist, Caroline
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Tingberg, Sofia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    En fråga med dolda svar: en registerstudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Since 2008 there is a law stating that patients who do not require institutional forensic psychiatric care may be moved to non-institutional forensic care, with special conditions. RättspsyK is a national quality register where all of the 25 forensic care units in Sweden collect information about their patients and their care. Previous analysis showed that a considerable amount of patients continue to receive institutional forensic psychiatric care despite they are assessed and found ready to move onto non-institutional forensic care. Aim: The objective of this study was to identify factors affecting why patients were still in institutional forensic care despite assessed to be ready for non-institutional forensic care.Method: First, yearly assessment of each patient between 2009 and 2014 was drawn from the RättspsyK register. Answers to the specific question, Question 10, were analyzed with descriptive statistics and were planned to be used in regression analyses as dependent variable. Result: 1900 patients were included. During analyses the fact that answers to this question were not trustable was found, therefore no exact prevalence of inpatients kept in institutional forensic care despite assessed ready for non-institutional care could be determined. Other information revealed that lack of housing and lack of collaboration were the most frequent reasons for this phenomenon. Conclusion: The present study could not give answer to the original question, but pointed out avalidity problem in the Swedish Forensic Psychiatry Register. The result calls for caution and for the need of validation of RättspsyK register.

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  • 265.
    Bergqvist, Christer
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som patienter upplever påverkar följsamheten av den ickefarmakologiska behandlingen vid hypertoni2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In this work hypertension was considered by the author to be of great concern. The work initially defined hypertension including pathophysiology, occurrence, risk factors and treatment. Self care in the form of lifestyle changes was recognized as a substantial part of the treatment for hypertensive patients. Health as a concept was discussed and Dorothea Orems self care theory was used as a basis for the study. The nurse`s role was described as helping the patient develop and maintain self-care. Aim: The aim of this study was to investigate factors that patients perceived as influential when it came to self-management of hypertension. Metod: The method used was an analysis of qualitative research developed by Friberg (2006). Nine scientific articles were analyzed to identify themes and subthemes. Results: Eleven subthemes and five themes that described what patients felt effecting their selfcare were identified. The themes that was spawned were: lifestyle which included the subthemes culture and living conditions; support which included the subthemes relation with health care and social support; attitude which included the subthemes self-esteem, engagement and responsibility; competence which included the subthemes information and advice and knowledge and information and the final theme perceived health which included the subthemes symptoms and comorbidity. Conclusions: The conclusions drawn from this work was that there were a lot of different factors that patients believed facilitated or inhibited their self-care and that it was important for nurses to consider that in the care relation with patients suffering from hypertension.

  • 266.
    Bergsten, Cassandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Engelbrektsson, Theres
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Barns erfarenheter av alkoholmissbruk i hemmet: En litteraturstudie2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: All children have the right to grow up in a safe environment that promotes their development. Children of alcohol abusive parents' risks having a childhood embossed by stress and a lack of continuity which can lead to severe consequences for the child´s mental health. To promote emotional development, it is important to have a secure adult who can meet the child's needs.

    Aim: To describe children's experiences of living with alcohol abusive parents

    Method: A literature review based on five qualitative and six quantitative peer-reviewed articles retrieved from the databases Cinahl and PsycINFO.

    Results: The results show that children of alcohol-abusing parents tend to have a family life marked by conflicts, damaged family relationships and abuse. Consequences in the form of mental illness, stigma and lack of resilience. The results also show the importance of protective factors in the form of having social support.

    Conclusion: Children of alcohol-abusing parents are at risk of being subjected to mental and physical abuse. The home environment is described as conflict-filled and emotionally charged. The experiences are characterized by insecurity and can lead to consequences in the form of psychosocial problems, low self-esteem and lack of resilience. Important protective factors to reduce the risk of negative experiences are social support and early intervention

  • 267.
    Bergsten, Jennica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Niklasson, Jenny
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av sexuell hälsa till följd av behandling förlivmoderhalscancer: En litteraturbaserad studie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, about 500 women suffer from cervical cancer every year. Sexual health is important for women’s well-being and can be affected by the treatments of cervical cancer. In a cervical cancer diagnosis, the sexual health is affected. Some women have persistent sexual dysfunctions after end of treatment. It is important to make sure if the women experience this as a problem in order to be able to implement the right nursing measures.

    Aim: The aim of this study was to illuminate the experience of sexual health in women after cervical cancer treatment

    Method: The results of this literature-based study include eight qualitative articles, analyzed with Friberg’s five-stage model.

    Results: The result was presented in three main themes: sexual dysfunction, fears after treatments and knowledge of sexual health. Women's sexual health can be affected by cervical cancer and its treatment. After treatments, women experience body changes and a negative body image. Initiating sexual activity with your partner was perceived as difficult. The women felt that information about sexual health after treatment was missing from the caregivers.

    Conclusion: The results showed that women who underwent treatment for cervical cancer experienced sexual ill health due to changes in their bodies. It emerged that women choose to have intercourse out of fear of being left for someone else. Women experienced lack of knowledge and wanted information from health care professionals about sexual health.

  • 268.
    Bergsten Johnsson, Emma
    et al.
    University West, Department of Health Sciences.
    Hermansson, Josefine
    University West, Department of Health Sciences.
    Upplevelsen av trygghet för patienter inom sjukhusvård: En litteraturstudie om vad som skapar trygghet2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background – The perception of safety is an individual feeling and experience for each patient. It's common for patients to feel a lack of safety and security when they are in contact with hospital care. This often leads to an unnecessary suffering that could be prevented by good and individualized care.

    Aim – The aim of this study was to explore patients' experience of safety during hospital care.

    Method - A qualitative literature-based study was performed, based on ten qualitative articles that focused on patients' experience of feeling safe during hospital care.

    Results – This study shows that patients experience safety when they get information and knowledge that is individualized, this helped them to gain control over their situation and gave them the feeling of safety. The relationship between the nurse and the patient is also a big part of the perception of safety, the patients want to be seen and heard, treated like unique individuals and seen as something more than their disease. The result is presented in two main themes: The need to know and the role of the nurse.

    Conclusion – The results showed that there are several factors that contribute to the patients experience of safety. Information, knowledge, control, the relationship with the nurse, the availability of the nurse and the way the nurse treated the patient. But the main conclusion is that the patients experience safety when they are treated with a person-centered approach and holistic care.

