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  • 301.
    Björk, Theres
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Torstensson, Annalena
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Erfarenheter av att vara närstående till en anhörig med palliativ vård i hemmet2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: More and more patients with terminal illness choose to die in their own home. Next of kin play a central role in the care of their loved one. They are entitled to the support of health care, both in the relative´s illness and after the death in the form of survivor calls.

    Aim: To describe the experience of being closely related to a loved one in palliative home care.

    Method: A qualitative inductive approach was used. Eight relatives to patients who had received palliative home care were interviewed. The interviews were analyzed using content analysis.

    Results: The results are presented in three categories: "Not having a life of its own", "Feeling safe" and "Losing trust in caregivers". These are based on 11 subcategories that affect the experience of being related to a loved one with palliative home care. Next of kin described the responsibility for the loved one which affected their entire life situation with lack of rest and recovery as a result. When caregivers gave the help they were in need of, it created a sense of security. It could mean that they came quickly to urgent situations or that they met the next of kin's need for relief. When the care could not meet the needs of family members, or when they perceived shortcomings in care, this led to a loss of confidence for caregivers.

    Conclusion: Next of kin are in an emotional and stressful situation, and caregivers needs to be better at ensuring their needs and offer bereavement support.

  • 302.
    Björklund, Sanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelsen av stigmatisering relaterat till hepatit C: en litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hepatitis C is a stigmatized condition. The stigma is based on the association with illegal substance abuse. How stigmatization is experienced by people living with hepatitis C can contribute to reflection and awareness about their condition. Awareness is vital for achieving equal care and participation for the patients.

    Aim: To describe how people living with hepatitis C experience stigma.

    Method: A literature study based on ten qualitative studies.

    Results: It's common for people living with hepatitis C to experience stigma. Being judged as a drug user was the most prominent experience of stigma. Feelings of being less worthy occurred, especially in healthcare contexts as they received unequal care because of their condition. People living with hepatitis C describe experiences of exclusion, where rejection is central. The source of the rejection were healthcare professionals, family members and friends. Exclusion contains other experiences such as guilt and shame as well as limitation due to people's fear of being infected. Many people choose not to disclose their hepatitis C diagnosis because the fear of stigma and rejection.

    Conclusion: People living with hepatitis C experience stigmatization of various character and in different contexts. Stigma is common in the healthcare system. If healthcare professionals are aware of their view of human beings and constantly working based on a person centered- and norm-critical approach, stigmatization of vulnerable groups may possibly be reduced in the health care system.

  • 303.
    Björkman, Nathalie
    et al.
    University West, Department of Health Sciences.
    Hallberg, Nanna
    University West, Department of Health Sciences.
    Hur ungdomar med ADHD upplever sina vänskapsrelationer: En kvalitativ intervjustudie2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Attention Deficit Hyperactivity Disorder (ADHD) is a neuropsychiatric disability that involves limitations on a person’s mental and physical abilities. In the past, a common perception has been that problems with ADHD disappear when the child gets older.At present, it is described that the basic problems remain to a greater or lesser degree, even in adolescence and into adulthood. Previous research has shown that children with ADHD as a consequence of their disability have a harder time creating good friendships, which in return is an important protective factor for people’s quality of life.

    Aim: To describe how adolescence with ADHD experience their friendships.

    Method: We have used a qualitative interview study where we interviewed 12 adolescents with ADHD aged 15–17. The data of the interviews has been analyzed with a qualitative content analysis according to Lundman & Graneheim (2017).

    Results: The results revealed three categories Contact with friends, The own role and How friendships affects and nine sub categories. The results show that friends have a significant role for the participants in the study and affect their well-being and give the adolescents a context through their role in the friendship group. Despite the fact that the participants feel that they have good friendships, they easily end up in conflict situations and have difficulty reading their friends.

    Conlusion: For adolescents, peers are one of the biggest influences, they have a central role in creation of identity and provide a context for practicing skills to function in society and interact with others. It is thus an important factor that the specialist nurse needs to take in to account for health promoting nursing.

  • 304.
    Björk-Thekkethala, Linn
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Fitus, Izabela
    University West, Department of Health Sciences, Nursing Programme.
    Att leva med en sjukdom som inte finns: Kvinnors erfarenheter av att leva med endometrios2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a relatively unknown disease both among society as in health care. Women suffer from severe pain and suffer multiple losses of relationship, social life, careers loss and low self-esteem. Aim: The aim of the study was to illuminate women's experiences of living with endometriosis. Method: This was a qualitative literature-based study. The data where analyzed and described in four categories.

    Results: Four main categories where found that had a major impact on the women's lives. The unpredictable pain, difficulties in getting pregnant, the feeling of powerlessness and to finally get a diagnosis. Conclusion: The women in the study experienced a lot of difficulties in daily life because of the endometriosis-related pain. Vague symptoms that are difficult to discern makes it difficult for both the patient and the health professional in the diagnosis. More knowledge about the disease and how it appears is needed to enhance the well-being of these patients.

  • 305.
    Björnsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kleiven, Joffen
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bara så du vet, äldre har också sex: En litteraturöversikt om äldres sexuella hälsa och attityd2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research showed that older people's sexual health is not addressed adequately in the health sector. It is a subject that is very limited or non-existent during basic training for nursing students. Older peoples sexually health has improved and hence there will be an even more important area for the nurse, who is responsible for the patient's health. Existing prejudices about sexuality of elderly people means that more knowledge is needed.

    Aim: The aim was to describe: 1. elderly person's experience of their sexual health and the health care receptions. 2. health care workers' attitudes towards older patients' sexual health.

    Method: A literature overview. Four qualitative and six quantitative studies between the years 2000- 2015 were analyzed.

    Results: Three main themes were identified; older people's experiences, that showed that older patients are healthier and more sexually active than before. The second main theme; health care workers experience of older people's sexual health showed that the patient's greatest obstacles to exercising their sexuality is the lack of private spaces. The nurse usually had a negative attitude to the elderly persons' sexual health, which could be due to nurses' ignorance and that sexuality is a sensitive subject. The third theme showed factors which affect sexual health in elderly. Conclusion: More information is needed about the elderly person's sexual health for patients and more training in nursing. Many older suppress their sexuality because of different standards and taboos in society, which may lead to unnecessary suffering.

