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  • 301.
    Bengtsson, Emma
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Svanebjer, Martina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Upplevelser av att leva med diabetes mellitus typ 1: Ett barn och ungdomsperspektiv2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 1 Diabetes is a complex disease that the affected have to live with for the rest of their lives. The incidence among children and youth around the world are increasing and appear in increasingly younger ages. Living with a chronic disease like diabetes involves several changes in everyday life in terms of diet, exercise and insulin. It requires careful planning, good knowledge and time to get to know their body and know how to take care of it the best way. For children and young people this may mean additional difficulties when they are already at various stages of development, which can be tough enough. The aim of this study was to highlight children's and adolescence experiences of living with diabetes mellitus type 1. The method used was a qualitative literature-based study. Sixteen scientific articles found from the databases Cinahl and PubMed were included. The analyzed data were described in themes with two or three sub- themes each.

    The result shows the three main themes: The implications of changes in everyday life, Thoughts and emotions and Support. The overall findings show that diabetes in some way changes the childrens and adolescence daily life. The conclusions of this is that children and adolescents with type 1 diabetes may experience changes that can imply restrictions, but also can give strength and self-awareness. Support from the environment can also be considered to have a significant role in how everyday life can be managed.

  • 302.
    Bengtsson, Jonas
    et al.
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Gothenburg,.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Lindholm, Elisabet
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy,.
    Öreland, Tom
    University of Oslo : Institute of Clinical Medicine.
    Börjesson, Lars
    Colorectal Unit, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy,.
    Sexual function after failed ileal pouch-anal anastomosis2011In: Journal of Crohn's and Colitis, ISSN 1873-9946, Vol. 5, no 5, p. 407-414Article in journal (Refereed)
    Abstract [en]

    Background and Aims

    Failure of ileal pouch-anal anastomosis (IPAA) occurs in around 10% of the patients. Compared to patients with functioning pouches, health related quality of life is deteriorated after failure. Sexual function in patients with pouch failure is however poorly studied.

    The aim was to study sexual function in patients with pelvic pouch failure; patients with functioning pouches were used as controls. The hypothesis was that patients with pouch failure have worse sexual function.

    Methods

    36 patients with pouch failure were compared with 72 age and sex-matched controls with ulcerative colitis and functioning pouches. The patients answered a set of questionnaires concerning sexual function (Female Sexual Function Index [FSFI] and International Index of Erectile Function [IIEF]), body image (BIS-scale) and health-related quality of life (SF-36).

    Results

    Both women and men with pouch failure scored lower than controls in the FSFI and IIEF questionnaires. However, none of the observations were statistically significant. The scores in the failure group (for both sexes) were below the cut-off level for sexual dysfunction. Scores for the BIS instrument were significantly lower for both sexes in the failure group. Women and men in the failure group scored lower than the controls in all domains of the SF-36, however statistically significant only for the social function domain in men.

    Conclusions

    The hypothesis, that a failed IPAA is associated with worse sexual function, was not confirmed. Compared to patients with functioning pouches, patients with pouch failure have inferior body image.

  • 303.
    Bengtsson, Josefine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I dödens närvaro: Sjuksköterskors erfarenheter av att möta döende patienter inom palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses meet patients in palliative care in different wards, in homecare and hospices. The role of the nurse is to provide patients and relatives with good care. A holistic care includes psychological, physical, social and spiritual needs.

    Aim: The aim of the study was to highlight experiences of nurses meeting dying patients in palliative care.

    Method: The method to contribute to an evidence-based care based on analysis of qualitative research as described by Friberg (2012) was chosen for the study. Ten scientific articles were analyzed and the result was three categories, with eight sub-categories.

    Results: The three categories were: death leaves nobody untouched, relations in the shadow of death, and needs on the environment when death approaches. Nurses described their reactions and feelings in relation to the care of a patient in the palliative phase, emotions that both concern and strain. The relationships were important in palliative care, both with patients and relatives. Aspects such as environment, colleagues and knowledge were of importance to a nurse in palliative care.

    Conclusion: Experiences to meet dying patients in palliative care were described as demanding, but also a privilege. It was considered important to include and to co-operate with the patients’ relatives. The colleagues were needed to provide a good care for the dying patient. Nurses reach security through continuous development of knowledge, experience and reflections.

  • 304.
    Bengtsson, Karin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Andersson, Josefin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av att vårda patienter med sepsis: En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sepsis is a condition that can result in death by failure or lack of treatment. Mortality has decreased over the past decade and thus is due to increased awareness and improved management of disease cases. Despite this decline, the death rate is still high and increased knowledge to detect and prevent sepsis in time is needed to reduce the suffering and serious complications.

    Aim: The aim is to illustrate nursing knowledge of the role in caring for patients with sepsis.

    Method: A literature review study based on an analysis of eight quantitative and two qualitative articles of research.

    Results: The result showed that nurses experienced that a lack of knowledge exists, long experience in nurses are valuable and that assessment tools can improve nurses' detection of sepsis. Nurses experienced detection of sepsis as a difficult, defiant and stressful task but it could facilitate trough teamwork.

    Conclusion Combination of knowledge and exertion of assessment tools improve the quality of care and reduce mortality. The result showed that experience and education among nurses are important for improving the competence to early identification of sepsis.

