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  • 251.
    Gesey, Haweya
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nyström, Andreas
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienternas upplevelse av att vårdas på sjukhus: En litteraturbaserad studie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Each year more than 800,000 patients require hospital treatment, and the healthcare environment is important for patients' experience of security and recovery processes. To meet the needs of care for the patients, the healthcare environment needs to be designed after the patients' needs to strengthen the participation and promote the patient's sense of dignity.

    Aim: The purpose of this study was to illuminate the patients' experiences of being cared for in a hospital.

    Method: A literature study based on analysis of qualitative studies according to Friberg's five step model.

    Results: Three main categories were identified in the results. The importance of the healthcare environment category clarifies the importance of the physical environment to patients' sense of well-being. The importance of caring category illuminate patients experiences of care and recognizes the inadequacy in integrity and dignity. The importance of interaction and community, emphasize the relationship between patient and nurse, and patients' feelings of affinity to other patients.

    Conclusion: Patients' experiences of hospital care vary depending on how supportive the environment in the care unit is. Patients experienced both difficulties and relief whilst being cared for in single or multibed rooms. In shared rooms, patients experienced difficulties with lack of integrity and negative impact from other patients' state of health. However, patients experienced reduced loneliness and solidarity with fellow patients. By comparison, being cared for in single rooms increased feelings of loneliness and isolation, which could worsen patients experience of well-being.

  • 252.
    Gesey , Salma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nguyen, Ly
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter vid misstanke att barn far illa2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of children abused in Sweden has increased in last years. All children have the right to live a safe life and receive a good development during their upbringing. It is important that the child's basic needs are met for the child to have a good development. Being a victim of child abuse can lead to enormous consequences in the future for the child's physical and mental health.

    Aim: This study aimed to illuminate the nurse's experiences in suspected child maltreatment

    Method: A literature study based on analysis of qualitative studies according to Friberg´s five step model.

    Results: The results of the studies showed that responding and helping children who live in child abuse was a difficult task for the nurses to perform. The nurses were aware of their obligation to maintain the child's safety. The nurses described the basis of their experience that they encountered personal and work-related obstacles to be able to identify, remedy and report when children were suspected of being abused. The result is presented under three themes. The first theme highlights how nurses are emotionally affected. The second theme is about experiences about collaboration with other authorities. The third theme describes the nurses' need for professional development.

    Conclusion: The nurses should be able to give the child the right care to ensure the safety of the child and be able to give advice to the child's family. A prerequisite for providing adequate nursing needs nurses have good health science knowledge.

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  • 253.
    Gholam, Maram
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    De La Cruz, David
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelse av att leva med kronisk smärta2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Pain is a subjective experience and a big health problem for many individuals. Patients that suffer from chronic pain often experiences anxiety, insomnia, weariness and depression. This complicates everyday life for them because they cannot participate in social life. Aim: The aim of this study was to describe the patients’ experience of living with chronic pain. Method: This was a literature-based study. Databases that were used were Cinahl and PubMed, where nine articles where found in Cinahl, and one from PubMed. Result: The result ended up in three major themes and seven subthemes. Theme 1: "To feel restriction" with the subthemes "exclude activities" and "lack of control". Theme 2: "To endure" with subthemes "participation despite the pain", "reluctance to ask for help" and "learn to accept and deal with the pain". Theme 3: "To feel the ups and downs" with subthemes "pain as a threat" and "see the light in the tunnel". Conclusion: Pain is hard to overcome. However people find their own way to adapt themselves to be able to handle it, through happiness, hope and family. That’s why it’s very important for the patients to have trust and also that they have a good communication and cooperation so that nurses can understand and help patient’s to adapt and overcome their experiences with pain.

  • 254.
    Giday, Ruth
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gisilase, Ferus
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenhet av kognitiv beteendeterapi vid depression: En litteraturöversikt2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to the World Health Organization (WHO) depression will be one of the mental illnesses that affect most people in the world by 2020. Depression is a state of illness that affects people's ability to think clearly and that undermines motivation to act actively, alters bodily functions such as sleep and food intake. The disease has a negative impact on the wellbeing of people who have depression, they can have difficulties coping with everyday life and they often have difficulties being active in work and social life, which entails high social costs.

    Aim: The aim was to describe how the patient with depression experiences cognitive behavioral therapy.

    Method: A literature review was conducted based on systematic search of nineresearch articles published between 2010 and 2020.

    Results: The results of the study revealed similar experiences of cognitive behavioral therapy (KBT). The majority participants described a positive effect where their depressive symptoms decreased noticeably. A powerful and a useful tool to counter depression and depressive symptoms.

    Conclusion: Many patients in this literature review described positive experiences of cognitive behavioral therapy such as reduced anxiety, increased sense of calm and well-being. In some patients, increased confidence and self-acceptance were seen. cognitive behavioral therapy as a treatment method has led to an improved feeling in the short term for many. There were also patients who felt a difference immediately after the therapy and experienced life is a little easier to manage

  • 255.
    Gonzalez, Felipe
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hult, Lovisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Viljan att göra gott: Sjuksköterskors upplevelse av palliativ sedering i livets slutskede2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative sedation is common in palliative care and a controversial act of treatment when life sustaining treatment is no longer effective. Instead the patient is offered medical treatment to ease the pain and uphold quality of life. Nurses have an important role in providing care, being supportive and establishing a meaningful relationship with the patient and relatives.

    Aim: The aim was to illuminate the experiences of registered nurses regarding palliative sedation in the final stages of the life of the patient.

    Method: A literature review has been conducted on ten scientific articles approaching the matter from a qualitative perspective.

    Results: The result revealed the following themes: The desire of doing well, the lack of influence, to maintain the patient´s independence, difficulties in finding a proper balance and having limited knowledge.

    Conclusion: The nurses all shared the common view that withdrawing the treatment and giving palliative sedation were considered morally acceptable, if the patient showed signs of suffering and pain. The nurses also agreed on the importance of maintaining the patient´s right to decide when to deny further life-upholding treatment. Sometimes the nurses experienced their profession as challenging because of the doctors´ negligence of nurse's opinions about care and treatment. Many nurses also found it difficult in being fully professional when affected on an emotional level, by the patient. Another important aspect was the lack of knowledge in caring for the patient in the final stages of life, which could result in dissatisfying care work.

  • 256.
    Gorthe, Lina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svanberg, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Våld i nära relationer: utsatta kvinnors upplevelser av bemötandet i vården2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Violence against women is a major global public health issue, which has an impact on women’s lives and mental health. Aim: To explore healthcare experiences of women exposed to intimate partner violence.

    Method: Literature based study with eleven qualitative studies. Results: The women who sought help felt ashamed for the violence and most of them didn’t get the help they needed. They felt that the caregivers didn’t believe in their stories or their experiences. The health care professionals made them feel like objects and not human beings. Few women had a good experience of the care they were given, in those cases the caregivers had asked the women about the violence and gave them time to talk and made them feel safe and comfortable.

    Conclusion: Nearly all of the women had feelings of shame and guilt. They wanted the caregiver to ask them about the violence, because they found it hard to reveal it themselves. Caregivers need more knowledges about intimate partner violence and its impact on the women to offer right kind of help.They also need guidelines to know how to meet and help these women.