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  • 306.
    Blom, Cecilia
    et al.
    University West, Department of Health Sciences.
    Lindholm, Susanne
    University West, Department of Health Sciences.
    Sjuksköterskors upplevelser av att möta föräldrar till fullgångna barn på neonatalavdelning: En intervjustudie2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research into nurses’ experiense in meeting full-term babies and their parents in the neonatal ward is scarce. 10% out of all newborn babies are cared for in the neonatal ward and out of these, two-thirds are full-term babies. The neonatal ward has a goal to adopt familycentered care for the baby which means involvement of the parents in the care. This means that it is essential for a good relationship between the nurse and the family.

    Aim: This study aims to highlight the nurses’ experiences in meeting the parents of the full-term babies in the neonatal ward.

    Method: The method chosen in this study is an interview study that has been analyzed using qualitative content analysis.

    Results: Three themes emerged from the analysis where one theme was to be close with three sub-themes: the importance of a good relationship where the nurses articulated difficulties in the meeting with the parents originating from uncertainty and ignorance as well as the emotional response from the parents to the full-term babies. Conveying safety was managed by the nurses by supporting the parents in their care for their child, which meant that the nurses had to provide plenty of time to the parents in the beginning. To provide guidance in different ways through the internet or in person and to always keep the parents informed of the development of the baby. Another theme that surfaced was work with the family in focus on two sub-themes: To wait for the parents where the nurse works from a familycentered care perspective and involves the parents at an early stage. to support the connectionby assuring that the parents get to be near their child as well as encouraging them to be close. Obstacles to connecting with the child in care can be competition from siblings at home or other reasons that prevent the parents from being present. The theme the nurse's work environmentthat emerged from the analysis contained two sub-themes: rewarding work where the nurses appreciated the care taking of the full-term babies and their parents and following the development together with the parents. Challenges in work from lack of time were aided by good teamwork which became an essential factor. Also, experience and education were of great importance.

    Conclusion: To work as a nurse in the neonatal ward presented challenges with respect to meeting parents to full-term babies. The parents required attention due to experienced uncertainty and lack of knoweldge on neonatal care. The nurses experienced this as time consuming but also as rewarding with regards to supporting parents in their connection to the cared for child. The nurses interviewed mentioned the need from the parents that the nurses were present and informed the parents in best possible way. From the results it was also evident that the nurses sometimes experience lack of time and that they felt a need for education to meet and support the parents to the full-term babies.

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  • 307.
    Blom, Sofia
    et al.
    University West, Department of Health Sciences.
    Barkman, Madelene
    University West, Department of Health Sciences.
    ”Du har bara en chans att göra det rätt”: Närståendes erfarenheter av palliativ vård i hemmet2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Increasing numbers of patients have a desire to die in their own homes. This leads to close relatives becoming cares, sometimes whether they want or not. A nurse’s support for relatives is one of four cornerstones in palliative care, but previous research has not shown what support close relatives need.

    Aim: This study aimed to describe relatives’ experiences in palliative homecare.

    Method: This study was conducted through a literature search based on qualitative methods. Nine articles were analyzed in five steps according to Friberg’s qualitative content analysis for literature-based studies. Two electronic databases; Cinahl and PubMed were used for the search.

    Results: The result of this study shows that close relatives experience a responsibility for the patient and that their last time in life should be good. A feeling of always having to be available was common. To experience security, it was of importance for the relatives to be well informed about the patient and that it was a continuity among the staff. Many relatives experienced a loss of privacy and put their own needs aside, which resulted in an experience of loneliness and isolation.

    Conclusion: For the relatives to be able to maintain their health, both the need of the patient and the relative need to be seen by the nurse. 

  • 308.
    Blomqvist, Anders
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Moschini, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mötet med vårdpersonal - Personer som är suicidnära och deras erfarenhet: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every 40 seconds a person experience feelings of hopelessness and falls victim to suicide. The persons who are suicidal can be found all through the health care system. The health care personnel can change the outlook on life for the person, or at least ease the suffering for a while in the meeting. But health care personnel can also cause suffering by care if they don't see the person as a unique human being.

    Aim: The aim of this study was to highlight the suicidal persons experience meeting with health care professional.

    Method: A literature-based study were conducted in accordance to Friberg (2012). Analysis were made of ten qualitative scientific studies.

    Results: The result was presented in one theme, The significans of the relationship. And four subthemes arose; To be or not to be listened to, to feel or not to feel commitment, to be or not to be seen and to feel or not to feel trust and security.

    Conclusion: The result show how the persons who were suicidal experienced ease in their suffering when healthcare personnel listened, saw the person, were commited and gave a sense of trust and security. When the healthcare personnel listened and validated the persons who were suicidal it led to feelings of hope for the future. When the persons experienced that they were seen by the healthcare personnel they felt a positivity and as human beings on equal terms. When the persons who were suicidal felt security and trust for the healthcare personnel it led to a better relationship. When the persons experienced commitment from healthcare personnel they felt as they were able to let go of feelings of despair and anxiety. This resulted in a sense of wellbeing for the persons.

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  • 309.
    Blomqvist, Isabella
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Albrektsson, Jeanette
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att överleva sitt barn och fortsätta leva: En litteraturstudie om föräldrars erfarenheter av vård av deras palliativt sjuka barn2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year, 480 families in Sweden are informed that their child is diagnosed with an incurable disease. Everyone involved is affected by the death of a child. When a familymember becomes incurably ill it affects the entire family. The family's commitment is vital in pediatric care, as the family is the child's greatest source of security. It is of great importance that the nurse who works in palliative care, has to be person oriented and family centered to meet the needs of the whole family.

    Aim: The aim of this study was to highlight parents’ experiences of having a child in palliative care.

    Method: A literature study based on 11 qualitative articles is performed. The analysis of these articles resulted in three main themes and seven sub themes.

    Results: Parents wanted, as far as possible, to be involved in their child’s care. They perceived a high quality of care when the care was provided with continuity and when a trustful relationship was created. A sense of security was experienced when the staff were compassionate and were able to take care of the whole family. The family also strived for a sense of normality in family life.

    Conclusion: Parents experienced that they were in an increased need of support from healthcare both during the palliative process but also after death. It was supportive and appreciated when the nurse encouraged the parents to take a more active role in their child’s care.