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  • 305.
    Bengtsson, Martin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Thörnäs, Amanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientsäkerhet på en akutmottagning i Namibia: Empirisk studie avseende identitetskontroll, basala hygienrutiner och hantering av perifer venkateter (PVK)2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients often suffer from harm and infections when in contact with healthcare. Harm caused by the healthcare imply unnecessary suffering for the patient which the healthcare could have prevented. Being a nurse comes with the responsibility of relieving suffering and preventing harm.

    Aim: The aim of the study was to illuminate the patient safety, focusing on identity check, hygiene routines and management of peripheral venous catheter (PVC), in an emergency ward in Namibia.

    Method: This is an empirical study with a qualitative approach. To gather data, six unstructured observations were carried out. The data was analyzed by using Friberg's five-step-model.

    Results: Two main themes emerged during the analysis; Patient safety work and Non-patient safety work and six sub themes; Use of hand disinfection and single-use gloves, Skillful insertion of PVC and safe management of sharps waste, Lack of identity check, Inadequate use of hand disinfection and single-use gloves, Inadequate approach before and after insertion of PVC and Insufficient conditions in work environment. 

    Conclusion: Hand hygiene was the main problem of patient safety. A work environment where hygiene material is more easily accessible could be a contributing factor to a more patient-safe approach. Identification of patients before insertion of PVC does not appear to be a routine at the emergency ward. Nurses at the emergency ward are skillful at inserting PVC:s, but are failing in other aspects in the procedure.

  • 306.
    Bengtsson, Victoria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Bloom, Emelia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Det är inte bara att ge en spruta...: barnhälsovårdssjuksköterskors upplevelser av att vaccinera barn2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In child health care immunization is a common task for the child health nurse. Often children are unprepared, afraid and preoccupied with pain in the vaccination situation. Most children experience the presence of the parents as important during the procedure. Parents who prepare their child reduce the child's stress during the vaccination situation. An interaction occurs between the child health nurse and the child where participation is a prerequisite for the experience to be a positive outcome. Aim: The aim of the study was to describe the child health nurses' experiences of vaccinating children aged 0-6 years.Method: Semi-structured qualitative interviews were performed with twelve child health nurses. Data was analyzed using a content analysis focusing in manifest content. Results: Child health nurses' experiences of vaccinating commuted between the sense of power and confident. The crucial experience was the support and cooperation that the child health nurses experienced with the parents. It emerged a theme: Participation, three main categories: Sense of power, sense of confidence and cooperation with parents and six subcategories: Abuse, powerlessness, experiences, strategies, common goals and approaches and different goals and approaches. Conclusion: The result indicates that the parents have a dominant role in the vaccination situations with the ability to affect the health nurse's experience. Child health nurse, child and parents must cooperate to vaccinations to be carried out and be perceived in a positive way

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  • 307.
    Bennhage, Frida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olausson, Maja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelser av att möta barn och deras familjer inom akutsjukvården2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Children are a large patient group in emergency care. It is important that nurses have knowledge about encountering children in the emergency care. The nurse who work primarily at regular emergency departments do usually take care of adult patients. Therefore, the nurses have the most knowledge and competence about these patients. This means that nurses’ may have a lack of capacity when it comes to meeting children and their families in emergency care.

    Aim: The aim of this literature study was to illuminate nurses’ experiences with children andtheir families in emergency care. 

    Method: A method of a five-step model was performed and based on analysis of ten qualitative scientific articles in order to contribute to evidence-based knowledge for nursing care. The analysis resulted in three main themes and seven subthemes. 

    Results: The main themes were: Create a relationship, External factors that affect the care meeting and Knowledge and clinical skills. Nurses experienced insecurity in the meeting with the child and their families. This was based on deficiencies in experience and qualification in pediatric nursing. 

    Conclusion: The nurse needs to be able to conform the meeting based on the child's developmental level and needs. The environment can be perceived by the child as stressful, which can affect the meeting with the nurse and the quality of care. This literature study showed that family-centered care is important. The nurse needs to take both the child and their family into account in order to be able to provide safe care.

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  • 308.
    Berg, Ann
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fohlin Johansson, Leone
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Äldre personer med diabetes mellitus och deras upplevelse av egenvård: En litteraturöversikt2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Diabetes is a growing health problem and the risk of getting diabetes is increasing with age. Beside diabetes, older persons often have several diseases which makes their situation complex. Self-care is an important part of treatment and how the older persons experience this is relatively unknown. The aim of the literature review was to investigate how older persons with diabetes experience self-care to find out how support for self-care can be developed. Systematic searches were made in the databases Cinahl, Pub/Medline and PsychInfo for the period 2007-2017. Fifteen articles were found and analysed using a descriptive synthesis. Three themes were identified: 1) To be responsive to the body's signals, 2) To be able to understand the life situation, and 3) To participate creates security. Older persons with diabetes usually had good knowledge of self-care but had difficulty to perform it. The result indicates that to support older people with diabetes to self-care, nurses need more knowledge how to involve and support older people in their care, create support-groups and meeting others with the same diagnosis, and develop a person-centred action plan.