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  • 257.
    Grahn, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson,, Pernilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Partnervåld: Att belysa sjuksköterskors upplevelser av att möta kvinnor som utsatts för partnervåld.2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intimate partner violence is a structural problem in our society because of the inequality between men and women. Nurses are often the first person to meet the abused woman in health care and therefore have an important role in identifying the violence and in trying to influence the women's future choices in life.

    Aim: To illustrate nurses' experiences of meeting women exposed to partner violence.

    Method: A literature-based study based on analysis of 10 qualitative scientific articles.

    Results: Nurses meeting women subjected to partner violence experienced a lot of emotions both at work and in private. They experienced that the lack of time in care was crucial to how they were able to respond to the women. According to the nurses, lack of training and knowledge were the main reasons to why they refrained from posing questions on experiences of violence. Fear, frustration, suffering and the feeling of not being able to perform good care affected the well-being of the nurses.

    Conclusion: Knowledge about the topic and time for the healthcare encounter are crucial for nurses to create trustworthy relationships and provide a good care for women subjected to partner violence. Importantly, the findings in this study show that time and knowledge are the major barriers in the care of these women.

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  • 258.
    Granqvist, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ottoson, Malin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Faktorer som påverkar sjuksköterskans förhållningssätt gentemot patienter med alkoholmissbruk.2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There are many factors that contribute to patients' alcohol addiction or misuse. Hereditary and environmental factors can contribute to alcohol addiction. Aim: The aim of the study was to illustrate factors affecting nurses' attitudes towards patients with alcohol addiction in health care. Method: Literature study with a qualitative approach. Eleven articles were chosen to be read, reviewed and analyzed. Results: The result showed that the nurses' knowledge about alcohol addiction or misuse of alcohol that could affect their attitudes towards the patients. Nurses felt a difficulty to talk to the patients about alcohol issues. That could in some cases lead to that nurses didn't talk to the patients about alcohol related issues. The nurses own experiences and prejudices could reflect on the care that they gave to the patients. In some case nurses gave the patients the equal care that they deserved but in other cases nurses did not show the patients the respect and dignity that they deserved. Conclusion: The nurses own experiences, knowledge, education and attitudes ware an important part of the approach to patients with alcohol addiction. When the nurses have good communication strategies and technique in conversation they tend to discuss alcohol issues more often. Preconceptions and prejudices about alcohol misuse affects the way nurses look at the patient. The conclusion is that with more education and knowledge the nurses can have a better approach and be able to give a better care to patients with alcohol addiction.

  • 259.
    Granström, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Svensson, Anna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barn, ungdomar och unga vuxna med typ 1-diabetes: upplevelser i samband med fysisk aktivitet2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Physical activity is a part of self-care for children, youth and young adults with type 1 -diabetes. To not suffer from hypoglycemia and to maintain a good glycemic balance is described to be of difficulty during physical activity.

    Aim: The aim was to highlight what experiences children, adolescents and young adults, with type 1-diabetes, can feel during physical activity.

    Method: The study was carried out through a literature study and the result was based on seven qualitative articles.

    Results: Four categories emerged: Be afraid, To be different, Movement provides quality of life and To have knowledge. Individuals experienced a fear of hypoglycemia while doing physical activities. This fear was strongly related to different circumstances, depending how well the participants preparation was and their knowledge they had about how their body works, in conjunction with physical activity.

    Conclusion: The literature study showed different circumstances that can affect the individual`s experience, in conjunction with physical activity. Those who had control over their blood glucose, with right glucose monitoring and good knowledge of how to handle physical activity, felt less or no worries about suffering from low blood glucose. Further research into the conditions that can facilitate physical activity for individuals with type 1-diabetes is necessary. Implementation of physical activity should take place together with the nurse who has knowledge and can provide support in the management. Technical diabetes aids could also contribute to a safer and more secure performance of physical activity.

  • 260.
    Gravander Nikkinen, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Haglund, Ellen
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans potentiella roll i antimicrobial stewardship: En litteraturöversikt2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The antimicrobial stewardship is developed to provide a guide on the responsible use of antimicrobial drugs. Thus, slowing down the development of antimicrobial resistance. However, the nurse's role in antimicrobial stewardship is not clarified. Failure toinclude the nurse within the antimicrobial stewardship guidelines may result in poor execution of antimicrobial stewardship.Aim To explore the role of nurses in antimicrobial stewardship and how it can be practically implemented within the medical field.Method This is a literature review where seven qualitative studies, two quantitative studies and a mix-methods study examines the nurse's role in antimicrobial stewardship.Results Two main themes and five sub-themes were created. The two main themes were clinical role and collaboration. The clinical role described the nurse's role as a patient advocate and the nurse's contribution to antimicrobial stewardship through monitoring and evaluation of the patient and treatment, as well as through safe sampling, drug administration and hygiene. The collaboration showed and identified the nurse's role as a communicator and educator. Conclusion Conclusions that can be drawn from the literature review are that the potential roles the nurse may have in antimicrobial stewardship are many and those we have identified are already included in the nurse's daily work.

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  • 261.
    Greby, Ylva
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Persson, Jenny
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers upplevelse av att leva med Diabetes Mellitus Typ 2 i vardagen: en litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes Mellitus Type 2 is a rapidly increasing disease worldwide. The disease is related to lifestyle and the implementation of lifestyle changes can be difficult to implement. In diabetes, self-care is important and great responsibility lies with the person.

    Aim: The purpose is to describe experiences of living with Diabetes Mellitus Typ 2 in everyday life.

    Method: A literature study was carried through and was based on a method that will contribute to evidence-based nursing based on analysis of qualitative research by using Fribergs model for qualitative analysis.

    Results: The analysis result into three main themes and nine subthemes. Main themes where Experience of support, Experience of the disease and Experience of control.

    Conclusion: Many experienced it difficult to make lifestyle changes. The people have difficulty coping with feelings like shame, denial and life was a struggle with the disease. In order to succeed in managing self-care, conditions such as motivation, ability and knowledge were required. Nursing support was an important part of strengthening the person, motivating and helping them find strategies for making good decisions.

  • 262.
    Gripengård, Caroline
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Johanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att vårda patienter som drabbats av cancer och befinner sig i ett palliativt skede2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cancer is the second most common cause of death in the world. This results in that cancer is one of the most common reasons to palliative care. Nurses play a important part in palliative care for patients with cancer, it's their responsibility to increase patients quality of life and to relieve patients suffering.

    Aim: The aim was to describe nurse's experiences of caring for patients with cancer disease at a palliative stage.

    Method: A literature-based study was used. Ten qualitative articles were found systematically, two qualitative articles were found unsystematically, all were analyzed according to Fribergs five-step model.

    Results: The result was built on three main themes: it affects my life, meeting that touches and a worthy ending. The three main themes resulted in nine subthemes. The nurses felt privileged over being a part of patient's end of life, and it caused the nurses to reflect about their own values and personal life. The nurses wanted to maintain patients hope, but were afraid to inspire to much unrealistic hope. They also wanted to help the patients fulfil their last wishes and make a difference in how patients spent their last days.

    Conclusions: The results shows that nurses are affected by this kind of work, both positively and negatively. It causes the nurses to feel stress and anxiety, but they also feel that the work is rewarding and appreciated.