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  • 310.
    Bodri, Titti
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Karlsson, Maja-Stina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Evidensbaserad vård för personer med KOL: En journalgranskning utifrån Socialstyrelsens riktlinjer/indikatorer på en primärvårdsenhet2016Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sufferers of COPD do not always receive the healthcare which guidelines and evidence suggest they should be given. In November 2015, The National Board of Health and Welfare issued new guidelines and indicators for care administered to sufferers of COPD. Aim: To investigate documentation of indicators and vaccination administered to COPD sufferers at a primary care unit.Method:The method was a retrospective journal review of total of n=118 journals. Aquantitative analysis with deductive approach was performed using a review template based on indicators for COPD care.Results: According to the documentation, 89% of subjects had their COPD diagnosis confirmed through spirometry and 90% were offered assistance with smoking cessation. The journals indicated that 8.5% of subjects had been vaccinated against influenza and pneumococcus, 15.3% of subjects had received structured patient education, the health status of 10.2% of subjects had been documented through CAT, 34.6% of subjects received nutritional treatment for those with a BMI under 22, 3.4% of subjects had their physical activity measured, 3.4% had been diagnosed cardiovascular exercise and/or weight training and the patient's next appointment had been documented in 80.5% of cases. None of the subjects involved in the study had received a written treatment plan or documented mMRCsymptom assessment. Conclusion: The primary care unit neither documents nor administers evidence-based care to COPD sufferers to a satisfactory degree in line with The National Board of Health andWelfare's domestic guidelines.

  • 311.
    Bolmvall, Astrid
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bond, Joakim
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med cancer: En litteraturbaserad studie som beskriver upplevelser av att leva med cancersjukdom2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Cancer is a growing problem in today ́s society. More people are diagnosed with the disease and the number of cases is expected to increase even more in the future. In order to be able to respond to people living with cancer and to apply a good nursing care, the nurse must know how these people experience their living conditions.

    Aim The aim of this study was to describe adults’ experiences of living with cancer.

    Method The method used was a literature study based on qualitative research according to Friberg (2012). The articles is analyzed according to Friberg ́s five-step model and results in three main themes and seven sub- themes.

    Results The main themes were- Changes in everyday life, Being a burden to themselves and their surroundings and To deal with an uncertain future.

    Conclusion The results showed that cancer disease changes the whole human life. The patients feel strain, both physically and mentally which changes everyday life in different ways and they live in a constant state of uncertainty.

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  • 312.
    Boman, Åse
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Learning by supporting others: experienced parents' development process when supporting other parents with a child with Type 1 diabetes2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 5-6, p. E1171-E1178Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: This study's purpose was to describe and analyze coach-parents' development process when supporting parents of children recently diagnosed with Type 1 Diabetes Mellitus (T1DM).

    BACKGROUND: It has been found repeatedly that providing social support for families with a child diagnosed with T1DM promotes health and wellbeing for both the child and the parents. Less explored are the processes experienced by those who provide this support. However, research has found that acting as a provider of social support promotes personal development, strengthens communication skills, and increases self-confidence.

    METHODS: The study design was based on Constructivist Grounded Theory and data were collected, through Repeated Focus Group Discussions, from eight coach-parents at a Swedish hospital from 2012-2015.

    RESULTS: The core category in the data was identified as a learning process where coach-parents emphasized their own learning in the dyad supporter - supported, and in the interaction with other parents in the Repeated Focus Group Discussions. The coach-parents' motivation for participation was a wish to learn more and to help other parents in a life-changing situation. They also pointed out hindrances and their frustration when unable to provide support.

    CONCLUSIONS: This study leads to the conclusion that people who provide support benefit from doing so. Encountering people with similar experiences in a supportive situation promotes a reciprocal learning process, based on the supporter's wish to help people in a situation they recognize. A further conclusion is that social support is not only essential initially, but is also important over a longer period and that it follows various life stages.

    RELEVANCE TO CLINICAL PRACTICE: Setting up repeated focus group discussions might be a relevant and effective tool for pediatric diabetes nurses to use in promoting health and wellbeing for both families with a newly diagnosed child and experienced families. This article is protected by copyright. All rights reserved.

  • 313.
    Boman, Åse
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Bohlin, Margareta
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Eklöf, Mats
    University of Gothenburg, Department of Psychology, Gothenburg, Sweden.
    Forsander, Gun
    The Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Munthe, Christian
    University of Gothenburg, Department of Philosophy, Linguistics and Theory of Science, Gothenburg, Sweden.
    Törner, Marianne
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Health care to empower self-care in adolescents with type 1 diabetes mellitus and an immigrant minority background2017In: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 5, article id 2050312117700056Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The pediatric diabetes team aims to support health, quality of life, and normal growth and development among adolescents with type 1 diabetes mellitus. Adolescents with an immigrant background have been found less successful in self-care. Previous research indicated that adolescents who had integrated the disease as a part of their self-image reasoned differently about their self-care to those who had not.

    OBJECTIVE: The aim of this study was to identify elements in the patient-pediatrician consultations that might influence such integration of the disease among adolescents with type 1 diabetes mellitus.

    METHODS: A total of 12 pediatrician-adolescent consultations were video-recorded and analyzed. The adolescents all had an immigrant background.

    RESULTS: Integration of the disease appeared enabled when responsibility was shared; when hope, autonomy, and emotions were confirmed; and when the pediatrician asked probing questions. Letting objective data dominate the adolescent's experiences, using risk as a motivator, neutralizing emotions in relation to having diabetes, and confirming forgetfulness, may instead inhibit disease integration.

    CONCLUSION: An extended person-centered approach with focus on the adolescent's experiences of everyday life with a chronic disease and less attention on physical parameters in the pediatrician-adolescent consultations may increase integration of the disease.