  • 309.
    Berg, Henric
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Patrick
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors syn på hur de kan stödja närstående till patienter i behov av palliativ vård2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Palliative care treatment is a common phenomenon to many registered nurses. When caring for a patient palliatively, the nurse should also care for the ones closest to the dying patient. Previous studies have shown that nurses are uncertain on how to support these relatives and that some nurses even see them as a burden. The aim of this study was to describe nurses’ views on how they can support the ones closest to the patients that need palliative care. The method used is a literature study, aiming at contributing to evidence based care grounded in analysis of qualitative research. Two electronic databases, Cinahl and Pubmed, were used for searches. Inclusion criteria were: studies should be written in the English language, no older than ten years, qualitative, presenting data in palliative care setting for adult patients only, and written from a registered nurse’s perspective. Eleven studies were included. Four themes emerged on how nurses give support: Facilitate presence, Involve the ones closest to the patient, Care for the ones closest to the patient and Meet informational needs. The conclusion is that the nurse should care for the ones closest to the patient as unique human beings and strive to fulfil individual nursing needs.

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  • 310.
    Bergbom, Ingegerd
    et al.
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ringdal, Mona
    University of Gothenburg, Institute of Health and Care Sciences at the Sahlgrenska Academy, Gothenburg, Sweden.
    Developing and evaluating an instrument to measure Recovery After INtensive care: the RAIN instrument2018In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 17, no 1, article id 5Article in journal (Refereed)
    Abstract [en]

    Measuring and evaluating patients' recovery, following intensive care, is essential for assessing their recovery process. By using a questionnaire, which includes spiritual and existential aspects, possibilities for identifying appropriate nursing care activities may be facilitated. The study describes the development and evaluation of a recovery questionnaire and its validity and reliability.

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  • 311.
    Bergbrant, Rikard
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hulkkonen, Camilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur närstående påverkas av att leva med en person med psykisk ohälsa2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In society today, mental illness is a growing problem. Relatives of a person with mental illness are often adversely affected by the person's condition. Knowledge exists to help a person suffering from mental illness but not as much importance is attached to helping them handle the situation. As nurses, we must not only help the person with mental illness but also the relatives. What is missing is to recognize the needs of the relatives and gain a deeper understanding of how to better support and prevent ill-health.

    Aim: The aim of the study is to illuminate the relatives to a person with mental illness and how they are affected

    Method: This paper is a literature review founded on 12 articles with a qualitative approach based on Friberg's (2012) five-step method.

    Results: Relatives living with a mentally ill person, carry a burden of guilt, shame and are faced with ignorance from family and society. This is enhanced by the lack of knowledge of relatives and stigmatization. Being available around the clock effects the relatives negatively such as their health, work and economics. Their future plans were limited, they had to re-priorities and adapt their lives to the mentally ill person. It was a burden for relatives and thoughts of suicide often came to mind.

    Conclusion: The life and health of relatives became affected drastically, they needed more support and knowledge from the health care services. The health care services must improve their individual support.

  • 312.
    Bergegårdh, Linnea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Saifelddine, Manal
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av bröstcancer: en litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is developed through multiple mutations in important genes that effect the central life process. The risk of developing breast cancer increases by the numbers of relatives that have been affected. Breast cancer appears in different cellular tissues and sizes depending on the stages that are titled with the numbers zero to four. At the survey of diagnosis, the women can go through several feelings. The treatment is costumed to fit the individual and can consist of several components that can give a lot of side effects, influence the life situation and create suffering on several levels. Aim: The aim was to illuminate the woman´s experiences of breast cancer. Method: A literature-based method is used. The studies´ result were analyzed by a qualitative content analysis of a five steps method. Results: The results are presented in four main themes; Loss, Hope, Fear and Anxiety and Security where Loss contains four subthemes while the rest of the themes consist of three subthemes each. Conclusion: The conditions for feeling safe and hope in the situation for the women with breast cancer are faith and support from the family and the environment. This support was not obvious in every family in the world.

  • 313.
    Berger, Alicia
    et al.
    University West, Department of Health Sciences.
    Svensson, Alva
    University West, Department of Health Sciences.
    Sjuksköterskors erfarenheter av att möta kvinnor utsatta för våld i nära relation: En kvalitativ litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intimate partner violence is a serious societal and public health problem. The violence can affect anyone regardless of gender. However, women are to a greater extent exposed to repeated and more severe violence. Women exposed to intimate partner violence often seeks care for diffuse symptoms, but rarely for the violence itself. Thus, the nurse has a crucial role in identifying these women and providing the care they need.

    Aim: The aim of this study was to elucidate the nurses’ experiences of encountering women exposed to intimate partner violence.

    Method: A literature study based on a qualitative method where eleven articles were analysed with Friberg's five-step model.

    Results: The results were presented in two categories which were barriers, and strategies. These had three subcategories each. The results showed that nurses experience a few barriers that hinders them from identifying and caring for women exposed to intimate partner violence. It also showed that nurses had strategies for identifying these women and caring for them.

    Conclusion: Identifying and caring for women exposed to intimate partner violence is a complex situation. Nurses need more and continuous education on intimate partner violence to maintain their knowledge and readiness to act. Furthermore, the nurse needs to have a person-centred approach and help women build trust to create an opportunity for them to disclose the violence. Using guidelines is a helpful tool that the nurse can use when encountering women potentially exposed to domestic violence. 