  • 269.
    Bergsten, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Specialistsjuksköterskans erfarenheter av samarbete mellan verksamheter i omvårdnaden av äldre med komplexa vårdbehov2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The population in Sweden is getting older and the number of olderpeople is increasing with complex care needs. In 2014, approximately 500,000 people were80 years or older in Sweden and this is estimated to increase to 800,000 by 2030. More and more older people are being cared for in ordinary housing and many of them have complex care needs that require care from county councils, primary care and municipal health and healthcare. For this reason, the collaboration between these activities is a decisive factor for the nursing to achieve the quality to which the older with complex care needs are entitled. Specialist nurses from the various activities have an important role and it is a challenge both for them but also for other care staff.

    Aim: The aim of this study is to describe specialist nurses’/nurses’ experience of collaboration between establishments in nursing care of older people with complex care needs.

    Method: Qualitative content analysis with inductive approach was used to answer the aim of the study. Seven interviews were conducted with both specialist nurses and nurses working in primary care or municipal health care. The interviews were recorded, transcribed, and analyzed according to Graneheim and Lundman (2004).

    Results: The results showed that collaboration between different activities is complex. Many factors emerged that make it more difficult to care for the older with complex care needs. The commitment and willingness of all care staff is required for the collaboration to work.

    Conclusion: Person-centered care is of great importance for the collaboration between activities in the care of the older with complex care needs. Conducting a collaboration between establishments is complex and several factors affect how it works.

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  • 270.
    Bergström, Emma
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Östensen, Jessica
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Kvinnor som utsatts för våld i nära relation: en litteraturöversikt om hur hälso- och sjukvården identifierar våldet2021Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intimate partner violence is a global public health problem where women all around the world fall victims to violence. Intimate partner violence is the relationship and emotional bond between victim and perpetrator. Violence can manifest in several different ways, such as physical, mental, sexual, material, economic or social. Previous research showed that about every third woman who had been in a relationship were victims to some form of violence. According to the World Health Organization (WHO) health care services should be a driving force in the work against intimate partner violence. 

    Aim: The aim of the study was to investigate how health care professionals can identify expose of intimate partner violence among women. 

    Method: A literature review was conducted. Eight qualitative and one quantitative article were selected. 

    Results: Health care professionals are often the first to meet the woman who has been subjected to violence. The health care services used various screening methods where, questions are asked to explore the woman's situation. Based on the results of the articles, a main theme and three sub-themes were constructed. 

    Conclusion: The result of this study shows that the health care services are aware of the woman's exposure to violence. The health care system has several methods that they should work with, however there are many obstacles that result in both screening not being used correctly and in some not being used at all. There are areas for improvement in health care work with women exposed to violence.

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  • 271.
    Bergström, Ida
    et al.
    University West, Department of Health Sciences.
    Krusell, Cornelia
    University West, Department of Health Sciences.
    Patienters upplevelse av att få palliativ vård i hemmet: En litteraturstudie utifrån patientperspektivet2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    About 56.8 million people receive palliative care each year and wanting care at home is common. The patient needs to receive good palliative care and the nurse can relieve suffering through giving the patient attention to needs and wishes. To make this possible, the nurse must work with a person-centered care and have the patient's best interests in mind. Therefore, it is important that nurses have knowledge of patients' experiences of receiving palliative care at home.

    Aim

    The aim was to describe patients experience of receiving palliative care at home.

    Method

    This study was a literature-based study where qualitative articles have been analyzed to describe patients experiences. Articles were searched in CINAHL and PubMed, and after the authors analyzed the articles according to Friberg's 5-step model, 10 articles where selected for the results.

    Results

    The analysis of the articles resulted in three main themes: the importance of the home, the importance of a good care relationship and the importance of maintaining one's social interactions. Eight sub-themes were identified: family creates meaningfulness, memories in the home create well-being, the home becomes a place of disease, the opportunity for round-the clock care, be seen as a person instead of an illness, caring nurse has the right skills, get to keep your pet, socializing with friends.

    Conclusion

    Patients experience of palliative care is an important knowledge that all nurses need to have in order to provide good care.

  • 272.
    Berhe, Saba
    et al.
    University West, Department of Health Sciences.
    Wirkensjö, Hanna
    University West, Department of Health Sciences.
    Sömlös vård tryggar säkra övergångar: Sjuksköterskors och distriktssköterskors i hemsjukvårdens erfarenheter av samverkan vid utskrivning från slutenvården2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Globally, the aging population is increasing, thus putting demands on the healthcare system to offer good and safe care for the entire population. When cooperation between inpatient and home health care is lacking, there is a risk of poorer care results, care injuries, and unplanned readmissions to the hospital. The district nurse has an important role and function in collaboration and must strengthen the patient´s decision-making and power from a health education approach. The district nurse must promote good communication and relationships in the team and act as a leader in nursing planning.

    Aim: Describe the experiences of nurses and district nurses in home health care in collaboration with inpatient care when discharging patients from hospital to home. 

    Method: Qualitative systematic literature review with an inductive approach based on Evan’s method with the addition of quality reviewing the articles. The writers of this study carried out the article search in the database Cinahl and PubMed. Twelve relevant articles emerged from the searches – these articles constitute the basis for the results of this research. 

    Results: Nurses and district nurses in home health care have positive and negative experiences collaborating with the hospital during patient discharge. Three themes emerge from the result: The importance of information transfer between organizations, The feeling of “us and them”, and Conditions for cooperation. These three themes are build-ups of eight sub-themes.

    Conclusion: Knowledge of each other’s organization and functions is vital for a well-functioning collaboration. The “us and them” feeling must erase to achieve seamless, good, and safe care.

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  • 273.
    Berholt, Camilla
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lilienberg, Ann-Charlotte
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Psykisk ohälsa hos intagna med självriktad aggressivitet: Effekt av 10 veckors yoga2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental ill-health is common among prisons inmates. More than half of inmates in Swedish prisons suffer from different psychiatric problems that untreated can contribute to aggressive behaviors, including self-directed aggressive behaviors such as self-harm, suicide attempt or completed suicide. Evidence shows that participation in yoga exercise may improve mental health in the general but even in prison inmates population. The effect of yoga on self-directed aggressive behavior in prison inmates population has not yet been specifically studied, according to our knowledge.

    Aim: To examine the self-reported prevalence of psychiatric diagnoses by gender among prison inmates, and to study the effect of 10 weeks yoga on the prevalence and severity of self-directed aggression in this population.