  • 314.
    Boman, Åse
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme.
    Bohlin, Margareta
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies.
    Eklöf, Mats
    Forsander, Gun
    Törner, Marianne
    University West, Department of Social and Behavioural Studies, Division of Psychology and Organisation Studies. University of Gothenburg.
    Conceptions of diabetes and diabetes care in young people with minority background" 2014Conference paper (Refereed)
  • 315.
    Boman, Åse
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme.
    Brink, Eva
    University West, Department of Health Sciences.
    Salutogen omvårdnad2015In: Salutogenes: om hälsans ursprung : [från forskning till praktisk tillämpning] / [ed] Eriksson, Monica, Stockholm: Liber, 2015, 1. uppl., p. 191-208Chapter in book (Other academic)
  • 316.
    Boman, Åse
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Dahlborg, Elisabeth
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Tengelin, Ellinor
    University West, Department of Health Sciences, Section for nursing - graduate level.
    The reasonable patient: A Swedish discursive construction2021In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 28, no 3, article id e12401Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to analyse how the patient is constructed and socially positioned in Swedish patient information. Corpus-assisted critical discourse analysis methodology was utilised on a sample of 56 online patient information texts about cancer containing a total of 126,711 words. The findings show an overarching discourse of informed consent guided by specific features to produce a patient norm that we name “the reasonable patient”, who is receptive to arguments, emotionally restrained and makes decisions based on information. Through the discourse of informed consent, the norm of the reasonable patient emerges, apparently to even out the imbalance of power between patient and professional, but in reality, more likely to construct a patient who is easily controlled and managed. When the self-responsibility towards health is incorporated into the everyday domestic spaces via digital health technologies, the ideas and concepts of the patient role need to be reconsidered based on these new conditions. We conclude that it is important for nursing researchers to broaden the research on patients to include the relationship of power created through language. This study demonstrates both methodological and empirical possibilities to do so

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  • 317.
    Bondemark, Ebba
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jasavic, Melisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelse av hur livet påverkas efter en hjärtinfarkt: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research shows that myocardial infarction is one of the leading causes of death, both in men and women. Furthermore, there is a gender difference in symptoms and treatment. As a result of a myocardial infarction, life changes drastically. People who have suffered a myocardial infarction have been found to need help with lifestyle changes to reduce the risk of a secondary myocardial infarction and to improve the quality of life.

    Aim: The aim of this study was to highlight patients´ experiences of how their lives were affected after a myocardial infarction.

    Method: A method for contributing to evidence-based nursing based on analysis of qualitative research was used in this study.

    Results: The patients´ experience of a myocardial infarction was divided into three themes: Limitation due to illness, Needs to achieve health, Managing or denying their illness. Furthermore, these themes were divided into seven subthemes: Fear of being affected again, Altered body and soul, General and individualized information facilitates, Support in safe relationships, To deny their illness, To see life in a new perspective, To accept a new life situation and identity.

    Conclusion: The majority of patients who have suffered a myocardial infarction, experienced characteristic psychological consequences. In turn, this results in a major suffering. A myocardial infarction has a significant impact on a person's life. Therefore, may an increased awareness of the impact lead to improved nursing and patient care.

  • 318.
    Bongsjö, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Durell, Siri
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelse av arbetsrelaterad stress inom sjukhusvård2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Studies show that work-related stress is a major problem in healthcare. There are several reasons for this stress such as time pressure, working overtime, too many patients, poor patient-nurse relations, understaffing and other organizational factors. The work-related stress leads to “sick leave” caused by issues regarding physical and mental health. The aim of this study was to describe registered nurse ́s experiences of work-related stress in inpatient care. This was a literature-based essay grounded on eleven qualitative studies. The method used for the analyze were based on content analysis. Three main themes emerged. Main theme 1: Impact on emotional life, which included the sub-themes: experience of negative emotions, defense mechanisms in the event of overwhelming stress and fatigue symptoms. Main theme 2: Impact on privacy, which included the subthemes: physical pain, sleep problem and deteriorating family life. Main theme 3: Work impact, which included the subthemes: the feeling of not having time and lack of care. In summary, the nurses experienced great impact of work-related stress which was only negative. They felt affected both privately and at work. Work-related stress was experienced in the same way by nurses regardless of workplace. Nurses should increase their coping knowledge to deal with the stress they are exposed to. The work environment should also be improved in terms of staffing, working hours and competence development to reduce work-related stress.

  • 319.
    Boqvist, Angelica
    et al.
    University West, Department of Health Sciences.
    Ahmed, Khadra Taher
    University West, Department of Health Sciences.
    Specialistsjuksköterskans unika kompetens inom psykiatrisk omvårdnad: En meta-etnografi2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness has increased in recent years and is forecasted to continue to increase. The division of responsibilities of individuals with mental illness are divided between specialist medical care and primary care. Complex diagnoses and conditions fall within specialist healthcare. The specialist nurse possesses a deep knowledge to meet, identify and treat individuals with mental illness of easier but also more complex diagnoses. A person-centered approach permeates psychiatric nursing.

    Aim: The aim of the study was to describe the specialist nurse's experiences of the unique competence in psychiatric nursing.

    Methods: The eleventh included studies were systematically searched in the databases Cinahl and Psycinfo. Meta-ethnographic design was used as the method for the synthesis. Results: The analysis resulted in three main themes: The balanced approach where the balance in being professional and personal in the meeting with the patient was emphasized and the importance of being aware of one's own mental health or overall health and how it affects the treatment of patients. The responsive mainstay describes an empathy and sensitivity in the conversation with the patient and how an open dialogue can contribute to support and motivates for the patient's participation in their care. The autonomous knowledge tester describes the importance of utilizing the knowledge and competence that a specialist nurse has, and that management needs to understand the needs for specialist nurses in psychiatric care.

    Conclusion: The specialist nurse is used to having a multifunctional role that is described as having a leading role in collaboration with different professions. The specialist nurse has an important role in the workplace in the implementation of person-centered care. The quality of care increases with the competence that the specialist nurse possesses, which also increases patient safety.

  • 320.
    Boraghi, Ramina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Föräldrars uppfattningar om Familjecentralens stöd till familjer i Västsverige: ett lärandeperspektiv2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In today's society it is more important than ever to focus on families. The family's daily life is characterized by numerous commitments, there is stress in different situations and a sense of not having the necessary skills and expertise needed for parenting. The Family Center has focus on the collaboration with social services. The Family Center is an arena for both the children but also their parents. Another purpose with the Family Center is the daily interaction with parents who may be perceived to have more struggle than others. The Family Center gives these parents extra support in parenting skills.

    Purpose & Issue: The purpose of this study is to investigate parents' perceptions of Family Center support to parents with a particular focus on parents' learning. The questions of issues in the study are: Do the families benefit from the Family Center? Does the Family Center correspond to parents needs for support? How does the parents advantage the Family Center? What do they learn by attending the activities at the Family Center?