  • 314.
    Berggren,  , Simon
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dauod, Lidia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Familjers upplevelse av att ha ett cancersjukt barn: En litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately 300 children are affected by cancer each year in Sweden, however the prognosis has been significantly improved. The disease isn't only affecting the child but even the family of the child and therefore, a family focused care should be applied. The disease creates a suffering for the entire family and the nurse then has the task of reducing that suffering.

    Aim: The purpose of the study was to highlight family experiences of having a child with cancer.

    Method: In this literature study ten qualitative articles, that shed light on the chosen subject, have been processed. The articles were analyzed using Friberg's five-step model.

    Results: The analysis resulted in four themes and 13 sub-themes. The four themes were; chaos and uncertainty, change of relationships within the family, change of everyday life and change of attitude towards life. The cancer diagnosis in the child affected everyone in the family, which caused a change in the everyday life for all members. The pursuit for information was constant among these families. Their everyday lives became chaotic when a whole series of emotions tested their relationships. The family members had a change of perspective of life, and priorities were redirected after the child’s diagnosis.

    Conclusion: The families face many emotional difficulties in connection with the child being diagnosed with cancer, and they need the support from nurses to handle these difficulties. The need for information is great among these families and therefore nurses need to be able to provide the information that families need to reduce their suffering.

  • 315.
    Berggren, Ebba
    et al.
    University West, Department of Health Sciences.
    Olausson, Lina
    University West, Department of Health Sciences.
    Hälsosamtal med föräldrar som har barn med övervikt eller fetma: En intervjustudie om skolsköterskornas erfarenheter2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity have increased among adults and children since 1975. Both overweight and obesity can lead to discomfort and illness for children growing up but also later in adulthood. The school nurse has a health-promoting function within the school and monitors the children's growth during the years in school. If necessary, health dialogues are held with the children's parents when the child is overweight or obese. Studies show that school nurses feel that these conversations with parents can be a challenge because the parents are not motivated. Also that the issue of weight can be offensive and that the school nurses have a lack of knowledge.

    Aim: The aim of the study was to describe school nurses experiences of having health dialogues with parents who have children with overweight or obesity. 

    Method: A qualitative method with semi structured interviews has been used. A total of ten school nurses were interviewed. The results were analyzed with help from qualitative content analysis. 

    Results: The results showed that the school nurse had experiences that motivation of the parents was crucial for a lifestyle change which benefits the child. To support the parents she used different conversation strategies and aids. The school nurse had experience of different reactions from the parents during the conversations. The results also showed the importance of self-examination and reflection in the meetings.

    Conclusion: School nurses had several different experiences of having health conversations with parents whose children are overweight and obese. The results of this study showed that health conversations with parents can be complex. There can be requirements on school nurses in the form of being able to have a functioning collaboration with parents, which requires knowledge in conversational strategies. But also be able to meet parents' reactions and at the same time maintain the task of working to promote health.

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  • 316.
    Berggren, Hanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nygren, Emma
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnors upplevelse av sexualitet efter avslutad behandling av gynekologisk cancer: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background; Gynecological cancer is a common term for cancer in the female genitals and 2013 there were about 2800 women in Sweden that was diagnosed. This form of cancer and the treatment that is used, affects the sexuality and also the fertility of the women.

    Aim; The purpose with the essay was to illustrate the experience of the sexuality after the treatment of gynecological cancer.

    Method; The method used in the essay was a systematic translation of different literature. Of all the articles used there were eight that was qualitative, two quantitative and one was a combination of both methods. The analytic process was accomplish with the support of the Friberg (2006) analytic method.

    Results; The analysis resulted in two categories; Physical changes after the treatment and the treatments impact on the sexuality of the women. The physical changes that occurred because of the treatment was recurring and it showed that it was primarily surgery that hurt the woman body. It was also shown that the biggest impact that the treatment had on sexuality was pain and reduced desire for sex. And it also showed that sexuality got a new meaning for the women and they found new ways to express their feelings towards their partner.

    Conclusion; It was showed that the sexual experience primarily was affected by the physical consequences that the treatment had and not only because of the cancer itself. And it can because of this conclution be of significance that the nurse focus on the effects of the treatment, like vaginal anatomy and physical and psychological effects to be able to support the womans sexual well-being

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  • 317.
    Berggren, Ida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kjellstorp, Anna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelser av att leva med ett cancersjukt barn: En litteraturstudie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 318.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Etisk undran i omvårdnadshandledning2014In: Hermeneutik i vårdpraxis: det nära, det flyktiga, det dolda / [ed] Erna Lassenius & Elisabeth Severinsson, Malmö: Gleerups Utbildning AB, 2014, p. 187-196Chapter in book (Other academic)
  • 319.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Etiska kärnbegrepp i omvårdnadshandledning2009In: Omvårdnadshandledning: ur etiskt och tvärdisciplinärt perspektiv / [ed] Barbosa da Silva, António, Berggren, Ingela Nunstedt, Håkan, Lund: Studentlitteratur , 2009, 1., p. 193-209Chapter in book (Other academic)
  • 320.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Omvårdnadshandledning i teori och praktik2009In: Omvårdnadshandledning: ur etiskt och tvärdisciplinärt perspektiv / [ed] Barbosa da Silva, António,Berggren, Ingela, Nunstedt, Håkan, Lund: Studentlitteratur , 2009, 1., p. 23-43Chapter in book (Other academic)
  • 321.
    Berggren, Ingela
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Vårdandets etik2010In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, p. 125-144Chapter in book (Other academic)
  • 322.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Vårdandets etik2019In: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., p. 151-171Chapter in book (Other academic)
  • 323.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Barbosa da Silva, António
    University of Stavanger.
    Severinsson, Elisabeth
    University of Stavanger, Department of Health Studies.
    Core ethical issues of clinical nursing supervision2005In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 7, no 1, p. 21-8Article in journal (Refereed)
    Abstract [en]