    Method/Study population: From nine prisons in Sweden, 211 inmates participated voluntarily in the 10 weeks of study. They were randomized into two groups, one yoga group in which inmates participated in 90 minutes of hatha yoga once every week and a control group including those who were placed into a waiting list for yoga and asked to participate in 90 minutes of physical activity of free choice, once a week during the study.

    Results: Major depression, substance use disorder, anxiety disorder, and attention deficit hyperactivity disorder were the most common psychiatric diagnoses among inmates. The prevalence of many psychiatric diagnoses was significantly higher in female inmates than in male inmates. Both yoga and freely chosen physical activity reduced self-directed aggression during incarceration, but the improvement was better in the group that preformed yoga.

    Conclusion: The study provides evidence that yoga made on a regular basis have a positive effect on reducing self-directed aggression. Since no side effects of yoga exercise have previously or in this study detected, it can be concluded that yoga can be effective measure to increase inmates well-being.

  • 274.
    Berisha, Edona
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bernarte Hult, Majal
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelse av fysisk aktivitet vid Diabetes typ 2: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes has increased in society. As nurses, we will meet these patients in various areas of healthcare. Physical activity positively affects blood glucose and reduces the risk of complications.

    Aim: To describe patients' experiences of physical activity in type 2 diabetes.

    Method: This study is a literature study based on analysis of qualitative research.

    Results: The result includes three main themes and seven subthemes that describe patients' experiences of physical activity. The first theme was "Motivation" with three subthemes: "Feeling supported by their environment", "Fear of complications gave energy" and "Feeling good". The second theme was "Obstacle" with two subthemes: "Lack of time in everyday life" and "The body as a barrier". The final theme was "The impact of the health conversation" with two subthemes: "Knowledge of illness" and "Own responsibility".

    Conclusion: The conclusion of this study is that patients need support and clear personalized information about their illness and lifestyle changes to succeed in self-care such as physical activity.

  • 275.
    Berisha, Melisa
    et al.
    University West, Department of Health Sciences.
    Nordin, Teresa
    University West, Department of Health Sciences.
    Sjuksköterskans erfarenheter av att vårda suicidala patienter: En litteraturstudie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Globally around 703 000 individuals die due to suicide every year and in Sweden the estimated number is 1500 individuals. Stigma in the society towards suicide and mental illness can lead to discrimination in healthcare. Previous research has shown that nurses play an important role in suicide prevention and care, yet little is known about nurses experiences of caring for suicidal patients.

    Aim: The aim of this literature study was to highlight nurse’s experiences of caring for suicidal patients.

    Method: A literature study based on eight qualitative scientific articles was performed. The analysis process was conducted by a five-step model and resulted in two main categories and five subcategories.

    Results: The two main categories were: Emotions in caring and deficiency in the care units. Nurses experienced various emotions when caring for suicidal patients. The nurses were emotionally affected and had various attitudes regarding suicide. They experienced a lack of education and did not feel supported by the hospital management. The patient safety was also inadequate.

    Conclusion: Nurses need to be self-aware of how caring for suicidal patients affects them emotionally both professionally and personally to be able to provide the best possible care. The hospital environment was unsafe for suicidal patients which could lead to nurses being held responsible and penalized.

  • 276.
    Berlin, Johan
    et al.
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Carlström, Eric
    University West, Department of Health Sciences, Specialist Nursing programme. University of Gothenburg.
    Learning and usefulness of collaboration exercises: A study of the three level collaboration (3LC) exercises between the police, ambulance and rescue services2015In: International Journal of Mass Emergencies and Disasters, ISSN 0280-7270, Vol. 33, no 3, p. 428-467Article in journal (Refereed)
    Abstract [en]

    In this article, we studied collaboration exercises (3LC) between the rescue services, ambulance services, and police force, which were developed to enhance learning and usefulness. The exercises’ structure was based on identified deficiencies in previous collaboration exercises. The purpose was to test the exercise model in terms of learning and usefulness. Ten 3LC exercises were observed. A total of 65 semi-structured interviews were conducted (2011–2014) in connection with the exercises. The exercises contained across-boundary elements, seminars, and interactive documentation. The participants were given the opportunity to discuss, analyze, and critically reflect on their efforts. During the seminars, the individual actions were analyzed, which led to alternative strategies that were subsequently tested in a repeated exercise. Our results demonstrate that repetitive features and seminars during collaboration exercises promote learning toward an organic behavior and usefulness in the actual incident work.

  • 277.
    Bern, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Saltell, Mikaela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Motivation till livsstilsförändringar: en utmaning för distriktssköterskan2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypertension increases all over the world and with the disease there is a risk för complications and personal suffering. The treatment involves lifestyle changes and pharmacological treatment. The district nurse has an important role in care of patients with hypertension and through health interviews, the district nurse can create possibilities for lifestyle changes. Motivation plays an essential role in implementing lifestyle changes and it varies in between individuals.

    Aim: The aim of the study was to examine district nurse's perceptions of what motivates and what creates obstacles and holds back patients with hypertension to implement lifestyle changes.

    Method: Eight district nurses who on daily bases worked with patients with hypertension and lifestyle changes were interviewed. The interviews were analyzed by qualitative content analysis with an inductive approach to reach the aim of the study.

    Results: The district nurses experienced that both positive as well as negative factors were found to have an impact on a patient's motivation for lifestyle changes. These factors were both found in the district nurse and in the patient. The patient's inner drive force and the district nurse's professionalism created conditions for patients to implement lifestyle changes while as a patient's own negative attitude and a district nurse's lack of commitment and understanding created barriers for patients to implement lifestyle changes.

    Conclusion: The district nurses experienced that both the district nurse and the patient's involvement in health interviews influenced the patient's motivation for lifestyle changes.

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  • 278.
    Bernardino, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pirvu, Andra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Arbetsrelaterad stress på sjukhus: En litteraturbaserad studie ur sjuksköterskans perspektiv2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Work-related stressors is a global issue that should have more awareness to prevent serious health consequences. This study dives into the subject of chronic stress; such as work-related stress that can cause fatigue syndrome. It is about how these stress factors can concern a registered nurse ability to work with patients’ safety and the effect of the nurses’ health.

    Aim: The aim of the study was to identify work-related stressors of a registered nurse and its consequences.