    Method: This study is inspired by phenomenography for the study design, for gathering data and for the data analysis.

    Results- Outcome space: The study resulted in four different categories. The first category is professionalism, the interviewees feel that the staff at the family center has skills and that they are professional. The information the parents received shows a variety in everything from general information about children and parenting to more personal knowledge. The second category was the support which made the parents feel safe and supported by the staff at the Family Center. The third category is learning, where the parents talked about how the Family Center is a learning environment where the parents learn from the staff but also from each other's experiences and stories. The fourth category is about the parents' desire for change in the Family Center.

  • 321.
    Borg, Kristin
    et al.
    University West, Department of Health Sciences.
    Johansson, Felicia
    University West, Department of Health Sciences.
    Upplevelser av att leva med typ 1 diabetes: En litteraturstudie med fokus på unga vuxna2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The challenges of being a young adult in combination with maintaining a chronic disease, such as diabetes type 1, is a complex task. The research in this area is limited, which makes it important to compile the up-to-date research to get an overall picture of how young adults experience living with diabetes type 1 and its impact on different aspects of life.

    Aim: The purpose of this study was to describe young adults' experience with living with type 1 diabetes.

    Method: The authors of this study used a qualitative method and made a literature study of relevant available articles which investigated the experiences of living with type 1 diabetes inthe group of young adults.

    Result: The result shows that diabetes type 1 has an impact on life in general for young adults. This includes many aspects, for example everyday life, relationships, emotions, and future planning. The disease also generates lots of feelings which often includes frustration and worry.

    Conclusion: The fact that many areas of life are affected by diabetes type 1 and that it also generates lots of feelings and questions for the person is important for nurses and other health care workers to keep in mind when treating those patients. Having this information creates a greater understanding of how the person experience life. In this way we can change focus from strictly medical to a more person-centered care that provides greater possibilities to achieve good health.

  • 322.
    Borgström, Kajsa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kartunnen, Marlene
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att växa upp med ADHD: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Around five percent of all school children in Sweden are living with ADHD. ADHD is a neuropsychiatric disability which is manifested through hyperactivity, impulsiveness and difficulties to concentrate. As more children get diagnosed with ADHD, general nurses are required to meet these children more frequently in health care. It is therefore very important for the nurses to have good knowledge about how these children should be treated. Through increased knowledge about how children with ADHD experience their situation, a better understanding about the needs can be gained. Therefore the aim of this study was to illuminate experiences growing up with ADHD. Method: A literature-based study with analyses of qualitative studies was conducted. The analytical method was based on Friberg's five-step model. The results of a total of 10 scientific articles were compiled. Results: The result revealed three main themes and eight sub themes. The three main themes were; experiences of being different, the experiences of support and understanding from surroundings and impact from the environment. Conclusion: The result showed that the participants were affected by how they were treated by society. An accepting and understanding environment enabled the children to better manage daily life. Better understanding of ADHD by the society, including general nurses, and an increased acceptance of the children’s behavior and how they should be treated, could change their daily life in a positive way.

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  • 323.
    Borgström, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olsson, Jonatan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att vårda barn med cancer: En litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Background: Globally 300 000 children are diagnosed with cancer each year and in Sweden, approximately 300 children are affected. Cancer is the largest cause to death among children age 0-19. Children may experience pain, anxiety, and fear. The cancer treatment can cause suffering and making the children more sensitive to infections. Previous research has shown there is a lack of knowledge about nurse's experiences of caring for children diagnosed with cancer.

    Aim: The aim of this study was to describe nurse's experiences of caring for children diagnosed with cancer.

    Method: An overview of the literature was performed. Ten qualitative studies were included in the results of this study.

    Results: The main categories that emerged was: Emotions in caring, the important of involving the child and their parents in the care and the meaning of support in caregiving. Nurses experienced several emotions when caring for children diagnosed with cancer and their families. The nurses were emotionally affected and sometimes they have difficulties coping with these experiences. The relationship with the family was one of the main reasons the nurses appreciated working at oncology unit.

    Conclusion: The nurses were emotionally affected and experienced both positive and negative emotions. This study showed that family centered care is important that includes an ability to listen and accommodate children's and their family's needs, as well as acknowledge their voices.

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  • 324.
    Boström, Annika
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Mehmedovic, Edina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Rättspsykiatriska vårdares attityder till patienter diagnostiserade med Antisocialt personlighetssyndrom2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 4 % of the Swedish population meet the criteria for the diagnosis of antisocial personality disorder (ASPD). Individuals with ASPD are a difficult patient group to work with. Their personality can trigger different attitudes among the health care staff. The attitudes among the personnel can have an effect on the quality of the care that is given. Aim: The aim of this study was to describe forensic care staff attitudes toward patients diagnosed with ASPD.Method: A quantitative descriptive study has been performed. Forensic care staff completed a questionnaire about their attitudes towards patients diagnosed with ASPD. Data was analysed with Mann-Whitney test. Two main scales, "Work-satisfaction" and "Motivation" were created and with their help the study subject were categorized as "Satisfied" or "Unsatisfied" and "Motivated" or "Unmotivated". The impact of these categories on attitudes was studied in the sample.Results: The overall attitude of caregivers toward patients with ASPD was from neutral to negative. Only 12% of respondents indicated a positive attitude to this specific patient group and 65% of them had only low motivation to work with them. Those who were satisfied with their job had a neutral attitude toward patients with ASPD and they considered these patients dangerous. The result showed also that the motivated caregiving members actually had a low level of belief that their work is useful or that ASPD-patients can be treated, and these caregivers had a more negative attitude towards patients with ASPD. Conclusion: The conclusion of this study is that forensic caregiver have a neutral attitude towards patients diagnosed with ASPD. Low motivation and work-satisfaction was identified among the respondents and these factors do not correlate with each other.