    Clinical nursing supervision enables supervisees to reflect on ethically difficult caring situations, thereby strengthening their professional identity, integrating nursing theory and practice, and leading to the development of ethical competence. The aim of this study was to develop an understanding of the core ethical issues of clinical nursing supervision, using previous research as well as philosophical analysis of the theories of three moral philosophers: Harald Ofstad, Richard Hare and Carol Gilligan. The ultimate aim of this study was to develop a general model for ethical decision-making and to establish its relevance for clinical nursing supervision. The findings highlight four important values for the development of a basis for ethical decision-making. These values are caring, dignity, responsibility and virtue.

  • 324.
    Berggren, Ingela
    et al.
    University West, Department of Nursing.
    Bégat, Ingrid
    University West, Department of Nursing.
    Severinsson, Elisabeth
    University of Oslo, Institute of Nursing Science.
    Australian clinical nurse supervisors' ethical decision-making style2002In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 4, no 1-2, p. 15-23Article in journal (Refereed)
    Abstract [en]

    This paper explores clinical nurse supervisors' ethical styles with regard to supervision in healthcare. Eighty-six registered nurses, all with experience of supervising clinical nurses and students in nursing, completed a specifically designed questionnaire. A qualitative interpretative content analysis identified three core themes: (i) 'Is it safe?'; (ii) 'Is it right?'; and (iii) 'Is it kind?', describing the clinical nurse supervisors' ethical styles. The first core theme 'Is it safe?' covered the supervisors' rules, codes and values that guide their supervisory actions, as well as two sub-themes: (i) empowerment and (ii) integrity. The second core theme 'Is it right?' described the supervisors' responsibility and advocacy as well as the ethical dilemmas experienced in the supervisory process. The third core theme 'Is it kind?' included the supervisors' relationships with patients, professionals and supervisees. The results demonstrate the value of offering a support system, such as clinical supervision, which helps nurses to explore their professional identity for the benefit of the patients.

  • 325.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Carlstrom, Eric
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Decision making within a community provider organization2010In: British Journal of Community Nursing, ISSN 1462-4753, E-ISSN 2052-2215, Vol. 15, no 12, p. 611-617Article in journal (Refereed)
    Abstract [en]

    Aim: To explore community nurses' experiences of decision making within the community provider organization. Background: Recent changes in health care with an increasing number of patients being cared for outside of institutions can put considerable pressure on the nurse with respect to decision making. Methods: In-depth interviews were performed with 6 registered nurses in two communities. The interviews were analysed by means of phenomenological hermeneutics. Results: The community nurses' experiences of decision making were interpreted as spiders or octopuses, consultants and troubleshooters. The subthemes were; networking and structuring, responsibility, availability and knowledge, assessment power, information selection, avoiding rules and bypassing managers. In accordance with hermeneutical phenomenology, the findings were discussed and explained with reference to Ofstad's philosophy of freedom to make decisions. Conclusion: In their decision making, community nurses are committed to finding administrative solutions that satisfy patient needs.

  • 326.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Ho, Agnes Yin Kwan
    Diabetes empowerment related to Pender's Health Promotion Model: A meta-synthesis2010In: Nursing & Health Sciences, ISSN 1441-0745, Vol. 12, no 2, p. 259-267Article in journal (Refereed)
    Abstract [en]

    Diabetes self-management is a challenge for both clients and health-care professionals. Empowerment plays a vital role in helping clients to achieve successful self-management. This study adopted a meta-ethnographic approach. Nine qualitative studies were synthesized in order to contribute to a deeper understanding of what clients perceive as being important in an effective empowerment strategy for diabetes self-management. Four central metaphors that influenced empowerment were identified: trust in nurses' competence and awareness, striving for control, a desire to share experiences, and nurses' attitudes and ability to personalize. The lines-of-argument synthesis suggested the need for an evaluation system to appraise clients' diabetes knowledge, health beliefs, and negative emotions, as well as the outcome of interventions. Based on Pender's Health Promotion Model, this study emphasizes the fact that health-care professionals need to understand and address modifiable behavior-specific variables. The study suggests that an effective empowerment strategy would be to use activity-related affect, as well as interpersonal and situational influences, as a means of facilitating and enhancing clients' health-promoting behaviors.