    Method: This study is based on an analysis of qualitative research that contributes to evidence-based health care (EBHC). The method is literature based and utilizes scientific articles about the nurses profession and their own personal experiences.

    Results: There were three different themes that contributed to work-related stress factors and they are crucial to the nurse's role. These factors increase the difficulty of practicing the profession and there are explanations of how it affects the individual nurse mentally and physically.

    Conclusion: The study indicates that the profession as a nurse is wearisome and the most significant stress factor in this study is the high workload. Nurses are forced to work under pressure in conjunction with lack of resources and lack of time. This type of factor affects the nurses health.

  • 279.
    Berndt, Franziska
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kristensen, Jaqueline
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som påverkar sjuksköterskors bemötande av patienter med missbruk: en litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The fact that drug use is increasing in Sweden means that nurses are more likely to care for patients with substance abuse in hospitals. How nurses treat patients with substancea buse are important in nursing as negative treatment may result in suffering for patients. People with substance abuse are at risk of suffering related to disease-, life- and healthcare suffering. Nurses must alleviate the patients suffering and take the human vulnerability into account. According to patient reports, negative treatment from nurses is common.

    Aim: This study aimed to describe factors that affect nurses’ treatment in the care of patients with substance abuse.

    Method: Literature review based on 11 scientific articles searched at Cinahl and PubMed. The included articles were both qualitative and quantitative. The articles were analyzed in order to identify differences and similarities in the result of the 11 included scientific articles.

    Results: Three main categories appeared as factors affecting nurses’ treatment: Nurses perceptions, The organization of structures and their impact, and The importance of competence.

    Conclusion: Lack of knowledge seems to be the most important factor for negative treatment. The conclusion of this study is that norms and preconceptions can be based on lack of knowledge. Therefore, nurses should be given more time for reflection and education about substance abuse to encourage positive treatment.

  • 280.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra ()
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Work-integrated learning as a pedagogical tool to integrate theory andpractice in nursing education: An integrative literature revie2020In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 42, article id 102685Article in journal (Refereed)
    Abstract [en]

    It can be challenging for nursing students to navigate between theory and practice and to implement theoretical knowledge in real work situations and vice-versa.Work-integrated learning can support the students by enabling them to combine theoretical studies with practical work experience during their clinical placement.The aim of this integrative literature review was to identify models for the integration of theory and practice during clinical placements in nursing education by usingwork-integrated learning. Sixteen articles were found and analyzed using an integrative review method. Three themes were identified: 1) Supervisor support toenable students to develop a professional identity 2) Variety of modalities for teaching and 3) Collaboration between academic lecturers and clinical supervisorsaimed at integrating theoretical and practical knowledge. Work-integrated learning enables students to integrate theory and practice, develop skills for knowledge-inpractice and prepares them for working life. It also supports the sharing of experiences between various healthcare professionals. This review identified a need forfurther research on work-integrated learning as a method for enhancing nursing students’ workplace learning.

  • 281.
    Berndtsson, Ina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Karlsson, Margareta
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rejnö, Åsa
    University West, Department of Health Sciences, Section for nursing - graduate level. Stroke Unit, Skaraborg Hospital Skövde, Sweden.
    Nursing students' attitudes toward care of dying patients: A pre- and post-palliative course study2019In: Heliyon, E-ISSN 2405-8440, Vol. 5, no 10, article id e02578Article in journal (Refereed)
    Abstract [en]

    Background: Many nursing students are not prepared to encounter death and care for patients who are at the end of life as newly educated nurses. The Frommelt Attitude Toward Care of Dying Scale (FATCOD) has been used to assess nursing students' attitudes during their education and changes have been noted.

    Objective: To examine nursing students' attitudes towards care of dying patients before and after a course in palliative care.

    Design: A descriptive study with a pre and post design.

    Settings & participants: Nursing students (n = 73) enrolled in a mandatory palliative course in the nursing programme at a Swedish university.

    Methods: Data were collected before and after a palliative care course using FATCOD and qualitative open-ended questions. Data from FATCOD were analysed using descriptive and analytical statistics. The open-ended questions were analysed with qualitative content analysis.

    Results: The students' mean scores showed a statistically significant change toward a more positive attitude toward care of dying. Students with the lowest pre-course scores showed the highest mean change. The qualitative analysis showed that the students had gained additional knowledge, deepened understanding, and increased feelings of security through the course.

    Conclusions: A course in palliative care could help to change nursing students' attitudes towards care of patients who are dying and their relatives, in a positive direction. A course in palliative care is suggested to be mandatory in nursing education, and in addition to theoretical lectures include learning activities such as reflection in small groups, simulation training and taking care of the dead body.

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  • 282.
    Bernling, Sigrid
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Kucukcelik, Nadire
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Medias konstruktioner av flyktingar och hur dessa kan påverka distriktssköterskor i deras möte med flyktingar2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In 2015, the increased number of refugees arriving in Sweden was covered in media. Public health nurses may in their encounter with immigrants be influenced by discourses arising from medial constructions of refugees. The aim of this study was to examine mass medial constructions of and discourses about refugees, since preconceptions can influence district nurses in encounters with these persons. It is a matter of importance to discuss how this can manifest itself, in order to make public health nurses encounters with refugees as well-functioning as possible. Person-centred care has been uses as a theoretical frame of reference in this study. A qualitative approach was chosen. The methods used were corpus analysis and discourse analysis.  Data was collected from three daily newspapers: Dagens Nyheter, Sydsvenskan and Svenska Dagbladet, published in September, October and November 2015. During this time the concept refugee occurred in 4022 articles. The result shows that refugees in media are contoured as a homogenous group. Four discourses based on thirteen constructions were identified. The four discourses were a crisis discourse, a helplessness discourse, a political discourse, and an economical discourse. From the discourses, it is assumed that public health nurses reading of medial texts about refugees influences their view, and therefore their care, of refugees. Hence, it is important to illuminate the constructions of refugees in media

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  • 283.
    Berntsson, Emmie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Darell Gustafsson, Rebecka
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Den osynliga sjukdomen: En litteraturbaserad studie om kvinnors upplevelse av att leva med endometrios2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronic disease that affects about ten of a hundred fertile women and means a profound change and suffering for them. Endometriosis means that tissue from the endometrium ends up on other tissues and organs where it begins to grow, which leads to inflammation. Aim: The aim of the study is to shed light on women’s experience of living with endometriosis. Method: A literature-based study based on qualitative research to gain a deeper understanding of the phenomenon. Eight articles were analyzed and resulted in two main themes and six sub-themes. Results: The results are presented in two main themes Emotional stress, which describes how women live with pain and anxiety that affect relationships and self-esteem. New challenges, that describe all the challenges women face and how they are met and distrusted by healthcare professionals. Conclusion: Women living with endometriosis need adequate information as well as emotional and instrumental support. These needs can be met when the nurse takes responsibility for nursing and provides person-centered care.