  • 325.
    Boström, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Runge, Jenny
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Den inre konflikten: Sjuksköterskors förhållningssätt till och upplevelser av att vårda individer med substansbrukssyndrom.2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Previous research shows that individuals with substance use disorder experience stigmatization in society, close relationships and even negative attitudes in health care. These individuals increase in number and are a patient group that general nurses can meet in their daily work. It has also been shown that nursing treatment with regard to these individuals may be crucial for seeking and maintaining treatment. This study therefore focuses on nurses’ attitudes towards these individuals but also on their experiences when caring for them. Aim: To investigate the nurse’s attitudes to and experiences of care of individuals with substance abuse disorder. Method: The method used was a systematic literature study with basic qualitative analysis. Result: The results is presented in two domains; "Nurses’ approach" and "Nurses’ experiences" with seven categories. What turned out was a link between high level of knowledge and awareness and good care. The results also showed that some nurses had negative expectations for this patient group, which negatively affected nursing care. We could also discern an inner conflict within the nurses, who often felt insufficient and unable to provide the care the individual was entitled to. Conclusion: Nursing approaches and experiences varied. A link between knowledge and awareness and provision of good care and preventing or reducing prejudice, was found. Society and its culture tend to affect the nurses’ views of individuals with substance abuse disorder. The inner conflicts occurred when nurses did not give the individual the care that he or she were entitled to.

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  • 326.
    Boström, Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Frick, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Idag är början på något nytt: En litteraturbaserad studie om erfarenheter av att byta från barnmottagning till vuxenmottagning hos unga patienter med diabetes typ 12021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Around 42 million people globally live with Diabetes Mellitus type 1. Most of these people are diagnosed as children, thus they will have to transfer from a pediatric to an adult diabetic center. A process that can be traumatic if the child is unprepared.

    Aim: The aim of this study is to describe young adults experience with the transfer from pediatric diabetes care to adult diabetes care. 

    Method: The method used was a literature study on qualitative research. The articles were analyzed and it generated two main themes and four subthemes. 

    Results: The result showed that the feelings about the transfer outcome directly correlates with the level of preparation the young adults received from the pediatric clinic. The theme the journey from child to adult care, explores the challenges and opportunities of the transfer, as well as the young adults own take on what could be better in the future. The second theme, experiencing a new environment, explores the feelings that arise when the young adults step into the adult clinic and the progression into being an independent adult.

    Conclusion: Two key components of a successful transition is early preparation and person-centered care practiced by health-care professionals. 

  • 327.
    Bouchatta, Otmane
    et al.
    Cadi Ayyad University, Laboratory of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences, Marrakesh, Morocco. 2 Bordeaux University, Bordeaux, France. 3 Interdisciplinary Institute of Neuroscience, CNRS UMR 5297, Centre Paul Broca-Nouvelle Aquitaine, Bordeaux, France.
    Manouze, Houria
    Cadi Ayyad University, Laboratory of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences,Marrakesh, Morocco.
    Bouali-Benazzouz, Rabia
    Bordeaux University, Bordeaux, France; Interdisciplinary Institute of Neuroscience, CNRS UMR 5297, Centre Paul Broca-Nouvelle Aquitaine, Bordeaux, France.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Ba-M'hamed, Saadia
    Cadi Ayyad University, Laboratory of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences, Marrakesh, Morocco.
    Fossat, Pascal
    Bordeaux University, Bordeaux, France; Interdisciplinary Institute of Neuroscience, CNRS UMR 5297, Centre Paul Broca-Nouvelle Aquitaine, Bordeaux, France.
    Landry, Marc
    Bordeaux University, Bordeaux, France; Interdisciplinary Institute of Neuroscience, CNRS UMR 5297, Centre Paul Broca-Nouvelle Aquitaine, Bordeaux, France.
    Bennis, Mohamed
    Cadi Ayyad University, Laboratory of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences, Marrakesh, Morocco.
    Neonatal 6-OHDA lesion model in mouse induces Attention-Deficit/ Hyperactivity Disorder (ADHD)-like behaviour2018In: Scientific Reports, E-ISSN 2045-2322, Vol. 8, no 1, article id 15349Article in journal (Refereed)
    Abstract [en]

    Attention-deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder characterized by impaired attention, impulsivity and hyperactivity. The "neonatal 6-hydroxydopamine" (6-OHDA) lesion is a commonly used model of ADHD in rat. However, a comprehensive assessment of ADHD-like symptoms is still missing, and data in mouse remain largely unavailable. Our aim was to analyse symptoms of ADHD in the mouse neonatal 6-OHDA model. 6-OHDA mice exhibited the major ADHD-like symptoms, i.e. hyperactivity (open field), attention deficit and impulsivity (five-choice serial reaction time task). Further, the model revealed discrete co-existing symptoms, i.e. anxiety-like (elevated plus maze test) and antisocial (social interaction) behaviours and decreased cognitive functioning (novel object recognition). The efficacy of methylphenidate, a classical psychostimulant used in the treatment of ADHD, was also evaluated. A histological analysis further supports the model validity by indicating dopamine depletion, changes in cortical thickness and abnormalities in anterior cingulate cortex neurons. A principal component analysis of the behaviour profile confirms that the 6-OHDA mouse model displayed good face and predictive validity. We conclude that neonatal dopamine depletion results in behavioural and morphological changes similar to those seen in patients and therefore could be used as a model for studying ADHD pathophysiological mechanisms and identifying therapeutic targets.

  • 328.
    Bouchatta, Otmane
    et al.
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Ouhaz, Zakaria
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Ba-Mhamed, Saadia
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Kerekes, Nora
    University West, Department of Health Sciences, Section for health promotion and care sciences. University of Gothenburg, Centre for Ethics, Law and Mental Health (CELAM), Institute for Neuroscience and Physiology, Sweden; Swedish Prison and Probation Service, Gothenburg, Sweden.
    Bennis, Mohamed
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Acute and chronic glue sniffing effects and consequences of withdrawal on aggressive behavior2016In: Life Sciences, ISSN 0024-3205, E-ISSN 1879-0631, Vol. 152, p. 14-20Article in journal (Refereed)
    Abstract [en]

    Drug abuse act on brain mechanisms that cause a high-risk individual to engage in aggressive and violent behavior. While a drug-violence relationship exists, the nature of this relationship is often complex, with intoxication, neurotoxic, and withdrawal effects often being confused and/or confounded. Glue sniffing is often a springboard to the abuse of more addictive drugs. Despite its high prevalence and serious consequences, we know relatively little about the aggressive behavioral effects of volatile inhalants abuse, especially glue. The aim of the present study was to investigate the link between the duration of glue exposure, a common substance abuse problem in Morocco, and the level of aggressive behavior during withdrawal. For this we used the isolation-induced aggression model "residents" in three groups of mice. The first group served as control resident animals (n=10, without exposure); the second group as experimental resident mice (n=10) tested before and after acute (first day) and chronic exposure to the glue, and at 1 and 2weeks of withdrawal; and the third group of 10 intruder animals. The results showed that the number of attacks decreased (halved) and the latency of the first attack increased (doubled) following acute glue sniffing. However, the effects of chronic exposure and of 1week of withdrawal led to an increase in the intensity of agonistic encounters. After 2weeks of withdrawal, the intensity of aggressive behavior decreased again. These results indicated that chronic glue exposure and the first week of withdrawal are associated with increased aggression in mice.