  • 327.
    Berggren, Ingela
    et al.
    University West, Department of Nursing.
    Severinsson, Elisabeth
    Hedmark University College, Faculty of Health Studies.
    Nurse supervisors' actions in relation to their decision-making style and ethical approach to clinical supervision.2003In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 41, no 6, p. 615-22Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of the study was to explore the decision-making style and ethical approach of nurse supervisors by focusing on their priorities and interventions in the supervision process. BACKGROUND: Clinical supervision promotes ethical awareness and behaviour in the nursing profession. METHODS: A focus group comprised of four clinical nurse supervisors with considerable experience was studied using qualitative hermeneutic content analysis. FINDINGS: The essence of the nurse supervisors' decision-making style is deliberations and priorities. The nurse supervisors' willingness, preparedness, knowledge and awareness constitute and form their way of creating a relationship. The nurse supervisors' ethical approach focused on patient situations and ethical principles. The core components of nursing supervision interventions, as demonstrated in supervision sessions, are: guilt, reconciliation, integrity, responsibility, conscience and challenge. The nurse supervisors' interventions involved sharing knowledge and values with the supervisees and recognizing them as nurses and human beings. CONCLUSION: Nurse supervisors frequently reflected upon the ethical principle of autonomy and the concept and substance of integrity. The nurse supervisors used an ethical approach that focused on caring situations in order to enhance the provision of patient care. They acted as role models, shared nursing knowledge and ethical codes, and focused on patient related situations. This type of decision-making can strengthen the supervisees' professional identity. The clinical nurse supervisors in the study were experienced and used evaluation decisions as their form of clinical decision-making activity. The findings underline the need for further research and greater knowledge in order to improve the understanding of the ethical approach to supervision.

  • 328.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth
    University of Oslo.
    The influence of clinical supervision on nurses' moral decision making.2000In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 7, no 2, p. 124--133Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to investigate the influence of clinical supervision on nurses´

    moral decision making. The sample consisted of 15 registered nurses who took part in

    clinical supervision sessions. Data were obtained from interviews and analysed by a

    hermeneutic transformative process. The hermeneutic interpretation revealed four

    themes: increased self-assurance, an increased ability to support the patient, an increased

    ability to be in a relationship with the patient, and an increased ability to take responsibility.

    In conclusion, it seems that clinical supervision enhances nurses´ ability to provide

    care on the basis of their decision making. However, the qualitative and structural aspects

    of clinical supervision have to be investigated further in order to develop professional

    insight into the way that nurses think and react. 

  • 329.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth
    University of Stavanger, Faculty of Social Sciences.
    The significance of nurse supervisors' different ethical decision-making styles2006In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 14, no 8, p. 637-43Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The role of the nurse supervisor is very important, because of his/her ability to influence the atmosphere within the clinical nursing supervision group. AIM: To present and interpret nurse supervisors' different ethical decision-making styles. METHOD: A hermeneutic interpretation of three studies on nurse supervisors' different ethical decision-making styles. RESULTS: The significance of the nurse supervisor's ethical decision-making style is reflected in the awareness of their responsibility for creating a relationship with the supervisee. The supervisors focus on ensuring safety, integrating theoretical knowledge and clinical practice, willingness and preparedness to supervise on the substance of nursing, sharing the supervisees' feelings and challenging them, reflecting on the content of clinical nursing supervision as well as promoting justice and integrity in clinical nursing supervision. CONCLUSIONS: The interpretation highlights the importance of the nurse supervisor's style for the outcome of clinical nursing supervision, as they are role models for the supervisees. There is a need for further research to explore the advantages and disadvantages of nurse supervisors' different ethical decision-making styles, especially in relation to the influence of clinical nursing supervision on the quality of care and various support systems.

  • 330.
    Berggren, Ingela
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth
    Vestfold University College, Tönsberg, Norway.
    The State of the Science of Clinical Supervision in Europe 2010In: Routledge handbook of clinical supervision : fundamental international themes   / [ed] Cutcliffe, John, Hyrkäs, Kristiina, Milton Park, Abingdon, Oxon. UK: Routledge , 2010, p. 327-337Chapter in book (Other academic)
  • 331.
    Berggren, Malin
    et al.
    University West, Department of Health Sciences.
    Johansson, Therese
    University West, Department of Health Sciences.
    Distriktssköterskors upplevelser av att  förskriva fysisk aktivitet på recept (FaR): inom primärvården2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 332.
    Bergh, Anne-Louise
    et al.
    University of Borås.
    Friberg, Febe
    University of Stavanger.
    Persson, Eva
    Lund University.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Perpetuating ‘New Public Management’ at the expense of nurses’ patient education: a discourse analysis2015In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 22, no 3, p. 190-201Article in journal (Refereed)
    Abstract [en]

    This study aimed to explore the conditions for nurses’ daily patient education work by focusing on managers’ way of speaking about the patient education provided by nurses in hospital care. An explorative, qualitative design with a social constructionist perspective was used. Data were collected from three focus group interviews and analysed by means of critical discourse analysis. Discursive practice can be explained by the ideology of hegemony. Due to a heavy workload and lack of time, managers could ‘see’ neither their role as a supporter of the patient education provided by nurses, nor their role in the development of nurses’ pedagogical competence. They used organisational, financial, medical and legal reasons for explaining their failure to support nurses’ provision of patient education. The organisational discourse was an umbrella term for ‘things’ such as cost-effectiveness, which were prioritised over patient education. There is a need to remove managerial barriers to the professional development of nurses’ patient education. Managers should be responsible for ensuring and overseeing that nurses have the prerequisites necessary for providing patient education as well as for enabling continuous reflective dialogue and opportunities for learning in practice.