  • 263.
    Grundén, Kerstin
    et al.
    University West, School of Business, Economics and IT, Divison of Informatics.
    Karlsson, Christina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brukares användning av och inställning till välfärdsteknologi i hemmet2021In: Organisering, implementering och användning av välfärdsteknologi: Resultat från eTeam-projektet / [ed] Ann Svensson, Camilla Gjellebæk, Trollhättan: Högskolan Väst , 2021, p. 43-46Chapter in book (Other academic)
  • 264.
    Grundén, Kerstin
    et al.
    University West, School of Business, Economics and IT.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Christina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Obeid, Ayman
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Dialogue meetings as an arena for collaboration and reflection among researchers and practitioners in a prestudy of a welfare technology testbed2020In: International Journal of Engineering Management and Economics (IJEME), ISSN 1756-5154, E-ISSN 1756-5162, Vol. 14, no 8, p. 629-634Article in journal (Refereed)
    Abstract [en]

    The research question of the article is to explore whether the method dialogue meetings could be relevant for collaboration reflective learning among researchers and practitioners when welfare technology should be implemented in municipalities, or not. A testbed was planned to be implemented in a retirement home in a Swedish municipality, and the practitioners worked with a pre-study of that testbed. The aim of the article is to describe the collaboration and dialogue between the researchers and the practitioners in the dialogue meetings, and to reflect upon the potential of dialogue meetings as an arena for democratic collaboration and reflection among researchers and practitioners. The research methodology approach is participatory action research with mixed methods (dialogue meetings, focus groups,participant observations). During the dialogue meetings, the researchers learned more about the use of traditional research methods, and the practitioners learned more about how they could improve their use of the methods in order to facilitate change processes in their organization. Dialogue meetings could be relevant for reflective learning among researchers and practitioners in different organizational contexts, as a method to promote bridging the gap between practice and research in a democratic way; create inter-professional collaboration and reflection, and contribute to work change processes and sense-making.

  • 265.
    Grundén, Kerstin
    et al.
    University West, School of Business, Economics and IT, Divison of Informatics.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Obeid, Ayman
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Samverkan och lärande vid implementering av välfärdsteknologi2021In: Organisering, implementering och användning av välfärdsteknologi: Resultat från eTeam-projektet / [ed] Ann Svensson, Camilla Gjellebæk, Trollhättan: Högskolan Väst , 2021, p. 52-54Chapter in book (Other academic)
  • 266.
    Guldberg, Jolanta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Ing-Mari
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser efter hjärtinfarkt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction was the most common reason of death in Sweden. Women could have different symptoms than men. Extreme fatigue was a common complication. A myocardial infarction would imply a total change of lifestyle, both physical and psychological. Women needed longer recovery time. They were at larger risk at relapse and were more often subjected with depression. A woman's myocardial infarction had an impact on her family and relations.

    Aim: The aim of study was to illuminate women´s experiences after have undergone myocardial infarction.

    Method: A literature based study was made on the base of analysis of ten qualitative scientific articles.

    Result: The result contains three categories with sub categories. A changed life with sub categories stress of everyday life, feel insecure and feel disappointment. Consequences of the disease with sub categories lifestyle changes and fatigue. To be dependent on others with sub categories support from relatives and support from health professionals. Women experience fear and insecurity. Lifestyle changes are not easily made. They needed support from family, friends and medical personnel. Family could take an overprotecting role. Women are satisfied with the nurse's help. At the same time there was a lack of support and information from health professionals. Women experienced that they were dependent on the nurses for their information.

    Conclusion: Women experience fear and stress following a myocardial infarction. They needed individual support during a longer time. Woman needed better information. They needed to process their feelings to accept the new situation and to move on.

  • 267.
    Gunnarsson, Matteus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Melin, Patrik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att fortsätta leva efter en hjärtinfarkt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden approximately 25,700 people were affected by myocardial infarction in 2016 which has been a major cause of mortality for several years. The patients suffered from both psychological and physical effects after myocardial infarction. Therefore it’s of great importance for nurses to acknowledge information about the experience to provide evidence based care. Aim: The aim of this study was to describe patient's experience of everyday life after a myocardial infarction. Method: Eight articles were chosen for this qualitative literature based study. The analysis resulted in four themes and eight subthemes. Results: The result showed that participants described living with an indescribable fatigue that was only temporarily eased by rest, and a good night sleep didn’t restore vigour. The support from family, friends and caregivers was crucial to apply lifestyles changes in daily life. Dietary changes were often obtained but hard to sustain without the support of caregivers. Participants expressed anxiety, fear and frustration of having a myocardial infarction and the fear of having another myocardial infarction and didn’t know safe physical activity levels. This caused limitations in the participants everyday lives. Conclusion: Myocardial infarction impose changes in participants everyday lives. Lack of information from healthcare was a recurrent problem. Uncertainty of physical activity levels were present among participants. Participants tried various strategies to manage the illness of fatigue. With increased knowledge about the aftermath of myocardial infarction nurses can provide person-centered follow-up care.

  • 268.
    Gustafson, Elin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jansson, Kajsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet utan min livmoder: En litteraturstudie om den fertila kvinnans upplevelse efter en hysterektomi2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hysterectomy is a surgical approach, where the whole- or alternative parts of the uterus are removed which makes the fertile woman infertile. The main indication for a hysterectomy is heavy menstrual bleeding or myoma.

    Aim: The aim of this study was to explore fertile women´s experiences after a hysterectomy.

    Method: A literature-based study was chosen according to the purpose of the study. The databases Cinahl and PubMed were used in the data collection which resulted in ten qualitative articles. The analysis was based on Friberg’sfive-step model which led to two main themes “the changed woman” and “the changed life”with five subthemes.

    Results: The consequences of the hysterectomy led to a change in femininity, body perception and intimate relationship as well as a need to accept and find meaning in life.

    Conclusion: Conclusions that can be drawn from the result of the study werethat fertile women needed support after a hysterectomy as it had a major impact on the women´s physical, mental and social life. Women´s feelings after a hysterectomy were often traumatic and could affect the woman through her life, which highlights the importance of capturing these women and ensuring that the help is available.

  • 269.
    Gustafsson, Christopher
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hansson, Tobias
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet efter en genomgången hjärtinfarkt: Den förändrade vardagen2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of people suffering from myocardial infarction in Sweden is decreasing, despite this the prevalence is high. Being diagnosed with myocardial infarction results in medical interventions, lifestyle changes and eventual pharmacological treatment to prevent relapse. Aim: The aim of this study was to describe patients' experience of life after amyocardial infarction. Method: A literature-based study was used, based on ten qualitative articles. The articles were analyzed in a five step-model, which resulted in three main-themes and sixsub-themes. Results: The results present life after myocardial infarction as difficult to understandand manage. This could be related to their physical and mental changes, which resulted in fear and anxiety that affected their everyday lives through experienced limitations. Fatigue where also a contributing factor in the limitations of everyday life due to energyloss. This was hard to handle without support from both relatives and health care professionals. It was essential to be meet as a unique human and not reduced to a diagnosis. Life became more valuable through the survival and gave the individuals a second chance with different priorities. Some adjusted to the lifestyle changes, while others were reluctant. Returning to work where seen as an indicator for being healthy and a return to life as before. Conclusion: To establish well-being and security through nursing, a holistic approach that is the basis of person-centered care helps nurses to see the individual situation.