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  • 284.
    Berntsson, Shala Ghaderi
    et al.
    Uppsala University, Department of Neuroscience, Neurology, University Hospital, Uppsala, Sweden.
    Landtblom, Anne-Marie
    Uppsala University, Department of Neuroscience, Neurology, University Hospital, Uppsala, Sweden, Department of Clinical and Experimental Medicine, Neurology, Medical Faculty, University of Linköping, Linköping, Sweden.
    Flensner, Gullvi
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Cerebellar ataxia and intrathecal baclofen therapy: Focus on patients´ experiences2017In: PLOS ONE, E-ISSN 1932-6203, Vol. 2, no 6, article id e0180054Article in journal (Refereed)
    Abstract [en]

    Elucidating patients´ experiences of living with chronic progressive hereditary ataxia and the symptomatic treatment with intrathecal baclofen (ITB) is the objective of the current study. A multicenter qualitative study with four patients included due to the rare combination of hereditary ataxia and ITB therapy was designed to elucidate participants' experiences through semi-structured interviews. The transcribed text was analyzed according to content analysis guidelines. Overall we identified living in the present/ taking one day at a time as the main theme covering the following categories: 1) Uncertainty about the future as a consequence of living with a hereditary disease; The disease; 2) Impact on life as a whole, 3) Influence on personal life in terms of feeling forced to terminate employment, 4) Limiting daily activities, and 5) ITB therapy, advantages, and disadvantages. Uncertainty about the future was the category that affected participants' personal life, employment, and daily activities. The participants' experience of receiving ITB therapy was expressed in terms of improved quality of life due to better body position and movement as well as better sleep and pain relief.

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  • 285.
    Bernvi, Ronja
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ekengren, Lina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors erfarenheter av fysisk aktivitet vid omvårdnad av patienter med psykossjukdom: En kvalitativ intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research has shown the positive effects that physical activity has in patients with psychosis, highlighting how antipsychotics induce weight gain and increase the risk of patients developing metabolic syndrome. Despite studies clearly demonstrating the importance of physical activity and the positive effect it has on this patient group, physical activity is still low on the agenda in the healthcare treatment and management of psychosis. Patients with psychosis often live a sedentary life, where isolation is a part of the symptomatology. At the same time, prescribed medical treatments often result in side effects that have detrimental effects on the long-term physical health of patients. Recent research demonstrates that physical activity contributes to patients’ physical health as well as their mental health, significantly contributing to their recovery. One way to improve the prognosis of patients with psychosis, often related to poor physical health, is to work with patients to promote all aspects of good health, including physical activity – a role that often fall upon nurses. Aim: The aim of the study was to illustrate nurses' experiences of physical activity in the nursing of patients with psychosis. Method: This is a qualitative study performed using inductive content analysis and is based on the interviews of 13 nurses working in Swedish outpatient care. Results: The result is presented as an overall theme, consisting of three main categories and eight subcategories. The result shows that the promotion of physical activity for nurses involves active and attentive listening, and demonstrates the time-consuming aspect of this work, especially as symptomatology and other needs still needs to be addressed. It is a work that can contribute to both positive change and new opportunities for patients. Conclusion: Physical activity is a complementary treatment that should be given increased priority and resources to further contribute to the improved healthcare for patients with psychosis.

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  • 286.
    Bhutiya, Anita
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hannoun, Robert
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Erfarenheter av att leva med typ 2 diabetes: En litteraturbaserad studie om sjukdomens påverkan på personers livsvärld2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is one of the diseases that are increasing among the population globally; there is especially an increase in type 2 diabetes. Various lifestyle factors such as diet and exercise affect the disease. Diabetes is a demanding disease that needs several lifestyle changes to get control. These lifestyle changes can be challenging for the individuals and difficult to uphold.

    Aim: The aim of this study was to describe persons' experiences of living withtype 2 diabetes.

    Method: This study used the method of contributing to evidence-based nursing based on analysis of qualitative research. The result was based on 9 qualitative scientific articles and the analysis resulted in three themes and seven subthemes.

    Results: The results of the study showed that people with type 2 diabetes experience various limitations in everyday life and that social and emotional factors affect the management of diabetes. Internal resources such as motivation and self- confidence were important for the management of diabetes as well as the support from family, social networks, others with diabetes and healthcare professionals.

    Conclusion: The experience of living with type 2 diabetes varies between people, but one common denominator was that different individual circumstances affected daily life.

  • 287.
    Bilstrup, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Blom, Annika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Värdighet i livets slutskede: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Nurses work to promote health, prevent disease, restore health and relieve suffering. However, when the patient transitions into end of life care, the goal is no longer to cure, but to relieve. End-of-life care is about seeing the patient and helping them move on by doing what favors the patients’ well-being. Aim The aim of this study was to describe how nurses can preserve the patients’ dignity in end of life care. Method This study is based on a method to contribute to evidence-based nursing with foundation in analysis of qualitative research. 7 qualitative and 2 articles with mixed methods were analyzed using a five step model described by Friberg. Results Through the analysis three main themes and five sub-themes were developed. The main themes were: Involving the patient, Preserving the patient’s quality of life, Seeing the patient. Conclusion Through the actions performed by the nurse, dignity can be preserved. By protecting the patients’ integrity and autonomy through a person-centered care, the best conditions for giving a worthy death are created.

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  • 288.
    Bilén, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sidorsson, Sofia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Barnhälsovårdssjuksköterskors erfarenheter av att involvera pappor i barnhälsovården2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Support in parenting is one of the fundamental tasks of child health care. Child health nurses should have a good knowledge of children's development, health promotion and attachment between children and parents. Support and affirmation to fathers in their parental role is important as their involvement in children's upbringing has positive health effects for children. Sweden's work on equal parenting is on the right track but there are still mostly mothers who participate in the child health care. Through trusting relationships with child health nurses, fathers' involvement in child health care can increase.