  • 333.
    Bergh Johnsen, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rosander, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelser av att få en bröstcancerdiagnos: en litteraturbaserad studie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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  • 334.
    Bergh, Madeleine
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Carlson, Elisabeth
    Malmö högskola. Fakulteten Hälsa och samhälle.
    Friberg, Febe
    Sahlgrenska akademin vid Göteborgs universitet.
    Gedda, Birgitta
    University West, Department of Nursing, Health and Culture.
    Häggström, Eva
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Pilhammar, Ewa
    Sahlgrenska akademin vid Göteborgs universitet.
    Pedagogik inom vård och handledning2012 (ed. 2., [rev.] uppl.)Book (Other academic)
  • 335.
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Is being physically active the key to a good quality of life for patients living with Fontan circulation?2016In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 105, no 11, p. 1257-1258Article in journal (Other academic)
  • 336.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. Sahlgrenska Academy, Institute of Medicine.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Rydberg, Annika M.
    University of Umeå, Department of Clinical Sciences, Pediatrics.
    Dellborg, Mikael
    Sahlgrenska Academy, Institute of Medicine.
    Ekman, Inger
    University of Gothenburg, Centre for Person-Centred Care.
    Committed to Life: Adolescents’ and Young Adults’ Experiences of Living with Fontan Circulation2015In: Congenital Heart Disease, ISSN 1747-079X, E-ISSN 1747-0803, Vol. 10, no 5, p. 403-412Article in journal (Refereed)
    Abstract [en]

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

  • 337.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Johansson, B.
    Umea University, Department of Public Health and Clinical Medicine, Umea, Sweden.
    Mattson, E.
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Moons, P.
    The Sahlgrenska Academy at Gothenburg University, Institute of health and caring sciences, Gothenburg, Sweden;.
    Dellborg, M.
    University of Gothenburg, Institute of medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    Exploration of disagreement between the patient’s self reported limitations and limitations assessed by caregivers in adults with congenital heart disease2018In: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 39, no Suppl 1, article id 2406Article in journal (Refereed)
    Abstract [en]

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

  • 338.
    Berghammer, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. The Sahlgrenska Academy at University of Gothenburg, Institute of Medicine, Gothenburg, Sweden.
    Mattsson, Eva
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Johansson, Bengt
    Umeå University, Department of Public Health and Clinical Medicine, Umeå, Sweden.
    Moons, Philip
    University of Gothenburg, Centre for Person-Centred Care (GPCC), Gothenburg, Sweden.
    Dellborg, M.
    The Sahlgrenska Academy at University of Gothenburg, Institute of Medicine, Gothenburg, Sweden.
    Comparison of participants and non-participants in patient-reported outcome surveys: the case of Assessment of Patterns of Patient-Reported Outcomes in Adults with Congenital Heart disease - International Study2017In: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 27, no 3, p. 427-434Article in journal (Refereed)
    Abstract [en]

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

  • 339.
    Berglind, Betty
    University West, Department of Nursing, Health and Culture.
    Sjuksköterskans omvårdnad av patienter med myelomatos och associerad kronisk smärta: en litteraturstudie2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Multiple myeloma is a malignant incurable cancer disease associated with severe chronic pain. The nurse has several important roles in the management of patients with multiple myeloma. This study focuses on nurse´s roles including the caring of pain relief.

    Aim: The aim of this study was to elucidate the nurse’s role in giving care to patients with multiple myeloma and associated chronic pain.

    Method: This literature study was based on scientific articles.

    Results: The nurse is in a key position to facilitate ongoing adequate pain and psychosocial assessment of patients with multiple myeloma. The study presents ways of relieving pain and suffering via different ways of caring management. Five themes emerged: communication, support, distraction, information and education, pain assessment and evaluation. The nurse´s roles are acknowledged, and associated ethical dilemmas are presented. Knowledge about how to decrease pain and suffering by non-pharmacological means, improves the nurse´s possibility to manage difficult situations in patients with incurable cancer.

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  • 340.
    Berglund Blank, Micael
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pappan: den andra föräldern2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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

  • 341.
    Berglund, Britta
    et al.
    Karolinska University Hospital, Nursing Division, Department of Medical and Surgical Gastroenterology.
    Mattiasson, Anne-Cathrine
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Randers, Ingrid
    Sophiahemmet University College.
    Dignity not fully upheld when seeking health care: Experiences expressed by individuals suffering from EhlersDanlos syndrome2010In: Disability and Rehabilitation, ISSN 0963-8288, Vol. 32, no 1, p. 1-7Article in journal (Refereed)
    Abstract [en]

    AIM: The principle of human dignity has assumed importance in ethics and constitutional law throughout the 20th century in the Western world. It calls for respect of each individual as unique, and of treating him or her as a subject, never as a mere object. As such, the principle constitutes an ethical cornerstone in health care. Patients suffering from Ehlers-Danlos syndrome (EDS) challenge medical care and knowledge in health-care professionals' as symptoms sometimes are vague. Individuals with this disorder have reported not being respected when seeking health care.

    PURPOSE: To describe encounters in health-care situations when individuals suffering from EDS experienced that their dignity was not fully upheld. A further aim was to describe the long-term consequences of these experiences.