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  • 270.
    Gustafsson, David
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hedvall, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När framtiden går förlorad: En litteraturbaserad studie om sjuksköterskors erfarenheter av vård av barn i palliativt skede2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Each year about 480 children in Sweden receive palliative care and a child’s death has a great impact on everyone involved with the child. Nurses have a responsibility to ensure that the child remains comfortable and experiences dignity until end of life. Caring for children in a palliative stage has shown to be overwhelming for nurses and there is of great importance to determine the nurses own experiences. Aim: The aim of this study was to describe nurses’ experiences of caring for children in a palliative stage. Method: The method used was a literature study with the aim to contribute to evidence based care with an analysis based on qualitative research. Twelve scientific articles were analyzed and three themes and nine subthemes emerged. Results: Relationships were created between the nurses, the children and their families. These relationships made it difficult for the nurses to maintain professional boundaries, which resulted in an emotional impact both during the care and after the child’s death. There were occasions when differences of opinion arose between the nurses and the guardians about the best interests of the child and during these circumstances the nurses needed to advocate for the child. Lack of resources and difficulties in symptom management was also challenging for the nurses during the end-of-life care. Support and additional knowledge was significant to enable further work within the area. Conclusions: Caring for children in a palliative stage is emotionally demanding which makes it difficult for nurses to remain professional. Since nurses have a responsibility to advocate for the children, differences in opinions will occur. Guardians need to be fully informed to make decisions based on the best interests of the child. There is also a need of resources, knowledge and support.

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  • 271.
    Gustafsson, Jesper
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hellgren, Peter
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Främjande och hindrande faktorer för patienters följsamhet vid behandling av diabetes typ II: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes is one of the fastest growing diseases around the world today. In the year 2015 over 415 million people worldwide were estimated to suffer the disease. Calculations estimated that this number will climb to over 640 million by 2040. Type II diabetes is by far the most common of the diabetes types. The hereditary nature of diabetes is an important aspect to whether one will develop the disease. However, lifestyle is an equally important aspect.

    Aim: This study aimed to identify factors that patients with type II diabetes viewed as aiding or hindering to their ability to comply with treatment recommendations.

    Method: The method chosen was a literature review based on analysis of qualitative studies.

    Results: The results identified some key-themes which patients felt were crucial to their ability to abide by recommendations and guidelines. These themes were: Outer affecting factors, inner affecting factors and lifestyle changes (their implementation and how they affect the patient).

    Conclusion: According to patient statements, examples of aiding factors were: committed and skilled personnel, individualized health-care plans, understandable information and support from society as well as family and others diagnosed with type II diabetes. However, when these factors were found to be lacking it was viewed as hindering to the patient's compliance capability. In addition, other factors identified as hindering to the patient's compliance were: feelings of social deviation, lack of results from actions taken and religious factors.

  • 272.
    Gustafsson, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nielsen, Caroline
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vårda äldre människor med depression2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Late- life depression is a major issue worldwide that leads to suffering for the patient. Elderly people with depression often show different symptoms than younger people with depression, which is one of the reasons why late-life depression is hard to recognize. In order for the healthcare professionals to identify and give adequate care to elderly people with depression they need to exert a person-centered care and be aware of how to care for patients with late-life depression.

    Aim: The aim of this study was to illuminate healthcare professionals' experience of caring for elderly people with depression.

    Method: A literature review based on the content of eight qualitative studies and two quantitative studies.Results: The findings revealed three main themes; to pay attention to depression, to ease depression and to challenge depression. The results revealed a negative attitude against older people with depression and a lack of knowledge about late-life depression. There was also a lack of time which made it hard for the healthcare professionals to give adequate care for the patient. The results also revealed some positive aspects; some professionals felt confident and comfortable in both identifying and caring for late-life depression.

    Conclusion: In order to treat late-life depression and give adequate care for the patient, healthcare professionals need to have more knowledge about the disease and about the interventions that needs to be done. To gain this knowledge, they need to take part in training programs.

  • 273.
    Gustavsson, Matilda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Johansson, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att vårda patienter i ett palliativt skede i sjukhusmiljö: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In recent years, it has become increasingly common to treat palliative in the hospital environment. Nurse´s will meet the patients who are in the end of the life. The end of the life can be emotionality meet and they can also be a rewarding for the nurse´s. Palliative care is about alleviating the suffering and pain of the patient.

    Aim: The aim of this study was to describe the nurse´s experience of caring for patients in a palliative stage in a hospital environment.

    Method: A literature-based study whit focus on qualitative articles. The analysis is based on Friberg´s method.

    Results: The results show that the nurses believe that there is a lack of knowledge in palliative care and that they feel that they need support from their colleagues and the work organization. The nurses feel that they have done all they can but still feel inadequate because of the workload and the lack of time. The palliative care raises many feelings in the nurse and the result shows that it is easier for an experienced nurse to handle their feelings than it is for an inexperienced nurse.

    Conclusion: Nurses' experiences of palliative care are influenced by many different things. What is mainly emphasized is experience, knowledge, obstacles around creating good meetings with patient, relatives and colleagues as well as different feelings, both hard and good, about caring.

  • 274.
    Gyllin, Ann-Charlotte
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Odefjord, Karin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara en åskådare: -Leva med Myalgisk Encefalomyelit/Chronic Fatigue Syndrome2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Myalgic Encephalomyelitis/Chronic Fatigue Syndrome is a neurologic disease. Between 0,1-2,6% of the world’s population is estimated to have ME/CFS. Even though a lot of people are affected there is a lack of knowledge about the disease. Its symptomatology affects the whole body and is severely debilitating. It’s at utmost importance that this subject is studied so that nurses can get an increased knowledge about ME/CFS. Aim The aim was to highlight people's experiences of living with ME/CFS. Method A literature-based study based on analysis of ten qualitative scientific studies was performed. Results Four main themes and fourteen subthemes were revealed. The main themes were about changing living conditions, lack of knowledge, changes in the body and existential changes. Changes were a major part of the result and people with ME / CFS experienced that the changes could be both positive and negative. The results showed that there is a knowledge gap regarding ME / CFS, which has serious consequences for people with the diagnosis. Conclusion The conclusion of the study was that knowledge, information and support is important for people with ME / CFS. By working person-centered, the nurse can help people with ME / CFS feel better.

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  • 275.
    Gylling, Sofia
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Engelbrektsson, Josefin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dags att snacka sex: En studie om sjuksköterskors förhållande till att prata om sexualitet med patienter2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality is an important aspect of the individual persons' health, and should be included as a part of the holistic care. Several diseases and treatments can have a negative impact of the sexuality aspect of health, and this is something that nurses' are aware of. Despite the awareness, sexuality is a topic that is often avoided in the meeting between nurse and patient.

    Aim: the aim of this study was to describe nurses' experiences of factors that affect the conversation about sexuality with patients.

    Method: A literature based study with analyses of qualitative studies was used. The analysis was made using Fribergs' five step model, ten scientific articles were analyzed.

    Result: Three main theme and seven sub themes were identified. The main themes were; Nurses´ professional attitude, Nurses´ view on different groups of patients and the impact of the organization.