    Aim: The aim of the study was to describe the experiences of child health nurses in involving fathers in child health care.

    Method: Qualitative method has been implemented with an inductive approach. Semistructured interviews were conducted with ten child health nurses in southern Bohuslän and Fyrbodal. Data was analyzed based on content analysis.

    Results: Two categories emerged in the result, Seeing the whole family and Organizational prerequisites. The first category contains three subcategories; Child health nurses' approach highlights how child health nurses with their approach affect how fathers are involved in child health care, The family as a team highlights how important it is to see the family as a whole and Strengthen the father's parent role. The second category has two subcategories; Individual parental conversations proved to be significant and are supposed to affect the continued care relationship and Adapting the work to the father's needs was important to enable the father to participate.

    Conclusion: The conclusion is that the approach of child health nurses is crucial for the relationship with the fathers. The importance of seeing the family as a whole, paying attention to fathers' need for support in their parenting role and individual parental conversations increases fathers' involvement and strengthens the care relationship. More efforts from society and organizational prerequisites in child health care are needed.

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  • 289.
    Bjälkefur, Kerstin
    et al.
    Department of health and social care, Lidköping, Sweden.
    Nasic, Salmir
    Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.
    Bertholds, Eric
    Tibro Health care centre, Närhälsan Tibro, Sweden.
    Jood, Katarina
    Sahlgrenska Academy at University of Gothenburg, Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Gothenburg, Sweden; Department of Neurology, the Sahlgrenska University Hospital, Gothenburg, Sweden.
    Rejnö, Åsa
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Medicine, Skaraborg Hospital Skövde, Skövde, Sweden.
    Self-rated health over the first five years after stroke2020In: BMC Neurology, E-ISSN 1471-2377, Vol. 20, no 1, article id 389Article in journal (Refereed)
    Abstract [en]

    Background: Self-rated health (SRH) focuses on the patient’s own perception, and represents an important patient-reported outcome. The aim was to investigate SRH one to 5 years after stroke, follow the development over time and search for factors associated with SRH. Methods: Consecutive stroke patients admitted to Stroke Units at the Skaraborg Hospital, Sweden were included 2007–2009 (n = 2190). Patient-reported outcomes were collected annually over 5 years using a postal questionnaire. SRH was assessed by the question about general health from SF-36. Factors associated with SRH were investigated by multiple logistic regression analysis. Results: Response-rate was > 90% at all time points. Overall, 40.2, 41.9, 40.7, 45.0 and 46.3% of the patients reported good SRH, 1 to 5 years after stroke. Performance in activities of daily living (ADL) was strongly associated with good SRH; 49.8 and 14.7% after 1 year in independent and dependent survivors respectively, p < 0.001. In independent survivors 1 year after stroke, good SRH was positively associated with female sex (OR = 2.0; p = < 0,001), physical activity (OR = 2.14; p = < 0,001), car driving (OR = 2.25; p = < 0,001), and negatively associated with age (OR = 0.99; p = < 0,001), pain (OR = 0.49; p = < 0,001), depression (OR = 0.30; p = < 0,001), and self-perceived unmet care needs (OR = 0.39; p = < 0,001). In dependent survivors, depression (OR = 0.23; p = < 0,001) and age (OR = 0.96; p = < 0,05), were negatively associated with good SRH 1 year after stroke. Similar patterns were observed throughout the follow-up. Conclusion: The proportion stroke survivors reporting their health as good is slightly increasing over time. After stroke, SRH is associated with pain, depression, ability to perform activities and self-perceived unmet care needs, indicating that efforts to support stroke survivors in the chronic phase after stroke should concentrate on targeting these factors. © 2020, The Author(s).

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  • 290.
    Björck, Ville
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Learning 'theory' at university and 'practice' in the workplace: A problematisation of the theory-practice terminology that the dualistic design of Work-integrated Learning institutionalises2020Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Work-integrated Learning (WIL) is a label for a form of higher education whose usual design in many degree programmes involves splitting students' education into on-campus training and work placements. This thesis focuses on a theory-practice terminology that is reflected in this WIL design and spreads a dualistic thinking with a basic message. The message is that on-campus and placement-based training teach you opposite bases for learning a profession, namely an abstract research-based knowledge called 'theory' and a concrete work called 'practice'. This thesis argues that when this dualistic thinking is spread to students, it primarily contributes to the creation, but also to the bridging of the gap between these forms of training that the said WIL design seeks to bridge for them, the so-called theory-practice gap. Based on this argument, the thesis has two overall aims: to problematise (1) the dualistic nature of spoken and written instances of the theory-practice terminology and of the usual WIL design, and (2) the possibility of establishing physical and/or virtual countersites to the usual WIL design. Such sites are not established institutional arrangements at present. The idea is that they should be set up not to embody the dualistic notion that theory is the abstract research-based knowledge brought from campus to 'practice', but to offer a non-dualistic experience that would provide a key opportunity to avoid creating the so-called theory-practice gap for students. I refer to an experience of how theory is a form of knowledge that already exists in – and is created through – the daily work practices of a profession in various shapes and forms.

    To achieve the first aim, this thesis conducts Foucault-inspired discourse analyses of how four ideas of the theory-practice terminology spread dualistic messages. The ideas are explored together in three studies. Study I explores two ideas that interviewed students voiced when asked about the usual WIL design. These are the idea of theory vs. practice as the point of departure for learning and the idea of theory and practice as harmonious points of departure for learning. Using a genealogical discourse analysis, study II traces the idea of academia and the real world while study III examines the dualistic meaning that the theory-practice terminology ascribes to the graduate employability idea, backwards in time from the present. The empirical basis for this consists of present and past documents that three higher education institutions have used to promote the Cooperative Education (Co-op) model of the usual WIL design to their prospective and existing Co-op students. Together, the three studies show how the four ideas include accounts that spread antagonistic and/or harmonious messages. The former messages imply that on-campus and placement-based training do not combine well because 'theory' and 'practice' are not a good match, while the latter imply that these forms of training combine perfectly because 'theory' and 'practice' are a perfect match. The thesis concludes that antagonistic messages only contribute to creating the so-called theory-practice gap for students, whereas harmonious messages contribute to both creating and bridging the gap. To achieve the second aim, the three studies introduce a discussion on a) what countersites to the usual WIL design could look like and b) how they could possibly avoid creating this gap. This discussion is developed in the discussion chapter of this thesis, where these countersites are referred to as third places for learning professions. A focus of this discussion is to problematise the fact that sites of this nature are difficult to establish because the theory-practice terminology they must avoid incorporating to offer a non-dualistic experience is so established that it is easily used out of habit when trying to establish such sites.