    METHOD: A study-specific questionnaire was designed, where individuals with EDS described their encounters with health care from a personal perspective.

    RESULTS: After qualitative content analysis, the following five categories were identified: 'Being ignored and belittled by health-care professionals,' 'Being assigned psychological and/or psychiatric explanations', 'Being treated and considered merely as an object', 'Being trespassed in one's personal sphere' and 'Being suspected of family violence'. Consequences of these encounters were 'Mistrusting the physician' and 'Risking bad health'.

    CONCLUSIONS: The memory of not being respected is substantial for individuals with EDS and can last for years. As a result, lack of trust for the health-care system is created and they may experience difficulties in future encounters with health care. Therefore, health-care professionals should base their actions on norms that protect human dignity and confirm each patient as a unique human being with resources and abilities to master their own life.

  • 342.
    Berglund, Christin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Stake, Emma
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Tillsammans kämpar vi mot cancer som en familj: En litteraturbaserad studie om barns erfarenheter av att ha en förälder med diagnostiserad cancer2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Every year 3000-4000 children in Sweden loses a parent due to accident and illness which means that every day nine children suffer from losing one of the most important person in their life. Cancer is expected to increase from 14 million to 22 million over the next two decades, in the future it will become increasingly common for nurses to meet a child whose parent has cancer. Aim: The aim of this study was to illuminate children's experiences of having a parent diagnosed with cancer. Method: A literature-based study based on eight articles from the databases Cinahl and ProQuest was chosen, read, reviewed and analyzed according to Friberg's analyzing model. Results: Five themes with 11 sub-themes emerged; "Feeling need of support", "The world turns upside down", "Cancer is equal to death", "Changed outlook on life" and "Putting words into feelings". According to young people's perspective the crisis resulted in a positive way of life. Conclusion: Children's anxiety and fear is the greatest when the parent get the diagnosis and future forecast. It is important to provide a safe support since the children's world is turned upside down.

  • 343.
    Berglöv, Louise
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Söderqvist, Anna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Personcentrerad vård inom BVC2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 344.
    Bergman, Adam
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Westbring, Emelie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars behov av stöd från sjuksköterskan2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 345.
    Bergman, Annika
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Våga välja lämna ifrån sig makten: att möjliggöra ökad delaktighet för patienter som behndlas med dialys2013Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
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  • 346.
    Bergman, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Gustavsson, Anna-Lena
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Ökad kunskap hos sjuksköterskor om orsaker till bristande följsamhet förbättrar patienters delaktighet2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In today’s health care it’s most common to treat an illness with a kind of pharmaceutical preparation. But lack of resources, given information and bad communication and collaboration between the patient and the nursing staff can lead to a patient unwilling to follow the doctor’s prescription. This does not just affect the individual patient’s health but it can also result in consequences for other people and the whole society. The purpose of this study was to analyse studies about the concepts compliance and concordance in order to illustrate why patients with chronic illnesses fail to follow their prescriptions. Our method has been to read and analyse the methods and results of articles out of the perspective similarities and differences of the concepts compliance and concordance. It was hard to keep the concepts separated because of their similar meanings. Our result shows that the method used was interviews with questionnaires which has been analysed on the basis of the qualitative studies’ themes and categories. The quantitative articles’ data were displayed statistically. Our analyse showed that patients often lack knowledge about their medical treatment which affects their attitudes and can lead to bad compliance and concordance. As a nurse it’s therefore important to identify the cause that affects the patient. The nursing staff’s goal ought thus to be to get the patient involved as much as possible in their self-care. If the patient is involved in hers/his treatment, it’s more likely that they feel a responsibility towards themselves and therefore gets a better quality of life.

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  • 347.
    Bergman, Cassandra
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Hektor, Micaela
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Svenska gymnasieelevers drogvanor2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

  • 348.
    Bergman, Emelie
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Tynkkinen, Tanya
    University West, Department of Health Sciences, Nursing Programme.
    Faktorer som påverkar ungdomars återfall i drogmissbruk2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

  • 349.
    Bergqvist Boström, Ewa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nilsson Wicke, Lena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att lyssna är att stödja: Sjuksköterskors erfarenheter av patienter med utmattningssyndrom2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness where fatigue syndrome is one of the diagnoses is an increasing problem. Many persons with fatigue syndrome experience abandonment and do not achieve the help they need and are entitled to. Time for conversation and self-care is an important part of rehabilitation where primary healthcare and occupational healthcare have a prominent role Aim: This study's purpose was to explore what experience that nurses in primary and occupational healthcare had of patients with fatigue syndrome. Method: Eight nurses from primary and occupational healthcare were interviewed using semi-structured questions. The interview material was analyzed using content analysis. Results: A theme listening and two categories gatekeeper and create comprehensibility emerged. All nurses had initially long conversations with the patients, but their experience differed. Some of the nurses told that they were important to the patients and others indicated that they were not working with this patient group. Conclusion: All nurses describes that what they do means that they are listening to the patients at the same time that several of them not explicit express it as a support. That can be interpreted as the relation part of nursing are invisible for the nurses who does not perceive their listening valuable for the patients.

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  • 350.
    Bergqvist, Caroline
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Tingberg, Sofia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    En fråga med dolda svar: en registerstudie2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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