    Conclusion: The result showed both hindering and facilitating factors that have an impact of conversations about sexuality with patients. These factors was shown to be the views that the nurses' had on both sexuality and the patient. The content of the nurse education could also be identified as having an impact of place of sexuality in the daily work of the nurse. Another influencing factor was described to be the uncertainty on who the responsibility lays to integrate sexuality in the care of the patient. The culture and environment of the workplace was also shown to have an impact of role that sexuality got.

  • 276.
    Göthberg, Therese
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Malin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med Anorexia Nervosa2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia Nervosa (AN) is a psychiatric condition with a high mortality rate which is increasing in the society and is most common in women. The disease affects both body and mind and the effects can be life threatening. As a nurse it is important to see every person as an individual and the care should be individualized. Nurses need to get an understanding about a person's experiences to be able to give good care. We will with this study illuminate people's experiences of living with AN.

    Aim: The aim with the study was to describe how people with AN experience their disease.

    Method: This study is a literature review that was based on qualitative studies and was analyzed with Friberg's (2012) method: qualitative content analysis for literature-based studies.

    Results: Three main themes were created: a battle between two characters, an aim for emotional balance and a complicated social relationship.

    Conclusion: Every person experienced their AN differently. Many people with AN had a hard time trusting other people, including nurses. That showed how important it is for nurses to get an extended knowledge of the persons own experience of their condition. It also showed how important it is to meet every person as a unique individual.

  • 277.
    Hafdelin, Maja
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Berggren, Emilia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I gränslandet mellan sjuk och frisk: En litteraturstudie om kvinnors upplevelser av sin livssituation efter bröstcancerbehandling2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Every year, 8000 women in Sweden is diagnosed with breast cancer and it's the most common cancer among women worldwide. The chance to survive has increased since the breast cancer treatment methods have developed. The treatments can affect women both emotionally and physically and cause consequences long time after the treatment has ended.

    Aim The aim of this study was to describe women's experiences of their life situation after completed breast cancer treatment.

    Method The method used was a literature study based on ten qualitative research articles which results were analyzed according to Friberg´s five-step model. This method was used to get a better understanding about the experiences of affected women's life situation.

    Results The themes were; To find strength from the disease, with the subthemes Sense of togetherness and A new life-force; A changed life, with the subthemes Physical and mental changes and To be on your own; To face everyday life, with the subthemes Sense of normalization and Experiences of their own recovery.

    Conclusion The results showed that breast cancer affects women in their daily life and that it takes time to process the trauma of being diagnosed with a life-threatening disease and going through a difficult treatment.

  • 278.
    Hagberg, Emelie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Törnroos, Anneli
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers upplevelser av att leva med kronisk ryggsmärta2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic back pain (constantly in pain for three months or experiencing periods of pain during six months) is a big problem in our society. It causes suffering and is expensive for the individual. It is in the nurses' competence area and responsibility to relieve suffering.

    Aim: Highlight individual's experiences of living with chronic back pain. Method: A literature based study based on ten qualitative studies.

    Results: To experience doubt from your surroundings is a common phenomenon. It is of great importance to legitimise the pain, both for the sake of the individual and for their loved ones. The surroundings of the individual are also affected in other ways, such as changed roles within the family and an increased stress on their loves ones. The pain is constantly present and unpredictable. It affects the individual's self image and major parts of their life. Conclusion: Chronic back pain causes suffering for the individual, and the life quality impairs. Mainly because of the disability the pain brings, as the patient no longer can participate in the activities and chores, which earlier were a big part of the individual's life and self.

  • 279.
    Haglunds Eriksson, Marie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Massey, Rebecka
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens väntan på akutmottagningen: en litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overcrowding and long waiting times are common in emergency departments. Organizational problems, staff- and hospital bed shortages leads to long waiting times. A consequence of the long waiting time is that patients' leave without being seen.

    Aim: The aim of this study was to understand patient's experiences of waiting at the emergency department.

    Method: This is a literature study based on qualitative articles. Ten qualitative articles were included in this study.

    Results: The findings in this study revealed three main themes; Being a patient, Meeting with healthcare and The environment at the emergency department. The patients' experience feelings of lack of control, abandonment, frustration and develop different strategies to deal with the waiting time. Patients' describe how they feel ignored and lacking information about waiting times and treatment. The emergency department environment affects the patient's experience during the waiting period.

    Conclusion: Improvement measures are needed to improve the environment at the Emergency department to make waiting time easier. The waiting time experience is improved when nurses are present and available to provide support.

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  • 280.
    Hallberg, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pettersson, Ina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av sin kropp efter bröstkirurgi till följd av bröstcancer2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Breast cancer is the most common tumor disease that affects women. In Sweden, all women between 40-74 years old is offered mammography. Mastectomy is the main treatment for curing breast cancer. Women who suffer from cancer need support and help around the experiences after the mastectomy. As a nurse, it is important to know these experiences in order to alleviate suffering and promote health. Aim The aim was to illustrate women's experiences of their body after undergoing mastectomy due to breast cancer. Method A literature-based method was used to illustrate women's experiences of mastectomy. The databases CINAHL and PubMed was used in the search process. This study contains 9 qualitative articles. The results of the study were analyzed and two themes, A lacerated exterior and Life goes on as well as five sub-themes were identified. Results The most significant results were those that showed that women have different experiences of their body after mastectomy, some feel that their bodies are mutilated while others means that it is more important to be healthy than beautiful and attractive. The women sometimes questioned her femininity after mastectomy. Conclusion Mastectomy involves a conversion of the women whether they have a positive or negative effect on their new body.

  • 281.
    Hallqvist Gustafsson, Lovisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Norelius, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av att bemöta och vårda patienter med Anorexia Nervosa2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Anorexia Nervosa (AN) is a growing disease that has increased every year. It is most common among young girls and women. Statistics shows that 75 000-100 000 persons in Sweden are afflicted every year. Aim of this study was to describe nurse´s experiences of caring for patients diagnosed with Anorexia Nervosa. Method used was a literature study based on qualitative research according to Friberg. The articles is analyzed according to Friberg ́s five-step model and results in four main themes and twelve sub- themes. Results indicates that nurse´s caring for patients with AN needs to reflect over their care and behavior towards this patient group. Lack of special knowledge about AN was showing as an obstacle in care. The teamwork was described as an important factor that also influence the nurse´s approach towards patients. The main themes were Obstacles in caring, Nurse´s responsibility, The colleagues signification, Relations and approach. Conclusion is that nurse´s have a great impact on the treatment process for these patients. Caring for patients by a person-centered care approach has shown to improve the patient relations. If nurse´s spend more time with patients it results in a better treatment process and more adherence.

  • 282.
    Hallung, Linda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Scotting, Carl-Oscar
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av biverkningarna vid prostatacancerbehandling2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Prostate cancer is the most common type of cancer in Sweden. The three primary treatment types for prostate cancer are prostatectomy, radiotherapy and different types of endocrine therapy. With all treatments mentioned above comes adverse effects that may have big effects on the person treated.

    Aim: The aim of this study was to highlight men´s experiences of the adverse effects that comes with the treatment for prostate cancer.

    Method: The research method employed was a literature study based on eleven qualitative articles. The method of analysis was done according to Friberg five-step analysis of qualitative articles and through the analysis, six themes emerged.

    Results: The themes were A feeling of emotional imbalance, Not prepared enough, The experience of loosing control, Feeling of diminished masculinity, The experience of a feminized body and An altered identity.