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  • 291.
    Björck, Ville
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Problematizing work integrated learning2018In: VILÄR abstraktbok / [ed] Kristina Johansson, Trollhättan: Högskolan Väst , 2018, p. 1-1Conference paper (Other academic)
    Abstract [en]

    The discourse on Work-integrated Learning (WIL) has long promoted a binary reading of graduate employability. This reading is problematic because in key ways it polarises 'theory' and 'practice' for students, and thereby create the very theory- practice gap that WIL seeks to bridge. To explore this problem, I conduct a genealogical discourse analysis of how the idea of graduate employability operates in 87 present and past official documents about the Cooperative Education (Co-op) WIL model. The bulk of the empirical material consists of student-oriented brochures that the University of Cincinnati (USA), the University of Waterloo (Canada) and University West (Sweden) have used between 1928 and 2018 to promote Co-op to prospective and enrolled Co-op students. The results show that two accounts of this idea are often used in both present and past documents. These are the practice acclaiming account and the theory and practice account. The former account is merely creating the theory-practice gap while the latter is in one way creating this gap and in another way bridging it. I argue that a non-binary reading of graduate employability could be useful for students because it could emphasise that employability is about knowing how theories (ideas and principles etc.) and practice co-exist in professional work. This message does not disconnect theory from practice but could instead encourage students to learn how they co-exist in this work, an insight which could make them experts at 'doing' theories at work. I finally argue that one way of providing scope for a non-binary reading of graduate employability is to create a non-dualistic WIL desig s how theories and practice co-exist in professional work.

  • 292.
    Björck, Ville
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Taking issue with how the Work-integrated Learning discourse ascribes a dualistic meaning to graduate employability2021In: Higher Education, ISSN 0018-1560, E-ISSN 1573-174X, Vol. 82, no 2, p. 307-322Article in journal (Refereed)
    Abstract [en]

    Work-integrated Learning (WIL) is renowned for providing a bridge between ‘theory’ and ‘practice’ that fosters ‘employable graduates’. This study critically argues that the WIL discourse continues to ascribe a dualistic meaning to graduate employability that primarily contributes to creating the so-called theory–practice gap for students. As an argument towards such a conclusion, a genealogical discourse analysis of how the graduate employability idea operates in 87 present and past official documents concerning the Cooperative Education (Co-op) WIL model is used. Two accounts of graduate employability, the antagonistic practice acclaiming account and the harmonious theory and practice account, recur in both the present and past documents. Both accounts contribute to creating the gap, while the latter also contributes to bridging it. The non-dualistic account, which involves knowing that the key to becoming employable is understanding how both research-based and informal theory shape daily occupational work, could be a useful alternative to these accounts. This is because it could encourage students to see how theory is a form of knowledge manifested in, rather than disconnected from, this work. However, the usual WIL design, whereby universities and workplaces outside universities are respectively institutionalised as the places where ‘theory’ and ‘practice’ is learnt, is not so much instrumental in spreading this non-dualistic account, but rather implies to students that ‘theory’ is absent from daily work until they apply it. Thus, I discuss how establishing physical and/or virtual countersites to the usual WIL design could potentially spread this account to students

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  • 293.
    Björck, Ville
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    The idea of academia and the real world and its ironic role in the discourse on Work-integrated Learning2020In: Studies in Continuing Education, ISSN 0158-037X, E-ISSN 1470-126X, Vol. 42, p. 1-16Article in journal (Refereed)
    Abstract [en]

    Work-integrated Learning (WIL) seeks to bridge the gap between ‘scholastic’ training and work. This study explores the ironic fact that the WIL discourse remains formed by the idea of academia and the real world, an idea that in decisive ways creates this gap. A genealogical discourse analysis of how this idea operates in 79 present and past official documents promoting the Cooperative Education (Co-op) WIL model is used to explore this ironic fact. Two accounts of this idea are dominant in both present and past documents – the deficit account, which merely creates the stated gap, and the collaborative account, which both creates and bridges this gap. I emphasise that the Co-op and other standard WIL models embody and (re)produce the stated idea because they locate ‘scholastic’ training outside the ‘real world’. This separation dates back to scholè – the ancient Greek school that aimed to disconnect ‘school’ from ‘work’. Because WIL has the opposite aim, I argue that this separation is in fact counterproductive for WIL. Finally, I argue that locating WIL in a third place outside university and working life can be a way of avoiding the separation that (re)produces the idea of academia and the real world.

  • 294.
    Björck, Ville
    et al.
    University West, Department of Social and Behavioural Studies, Division for Educational Science and Languages.
    Arveklev Höglund, Susanna
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    How a norm-critical approach can be applied: Reflections from some university employees2023In: Abstracts för Decemberkonferensen, Trollhättan: Högskolan Väst , 2023, p. 1-1Conference paper (Other academic)
    Abstract [en]

    A key contribution of both norm-critical pedagogy and norm-critical research is to show how established norms in the form of unwritten rules and unwritten expectations can encourage people to think and behave in stereotypical ways. However, a criticism of both this pedagogy and this research is that they can be too guided by theories that provide the answer to rather than promotes an open-minded investigation into which norms that need to be problematised. This study explores how 38 university employees in an individual course assignment reflect about the ways in which they can apply a norm-critical approach in their work. The aim is to explore what type of reflections that emerge in the data and whether these reflections represent varied or similar ways of thinking about what a norm-critical approach means and can be used for.

  • 295.
    Björck, Ville
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Johansson, Kristina
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology. University of Gothenburg, Rigshospitalet, Umea University, University of California San Francisco.
    Problematising the theory-practice terminology: a discourse analysis of students  statements on Work-integrated Learning2019In: Journal of Further and Higher Education, ISSN 0309-877X, E-ISSN 0013-1326, Vol. 43, no 10, p. 1363-1375Article in journal (Refereed)
    Abstract [en]

    This study uses a Foucault-inspired discourse analysis to examine two ideas about learning which reinforce the terminology whereby theory means campus-based training and practice means work placements. The purpose is to problematise this theory–practice terminology and provide scope for a non-dualistic alternative. The ideas examined are the idea of theory vs. practice as the point of departure for learning and the idea of theory and practice as harmonious points of departure for learning. These ideas were voiced by interviewed students who discussed the usual design of Work-integrated Learning (WIL) whereby students go to university to learn ‘theory’ and into working life to learn ‘practice’. The analysis shows how the ideas are formed by different ranking orders between theory and practice which are mutually exclusive, while also working together to reinforce the theory–practice terminology. The discussion on how a non-dualistic terminology can emerge highlights how the usual WIL design forms a dualistic setting where the theory–practice terminology thrives and how designing WIL at a third place between university and working life can provide scope for the terminology we seek.