  • 329.
    Boukhari, Laurine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Boukhari, Nivin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av att arbeta med telefonrådgivning: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Telephone counseling is constantly increasing in health care. It involves a dialogue and assessment process with the aim of examining both the subjective and objective in patients' health problems. Telephone counseling is made difficult when there is no visual contact. Patient safety can be reduced on the basis of the long call queue, which can lead to incorrect assessment due to a high work rate.

    Aim: To describe nurses' experiences of working with telephone counseling in somatic care.

    Method: A literature-based study in which ten scientific articles have been analyzed. Systematic searches for scientific articles in nursing were made in the databases CINAHL and PubMed. Articles about nurses experiences of working with telephone counseling in somatic care with a qualitative method were included.

    Results: The result obtained showed different experiences for the nurses, which included four main themes: difficulties in making a professional assessment, challenges in conversations with the care seeker, stress and fatigue, and deficiencies in the working environment. The main themes are supported by a total of ten subcategories.

    Conclusion: The nurses experienced telephone counseling difficult and challenging. Due to the lack of visual contact, it becomes more difficult to create a good quality of care for the patient. The nurses experienced various obstacles in telephone counseling, which proved to be difficult for the nurses to work patient-safety. Therefore, it is important that there is a good communication between the nurse and the patient to facilitate the work and meet the patient's needs.

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  • 330.
    Boukhari, Nadine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Qbiaa, Mouaz
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Arbetsrelaterad stress hos sjuksköterskor2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stress often arises when an individual’s ability to cope with environmental stressors, is exceeded. Nurses are responsible for providing high-quality care in accordancewith laws and regulations. When there is an imbalance between high demands on quality and the nurse's ability, knowledge and competence, this can lead to them suffering from negative work-related stress.

    Aim: The aim was to describe nurses' experiences of negative work-related stress. Method: A literature-based study was conducted by studying the results of ten qualitative articles from healthcare sciences. Systematic searches, for articles, were performed in the two databases PubMed and Chinal. A major inclusion criterion was that the articles should be empirical studies, peer-reviewed and published from 2010 – 2020.

    Results: The result showed that the nurses experiences included various difficulties that were related to the relational-, work environment- and personal difficulties. The difficulties were experienced in the form of communication- and cooperation difficulties, lack of support and information, high workload, insufficient resources and difficult working conditions but also insufficient knowledge and suffering from ill-health.

    Conclusion: Nurses experience stress due to a limited work environment and various factors in the workplace contribute to them developing negative work-related stress. To reduce problems with nurses' negative work-related stress, their workload must be changed. For example, by ensuring that requirements do not exceed resources, developing various forms of support and improving the skills of the organization and management.

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  • 331.
    Bourne, Frans
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rydberg, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personcentrerad vård vid demens2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a disease that is increasing among the population. It is an incurable disease that affects memory, cognitive function, communication and everyday activities. The treatment is mainly focused on care - as the available medicine only acts to reduce symptoms of the disease. The disease is associated with behaviors like unease, agitation and aggression. A way to meet the increased care-needs of a person with dementia is to apply person centered care. It is a form of care that focuses on the individual and their needs.

    Aim: The aim of this study was to illuminate nurse's experiences of applying person centered care to persons living with dementia.

    Method: A qualitative literature-based study. Twelve articles were selected and analyzed. Results: The results show that the nurses' felt that the relationship with the person with dementia is important in order to be able to carry out person-centered care. This relationship is created by learning about the person and their background and current needs. The results show that the nurses' experiences of person-centered care was that attitudes created a basis for giving appropriate care. These experiences also showed the possibilities to handle questions of an existential nature. Furthermore, the nurses found that the physical environment had a great impact on their ability to interact with the person and to meet the persons' challenging behaviors in a satisfactory way. They also found that their knowledge of the person greatly improved which led to the soothing of the persons suffering. The nurses' experiences show that the person-centered care-method requires specific circumstances. 

    Conclusion: This study provides a crucial insight into the experiences of nurses when applying person-centered care on persons living with dementia. The nurses play a key role in soothing unease and limiting the amount of suffering a person has to endure whilst they are in a new and unfamiliar environment. There is a definite lack of knowledge among the nurses in how to communicate efficiently with a person living with dementia

  • 332.
    Brag, Natalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Chamoun, Magdalena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Strävan efter livskvalitet hos personer som har amyotrofisk lateral skleros: En litteraturbaserad studie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Amyotrophic Lateral Sclerosis (ALS) is a serious disease in which the nerves that control muscles gradually breaks down. There is still no known cure for the disease that has a fatal outcome. ALS is a disease that causes a great deal of suffering for the people who have the disease and their surroundings. 

    The aim of this study was to investigate how quality of life is experienced by people with ALS.

    This study used a systematic literature-based method with qualitative approach. Searches were made in the databases Cinahl and PubMed and were then examined on the basis of a review template. Nine qualitative articles were selected for the result.

    The result shows that people suffering from ALS can experience quality of life. The most important factors to experience quality of life were the internal and external factors. One of the internal factors was described as hope, which helps the person with ALS believe that something good will happen. The external factor indicate support from the surroundings, such as family and nurse.

    It is important that nurses are aware of the fact that people with ALS experience quality of lifeby highlighting the needs and desires that improve quality of life. 