    Conclusion: The result showed that men experience adverse effects of the prostate cancer treatment as difficult in many ways. The changes to the body and mental well-being tend to be difficult to deal with, and the men need relevant information prior to treatment to give them time to adjust to their new life.

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  • 283.
    Hamad, Aiaat
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cytostatika har påverkat mitt liv!: En studie om kvinnors upplevelser av cytostatikabehandling vid bröstcancer2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Women with breast cancer are increasing, thus even chemotherapy with its extensive side effects. Therefore the knowledge of how these patients experience this therapy is necessary for developing the optimal person- centered care.

    Aim: The aim of the study was to describe women's experiences of getting chemotherapy for their breast cancer.

    Method A literature-based study was used to bring out women's experiences of getting chemotherapy for their breast cancer. The results of the studies were analyzed according to Friberg ́s (2012) five-step model. The analysis resulted in four themes and eight sub themes.

    Results: The four themes were to feel fear and anxiety, changed self- image. Needs of support from people around and to live day by day. Side effects were difficult to manage especially hair loss and cognitive changes, it affected their self- image and even their lives. The side effects made them weak and the needs of support increased. The nursing care had lack of knowledge and understanding about how disease and treatment affected women's life.

    Conclusion: The chemotherapy increased women's needs of information and support. It was important for women to get information to reduce their fears and concerns. The health care needs to have more knowledge and understanding about these women's situation and needs for optimizing the good and individualized care.

  • 284.
    Hamdi, Pärla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindqvist, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vårdpersonals erfarenheter av sprututbytesprogram för personer med injektionsmissbruk2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Drug abuse causes social, psychological and somatic damage. Drugs can be administered in different ways. There are a couple of Needle Exchange Programs (NEPs) in Sweden which aim is to encourage injection drug users to quit their addiction and to prevent blood infection by providing clean and sterile needles and syringes in exchange for the patients unclean ones.

    Aim: The aims of the present study are to illustrate health care professionals experience of NEPs and impact of these programs on people with intravenous drug abuse.

    Method: This study has a qualitative design based on qualitative research interviews. Five healthcare professionals (one male and four female) from three NEPs (located in two different cities in Sweden) were interviewed.

    Results: Results showed that the NEP had a strong positive impact on the patients both in physiological and psychological aspects. NEP is health promoting and motivating towards a life without drugs. The results implicate that health care professionals experience stigmatization of patients, which may take place in both community and other healthcare services, but not in the NEP.

    Conclusions: NEPs have important functions in the healthcare of injection drug users.

  • 285.
    Hammarström, Marcus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Falcon, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ensamhet hos äldre, omvårdnadsåtgärder som främjar gemenskap: En litteraturöversikt2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Previous studies show that loneliness is correlated to decreased health and the feeling of loneliness is common among the elderly population. The nurse can help patients who experience involuntary loneliness by giving social support. When loneliness is due to a lack of social interaction in everyday life efforts in creating a community and a sense of belonging for the elderly patients might be effective as a nursing intervention. Helping elderly people to strengthen their feeling of social identity may result in many health benefits such as increased physical and cognitive functions, as well as less need for healthcare resources.

    The aim was to identify nursing interventions that counteract loneliness and promote community among the elderly. A literature review was chosen. Ten scientific articles where analyzed. Both quantitative and qualitative interventional studies were included in the review. Two categories where identified in the analysis. Category one was activities, with subcategories group-activity and meaningful activity. Second category was experience, with subcategories to talk about feelings and the importance of the environment for the experience.

    The conclusion was that meaningful group activities strengthened the community and when feelings where shared it helped the elderly to get to know each other on a deeper level. The physical and psychosocial environment also affected the experience through stimuli in new environments or a change in the existing one.

  • 286.
    Hanna, Josefin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mohamed, Monira
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens förmåga till egenvård vid diabetes typ 2: en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is a chronic disease that occurs all around the world. The disease affects the patient's whole life situation. The importance of ability to self-care is crucial in the treatment of type 2 diabetes. Knowledge of diabetes is the basis for managing the disease and requires that the person with type 2 diabetes is capable to new living habits.

    Aim: The aim of the study was to elucidate how patients perceive their ability to self-care in type 2 diabetes.

    Method: The method used was literature-based study. The article search was done in databases CINAHL and PubMed, which resulted in twelve qualitative articles.

    Results: The main result of the study was that the patient's motivation and ability to self-care is affected by various factors. The main themes that built up the results were Motivation - a driving force for self-care and The patient's experience of support from the environment.

    Conclusion: Changed living habits were perceived as difficult to perform and challenging in the person's everyday life. To achieve the right motivation for self-care is crucial for the person diagnosed with type 2 diabetes, and influenced by both internal and external factors.

  • 287.
    Hansson, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Ia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelser av att leva med ett barn med diabetes typ 12018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backround Diabetes type 1 is a chronic disease that often affects children early in their life. It’s a disease that requires constant insulin treatment and control of bloodsugar to avoid the fatal complications that otherwise may occur. Previous research showed that parenting a child with diabetes type 1 is a major around the clock responsibility wich results in an unwanted transformation of the parents lives. Aim The aim of this study was to describe parents’ experiences of living with a child with type 1 diabetes. Method The method chosen for this study was to contribute to evidence-based nursing, based on analysis of qualitative research. With this method, experiences from parents living with a child with diabetes type 1 could be described. Ten qualitative articles were analysed from which three themes and nine subthemes could be described. Results The results showed that the parents experienced many strong feelings such as anxiety, fear and guilt. They were forced to carry a major responsibility over the disease and the treatment which led to a need of constant control over the child. This resulted in the parents being forced to change their everyday life. They often felt alone in their role of responsibility and described the support from healthcare professionals as inestimable. Conclusion As parents felt alone in their new role of responsibility, it’s important for the nurse to support, inform and educate the parents to create the best condition for them to handle the disease while being able to live a good life, as normal as possible.

  • 288. Hansson, Anders
    et al.
    Larsson, Lena G
    Närhälsan, FoU Primärvård, Västra Götalandsregionen och NU-akademin.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vem tar bollen?: går vården för de mest sjuka äldre att förbättra?2016Report (Other academic)
    Abstract [sv]

    Bakgrund Flera svenska rapporter visar att de mest sjuka äldre ofta far illa på grund av bristande samordning och oklar ansvarsfördelning mellan olika behandlingsinstanser. Primärvården, hemtjänsten och den kommunala hemsjukvården anses i otillräcklig omfattning ta över ansvaret efter utskrivningen av de sjuka äldre från sjukhuset. Svenska erfarenheter stämmer väl med vad man funnit i flera internationella studier: sjukvården är illa rustad för att möta de mest sjuka äldres komplexa behov av vård och omsorg.