  • 296.
    Björk, Anna-Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahlstrand, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av bedsiderapportering: En litteraturöversikt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bedside report is a method of information transfer when the shift report between nurses is conducted at the patient's bedside. Shift report is an important aspect in nurses' daily work because vital information is communicated. An ineffective handover can have a negative impact on patients' safety since the patient isn't invited to participate when the traditional handover method is used. Aim: The aim of this study was to describe nurses' experiences of bedside shift report. Method: A literature review was performed and ten articles were included. Results: The study resulted in three themes and seven sub-themes. The first theme describes experiences of the cooperation between the nurse, patient and relatives. The sub-themes were; stimulates patient involvement and promotes involvement of related. The second theme describes the working process with a person-centered approach. The sub-themes were; works more patientsafe and enable overall evaluation of the patient. The third theme describes nurses' experiences of encountered obstacles when using bedside report. The sub-themes were; problematic to convey sensitive information and negative attitude to the work process. Conclusion: Bedside report has a positive impact on patient safety because it's possible for nurses to more frequently discover changes in the patients' health during the shift. Bedside report also increases the opportunity for both patient and relatives to participate in the nursing care.

  • 297.
    Björk, Deborah
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Rocha, Kelly
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Överbryggande av kommunikationsbarriärer med drivkraft framåt: En intervjustudie om konsten att främja barns hälsa i det transkulturella mötet2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    A quarter of children in Sweden have a foreign background, according to the Convention onthe Rights of the Child (2020) all children own the same rights. Primary care is usually their first contact with Swedish healthcare, which places demands on nurses who are responsible for providing and enabling equal care. However, inequalities often arise due to communication barriers in the meeting.

    Purpose

    The purpose was to describe primary care nurses' experiences of communication barriers in the meeting with children of foreign-born parents. 

    Method

    The study was conducted with a qualitative design and an inductive approach. Semistructured interviews were conducted with nurses in primary care in western Sweden. The interviews were analyzed with a qualitative content analysis according.

    Results

    In caring for children of foreign-born parents, nurses in primary care possess tools for bridging communication barriers. By navigating the dialogue and identifying the culture and finding ways to communicate can enable preparedness for the task. Thus nurses can bear the responsibility and feelings in the mission towards a more equal care for the child. By overbridging communication barriers, nurses are able to cherish for the child's rights and increase knowledge of the phenomenon.

    Conclusion

    Communication barriers have been lifted worldwide in previous research. More knowledge concerning solutions for communication barriers is needed from the child's perspective. Research needs to focus more on how to work around the problem with a drive forward. 

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  • 298.
    Björk, Kristofer
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindahl, Berit
    University of Boras, Dept Intens Care, Fac Caring Sci Work Life & Social Welf.
    Fridh, Isabell
    University of Boras, Dept Intens Care, Fac Caring Sci Work Life & Social Welf.
    Family members’ experiences of waiting in intensive care: a concept analysis2019In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, no 3, p. 522-539Article in journal (Refereed)
    Abstract [en]

    Aim The aim of this study was to explore the meaning of family members’ experience of waiting in an intensive care context using Rodgers’ evolutionary method of concept analysis. Method Systematic searches in CINAHL and PubMed retrieved 38 articles which illustrated the waiting experienced by family members in an intensive care context. Rodgers’ evolutionary method of concept analysis was applied to the data. Findings In total, five elements of the concept were identified in the analysis. These were as follows: living in limbo; feeling helpless and powerless; hoping; enduring; and fearing the worst. Family members’ vigilance regarding their relative proved to be a related concept, but vigilance does not share the same set of attributes. The consequences of waiting were often negative for the relatives and caused them suffering. The references show that the concept was manifested in different situations and in intensive care units (ICUs) with various types of specialties. Conclusions The application of concept analysis has brought a deeper understanding and meaning to the experience of waiting among family members in an intensive care context. This may provide professionals with an awareness of how to take care of family members in this situation. The waiting is inevitable, but improved communication between the ICU staff and family members is necessary to reduce stress and alleviate the suffering of family members. It is important to acknowledge that waiting cannot be eliminated but family-centred care, including a friendly and welcoming hospital environment, can ease the burden of family members with a loved one in an ICU.

  • 299. Björk, Maria
    et al.
    Jenholt Nolbris, Margaretha
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att vara barn och möta sjukdom2012In: Att möta familjer inom vård och omsorg / [ed] Eva Benzein, Margaretha Hagberg, Britt-Inger Saveman, Lund, 2012, p. 191-206Chapter in book (Other (popular science, discussion, etc.))
  • 300.
    Björk, Rebecca
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Iskrenovic Landgren, Sanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Egenvård vid hypertoni: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: High blood pressure is a globally growing health problem that is largely linked to an unhealthy lifestyle. Cardiovascular diseases are serious complications due to hypertension, however through appropriate lifestyle changes it is possible to cope with the disease and prevent complications. If lifestyle changes do not have a sufficient effect, drugs are needed as part of the treatment. Support from the environment and healthcare can strengthen people's belief in themselves and contribute with increased motivation to improve their lifestyle.

    Aim: The aim of this study was to illuminate patients experience of self-care in hypertension.

    Method: The method used was a literature study based on qualitative research. Nine articles were chosen and analyzed according to Friberg´s (2017) five step model.

    Results: The themes discovered were; to handle their illness and emotions associated with the disease. The result revealed that patients experienced many obstructive factors for self-care. Lack of knowledge and motivation, doubts about self-ability, the importance of the environment to get motivation, and the desire for more support from the health care system emerged.

    Conclusion: The patients felt that there were external and internal barriers that affected the compliance of self-care. Getting support from their surroundings was found to create good conditions for self-care. Patients who lacked motivation expressed that increased knowledge of their illness and understanding of treatment were motivating factors that the nurse could provide them.

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