  • 289.
    Hansson, Anders
    et al.
    University Health Care Research Centre, Region Örebro County; Örebro University, School of Medical Sciences, Sweden; University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Sweden.
    Svensson, Ann
    University West, School of Business, Economics and IT, Divison of Informatics.
    Hedman Ahlström, Britt
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Larsson, Lena G.
    University of Gothenburg, Academy of Sahlgrenska, Institute of Medicine, Sweden.
    Forsman, Berit
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Flawed communications: Health professionals’ experience of collaboration in the care of frail elderly patients2018In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 7, p. 680-689Article in journal (Refereed)
    Abstract [en]

    Aims: Frail elderly patients who have multiple illnesses do not fare well in modern health care systems, mainly due to a lack of care planning and flawed communication between health professionals in different care organisations. This is especially noticeable when patients are discharged from hospital. The aim of this study was to explore health care professionals’ experience of obstacles and opportunities for collaboration. Methods: Health professionals were invited to participate in three focus groups, each consisting of a hospital physician, a primary care physician, a hospital nurse, a primary care nurse, a municipal home care nurse or an assistant officer, a physical or occupational therapist and a patient or a family member representative. These individual people were then asked to discuss the obstacles and opportunities for communication between themselves and with the patients and their relatives when presented with the case report of a fictitious patient. Content analysis was used to identify categories. Results: Several obstacles were identified for effective communication and care planning: insufficient communication with patients and relatives; delayed collaboration between care-givers; the lack of an adequate responsible person for care planning; and resources not being distributed according to the actual needs of patients. The absence of an overarching responsibility for the patient, beyond organisational borders, was a recurring theme. These obstacles could also be seen as opportunities. Conclusions: Obstacles for collaboration were found on three levels: societal, organisational and individual. As health care professionals are well aware of the problems and also see solutions, management for health care should support employees’ own initiatives for changes that are of benefit in the care of frail elderly patients with multiple illnesses.

  • 290.
    Hansson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Peilot, Louise
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens upplevelser av förändringar i livet efter en hjärtinfarkt2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: By 2016, 6 425 died of an acute myocardial infarction in Sweden. It is the most common single cause of death today. Rehabilitation along with lifestyle change is an important part in preventing new myocardial infarction. Finding the patient's view of post-myocardial situation can give the nurse important knowledge in order to find the right level of care. Aim: The aim of this study was to illustrate the patient's experiences of changes in life after a myocardial infarction. Method: The method to contribute to evidence-based nursing based on analysis of qualitative research was used to perform a literature-based study. Data from eleven qualitative articles were analysed. Results: The result shows that patients with myocardial infarction are experiencing a variety of feelings in connection with the various changes that caused the myocardial infarction. These feelings are handled by the people in different ways. Some patients experience life being better after a myocardial infarction, while some experience it worse. The result shows that depression, anguish and anxiety are common feelings that occur after a myocardial infarction but also gratefulness for survival. The analysis presented two head themes with two sub themes. The first theme “another life” with the two sub theme “A second chance and a new lifestyle” and “Changing social relations”. The second theme was “Change in everyday life” with the two sub themes “Reduced well-being” and “Emotional responses”. Conclusion: The study highlights the fact that different individuals deal with changes after myocardial infarction differently, which is not unusual; but in the result, the differences are very dramatic

  • 291.
    Hansson, Johan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att vårda patienter med missbruksproblematik inom somatisk vård: en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Abuse of alcohol and drugs has increased in the western world over the past decades. For this reason, somatic health care receives a greater proportion of patients with substance abuse problems. This group of patients is often associated with some stigma and prejudice, which may result in an unfavorable reception when they seek health care.

    Aim: The aim of this study is to investigate nurses' experiences in meeting patients with substance abuse problems in somatic health care.

    Method: A literature review based on seven articles was conducted. The articles was based on both qualitative and quantitative approach of nurses concerning their experiences of addicted patients.

    Results: The result indicated that among the nurses exist preconceptions about alcoholics and drug users, resulting in negative attitudes toward this type of patients. A recurring theme was that the abusers describes as difficult patients; violent, manipulative, and less entitled to health care because of self-imposed destructive lifestyle. Another theme was that the interviewed nurses complained of knowledge- and organizational shortcomings in the care of patients with addiction problems. Knowledge of drug abuse problems among nurses was considered to be inadequate, and health care providers were considered to have inadequate procedures to handle complications which can occur when addiction problem seeking treatment.

    Conclusion: The nurses felt that it would be justified to add more time to learn about drug abuse problems. It was also considered that measures to improve the support of nurses' professional role is justified which include factors such as increased staffing and more support from doctors and managers.

  • 292.
    Hansson, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jacobsson, Lisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jag är inte min psykos: en litteraturstudie om erfarenheter av stigmatisering2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stigmatization of people with psychosis is a widespread and global issue that has been existing for a long time. While other psychological illnesses are getting less stigmatized, schizophrenia and psychosis tend to be unchanged.

    Aim: The aim of the study was to illuminate experiences of stigmatizations in people with psychosis.

    Method: This is a literature study based on qualitative research. Thirteen articles were analyzed according to Friberg's five-step model and resulted in four themes and seven sub-themes.

    Results: The main theme that emerged was: feeling powerless, experience of exclusion, being treated unfairly, a need to withdraw. The result showed that people with psychosis or schizophrenia experience stigma from different directions which includes family, society and healthcare.

    Conclusion: Stigma exist everywhere and to prevent stigmatization, more knowledge about the phenomenon is required. Stigmatization gives the person worse conditions in life. The recovery becomes more lengthy and complicated.

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  • 293.
    Hansson, Josefine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Tengdahl, Nina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser i väntan på livsviktigt organ: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Organ transplantation is an established form of treatment applied worldwide, which saves many lives. There is however, an imbalance between supply and demand for organs, which means that the patients on the waiting list for organs often have to stay there for a long time. In worst case, they die before a suitable organ is found. Patients waiting for vital organs are therefore in a very exposed situation and this causes many feelings.

    Aim: The aim of the study was to describe patients´ experiences while waiting for vital organs.

    Method: A literature based study analysing twelve qualitative studies, that based onpatient interviews describe the patients' experiences while waiting for vital organs.

    Results: The result showed that patients felt bound, both physically and mentally. They experienced anxiety and stress during the long wait for an organ but had also hope forrecovery and wished to be able to return to a normal life. Information and support were an important part of getting through the wait. Two themes appeared during the analysis; To hope and to understand, the mixed emotions and To be bound and to be in need.

    Conclusion: All patients' experiences were individual, although there are many similarities in how they experienced waiting for vital organs, especially regarding emotions. Hope was a prerequisite for patients while waiting for a vital organ, as it servesas a driving force to hold out during their uncertain life situation.

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  • 294.
    Hansson, Michaela
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Morsing, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelse av förebyggande arbete mot vårdrelaterade infektioner inom slutenvård: En litteraturstudie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Despite prolific previous research and guidelines on how nurses should work to reduce the risk of spreading hospital-acquired infections, there are still barriers that causes suffering for patients.

    Aim To describe the nurse's experiences of preventing hospital-acquired infections in closed care.

    Method Literature study with qualitative articles.

    Results The results showed two themes, work enviroment and social culture, and the nurses’ competence. These themes describe how the nurses experienced obstacles to provide proper care. Several things contributed to inadequate implementation of preventive work against hospital-aquired infections. These were lack of support from leadership and increased workload, ignorance of hygiene routines and few educational opportunites to increase awareness and competence. 

    Conclusion The nurses’ preventive work against hospital-acquired infections can lead to improvements and maintenance of proper care for the patients. The results showed that the knowledge and compliance with routines is inadequate. If this improves it may reduce the number of patients affected and thereby to reduce the suffering. It can even improve the nurses’ work environment. 

  • 295.
    Hansson, Per-Olof
    et al.
    University of Gothenburg, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    Andersson Hagiwara, Magnus
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Centre for Prehospital Research, Borås, Sweden.
    Brink, Peter
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Herlitz, Johan
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Centre for Prehospital Research, Borås, Sweden.
    Wireklint Sundström, Birgitta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Centre for Prehospital Research, Borås, Sweden.
    Prehospital identification of factors associated with death during one-year follow-up after acute stroke2018In: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 8, no 6, article id e00987Article in journal (Refereed)
    Abstract [en]

    ObjectivesIn acute stroke, the risk of death and neurological sequelae are obvious threats. The aim of the study was to evaluate the association between various clinical factors identified by the emergency medical service (EMS) system before arriving at hospital and the risk of death during the subsequent year among patients with a confirmed stroke.Material and MethodsAll patients with a diagnosis of stroke as the primary diagnosis admitted to a hospital in western Sweden (1.6 million inhabitants) during a four‐month period were included. There were no exclusion criteria.ResultsIn all, 1,028 patients with a confirmed diagnosis of stroke who used the EMS were included in the analyses. Among these patients, 360 (35%) died during the following year. Factors that were independently associated with an increased risk of death were as follows: (1) high age, per year OR 1.07; 95% CI 1.05‐1.09; (2) a history of heart failure, OR 2.08; 95% CI 1.26‐3.42; (3) an oxygen saturation of <90%, OR 8.05; 95% CI 3.33‐22.64; and (4) a decreased level of consciousness, OR 2.19; 95% CI 1.61‐3.03.ConclusionsAmong patients with a stroke, four factors identified before arrival at hospital were associated with a risk of death during the following year. They were reflected in the patients' age, previous clinical history, respiratory function, and the function of the central nervous system.

  • 296.
    Hansson, Peter
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Madenvik, Natalie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelse av trygghet i vården: vad skapar trygghet?2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When an individual is cared for in a hospital, which is a new and unknown environment, this can create feelings of uncertainty and insecurity for some. Insecurity can lead to a feeling of pressure and makes the caring more difficult. This can therefore worsen the recovery for the patient.

    Aim: The aim of this study was to illuminate the patient's perceived experience of safety at hospital.

    Method: A literature based study was done based on ten qualitative articles among men- and women at hospital.

    Result: The study showed that the feeling of safety could be experienced when the patient felt confirmed, the patient feels involved in their own care and when nursing staff cares for the patient. To felt safe is also found in how patients perceive their environment through the hospital's physical and social environment. The result of the articles were presented in two main themes; the meaning of the caring relationship and presence of others.

    Conclusion: There was several factors that contribute to the feeling of safety for the patient in hospital care. Patients’ feelings of safety can be experienced by acts such as to be confirmed by the care giving staff, the patient's opportunity to be involved and when the patient feels cared about.

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  • 297.
    Hasani, Helen
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gevreus, Tim
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet efter en hjärtinfarkt : Personers erfarenheter: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction is one of the main causes of death globally. A myocardial infarction occurs when a blood clot is formed in any of the coronary vessels of the heart witch that causes oxygen deficiency and damage.

    Aim: The aim of this study is to describe individual's experiences following a myocardial infarction.

    Method: The method used a literature-based analysis of qualitative articles, which can lead to evidence-based nursing. Ten qualitative articles were found and analyzed into the results of two themes and six subthemes.

    Results: The individual's experiences were divided into two themes; Feelings and experiences after a myocardial infarction and Concrete changes in life. The result showed that being affected by a myocardial infarction affects both the mental and physical health of the person. Life changes as uncertainty and fear over the body's ability, new challenges in everyday life and a healthy lifestyle occurred.

    Conclusion: Important lifestyle factors was support from family, friends and colleagues and healthcare. Those determined how individual's handled the new challenges that occurred due to being affected by a myocardial infarction.

  • 298.
    Hassan, Ayan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Rebecca
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet efter en hjärtinfarkt: En litteraturstudie om kvinnors upplevelse av hälsa efter en hjärtinfarkt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Myocardial infarction is the most common single cause of death in Sweden. A person suffering from myocardial infarction goes through a traumatic experience and life after means major changes and adjustments. Through increased knowledge of women's experiences of their health, the nurse can provide a knowledgeable and careful nursing care that meets the patients' requirements and needs.

    Aim: The purpose of the study is to describe how women experience their health after a myocardial infarction.

    Method: To achieve the purpose of this study, a literature review has been conducted, primary on data sources in the form of qualitative scientific articles. Additionally, Friberg's analysis method provided four themes and eight sub-themes.

    Results: The results show that women's everyday lives are limited due to physical and mental limitations that occur after myocardial infarction. For example, they experienced a change in the relationship with their partners and reduced sexual activity. Women received insufficient information on symptoms, treatment and cardiac status after a heart attack and began to doubt their body, as they were afraid to relapse. It demanded great life changes for the women.

    Conclusion: In summary, myocardial infarction leads to impaired health for women. It is important that nurses maintain continuous contact with patients after discharge. They should always have a good understanding of the patient's situation, in order to be able to provide good care. Nurses have an important job of maintaining a support system as well as encourage the patients, so the women can experience good health and a sense of meaning in life.

  • 299.
    Hasselberg-Hellberg, Ann
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Iglicar Berntsson, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stoppa smitta!: En litteraturöversikt om åtgärder för att stoppa smittspridning av vinterkräksjuka på äldreboende.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Norovirus frequently causes outbreaks in health and social care settings across the world. Patients, staff, visitors and their families are at risk of becoming ill as the virus easily spreads among people. Elderly living in nursing homes are fragile and at higher risk of severe outcome. To reduce patients and staff getting ill it is important that the nurse knows how to act to limit the outbreak.

    Aim: The purpose of the study is to illuminate the measures taken by the nurse to stop the spread of norovirus infection in nursing homes.

    Method: A literature review based on analysis of eight quantitative and one qualitative article.

    Results: Identifying the first case is important and action must be taken promptly. Measures like strict hand hygiene, cleaning and disinfection of the environment and the use of personal protective equipment must be taken. At the same time limiting contacts for patients, staff and visitors are necessary to decrease illness.

    Conclusion: Acting in cases of illness, performing hygiene routines and limiting contacts were emphasized as the most important measures in the event of an outbreak. Having clear guidelines easy to follow and strict compliance to hygiene routines will limit the spread of norovirus infection in nursing homes.

  • 300.
    Hedhman, Klara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av att triagera patienter på en akutmottagning2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Triaging patients at an emergency department brings stress and insecurity to the nurses. The big number of patients who are waiting for the nurses to prioritize them makes triage difficult and stressful. The nurse’s tries to triage the patients as correct as they can but the triage scale and the environment at the emergency department do not make it easy. It is also important that the nurses have the experiences and the competence that is needed to do a correct triage. The aim of this study was to explore nurse’s experiences of triaging patients at an emergency department. The method of the study is based on litterature with the purpose to contribute to evidence-based nursing through analysing qualitative research and is designed by Friberg (2012). Nine articles were analyzed in this study and led to six categories: Sense of security, Cooperation with the colleagues, Stress, Patients who are difficult to assess, Impact of the triage scale and The importance of experience. These six categories explains the nurses experiences of triaging patients at an emergency department. Both positive and negative experiences are illustrated.

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