  • 333.
    Bragge, Frida
    et al.
    University West, Department of Health Sciences.
    Hult, Lovisa
    University West, Department of Health Sciences.
    Normkritiskt tänkande hos sjuksköterskestudenter på grundutbildningen: Ett perspektiv utifrån psykisk ohälsa2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Norms effects the whole society at both individual-, group- and community level, and the healthcare is not equal. Being a norm breaker in the psychiatric context contributes in several cases to poorer care and treatment as well as reduced care seeking. Falling outside of norms in various aspects can in the long run contribute to mental illness. The nurse needs to provide good and equal care, respectful treatment and norm critical basis and be aware of social values. The nurse must promote health and see the unique individual. The nursing education needs to help the nursing students become norm critical for the future professional life. The psychiatric nurse has responsibility based on ethics to work with norm criticism to prevent and reduce mental illness. Aim: The aim was to compare and describe norm-critical thinking in students at the beginning and at the end of a nursing education with norm critisism. The result is further linked to the impact of discriminatory norms within the psychiatric nurses workfield. Method: The project was part of a research where the project authors chose to combine a qualitative content analysis and a quantitative data analysis to analyze survey responses from nursing students in education. Results: The closed survey responses showed a significant increase in norm-critical thinking in semester 6 compared to semester 1. In the qualitative content analysis of the results, six main themes emerged: norms that contributed to the internal and external influence of studying to be a nurse, societal expectations, appearance, functional ability and behavior, gender roles and sexuality, culture and religion, and the nurse´s field of work. Conclusions: Norm criticism in undergraduate education promotes norm-criticalthinking in nursing students. Nursing education needs to continue the norm-critical work with the students, on an individually adapted level. The psychiatric nurse should work preventively in the equality work within mental illness and be a role model for the students in the basic education.

  • 334.
    Brandt, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Rosell, Emma
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Erfarenheter av att främja barns delaktighet i vårdmötet med skolsköterskan: En kvalitativ intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is obligatory for children in Sweden to go to primary school and all meet the school nurse on some occasion. The mission of the school nurse is to work for health, preventive care and according to the overall equal public health. For the school nurse to connect with every individual student in the encounters it is essential that the student is participating. Participation creates meaningfulness that, together with understandability and manageability, is perceived as a sense of coherence which promotes health.

    Aim: The purpose of the study is to describe the school nurses experience of promoting children´s participation in the encounters.

    Method: A qualitative interview study with inductive reasoning was performed. Eight schoolnurses in Västra Götaland, Sweden participated in the study. The interviews were transcribed literally. The transcribed text was analyzed using qualitative content analysis.

    Result: The result of the study of how school nurses promote participation among students showed three categories. To inspire confidence and create a reliable relationship, adaptation of the communication according to the needs of the student and being aware of obstacles and resistances.

    Conclusion: Previous research is further strengthened, and many earlier studies can be confirmed with this study. The school nurses experience and ways of working with and around the encounters to promote participation in the encounter is signified by the ability to inspire confidence and to build a reliable relationship, to adapt communication after the needs of the student and being aware of obstacles and resistance. An important observation is that there can be an ethical dilemma when the obligations of the school nurse need to be fulfilled which can interfere with the desire to maintain a relationship based on trust with the student. This can pose an obstacle to promote children´s participation.

  • 335.
    Brantebäck, Carolina
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Larsson, Emma
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Specialistsjuksköterskans möte med den äldre patienten i hemmet: en kvalitativ intervjustudie2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The meeting with the care representative is an essential part of how the patient will experience the care and their self-rated health. Thus, the design of the meeting has a central role in the standard of care. The first meeting is important as it lays the foundation for a reliable and lasting relationship. When the meeting between the specialist nurse and the elderly patientis lacking, there is a risk that confidence in the care will diminish and there will be worse conditions for being able to create a good relationship. 

    Aim: The aim of the study is to highlight the specialist nurse's meeting with the elderly patientat home.

    Method: The study was conducted through a qualitative interview study. The study involved ten specialist nurses who worked in primary care and home care. The analysis was done with the help of qualitative content analysis.

    Results: The result revealed four categories: Trusting relationship in the person's home, Mutual dialogue, Meeting in the home provides a holistic view and Challenge in the home as a meeting place. The specialist nurses described that it was of great importance to have a trusting relationship by creating trust in the elderly patient at home. An important part that emerged was how important the mutual dialogue was in the meeting at home with the elderly patient. Through the meeting at home, the specialist nurses were able to make a reconciliation to plan the elderly's future care. One of the challenges for the specialist nurses at the meeting at home was the work environment.

    Conclusion: The specialist nurses' wish was to be able to have a network around the patient in order to get a holistic view and thereby be able to create a good meeting. This is to make it easier for both the elderly patient and the specialist nurse.

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  • 336.
    Brask, Angelica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Berbatovci, Bjondina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av dysfagi efter stroke2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Stroke is a common concept for brain damage as a result of blood clotting or bleeding in the brain. Fifteen million people around the world suffer from stroke every year, some do not survive, and some live with disabilities or other medical complications. A common and serious complication after stroke is difficulty swallowing, dysphagia. Post-stroke dysphagia (PSD) is a common complication in the first few hours and days after stroke. Some recover after a short time, but up to 50% of those affected by stroke still live with dysphagia after six months

    Method: Literature-based study with qualitative approach which consists of eight qualitative articles that were searched through the databases Cinahl and PubMed.

    Aim: The purpose of this study is to elucidate patients' experiences of post-stroke dysphagia.

    Result: The result of this literature-based study shows that there was a great change in the patients' lives and different feelings of shame occured. Shame was especially evident in the company of others. Spitting and picking out the food did not always feel right could cause patients to feel disgusting. This was a major reason why patients began to avoid social contexts.

    Conclusion: The patients struggled with feelings of shame, not feeling lika the person they once were and how to regain control.

  • 337.
    Brask, Christina
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Johansson, Therese
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Vilka hälsofrämjande faktorer anser barn och ungdomar påverka deras psykiska hälsa i skolmiljön?2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In the Swedish society the psychological un-health has increased. Already in ages as early as 14 years mental illness can establish. The school is a significant part of the lives of the children and teenagers. It is therefore crucial that the students experience a secure and safe environment. The students expresses the importance that they shall not be exposed to any form offensive treatment. Aim: The aim of the thesis was to identify, from a students perspective, the most important and significant factors that enables a healthy school environment. Method: A literature review has been conducted. Nine scientific publications were selected and reviewed. The screening of articles was done in the following databases: Cinahl and PsycInfo. Result: Increased presence of adults in school is an important factor that students consider to create a stronger feeling of security. The involvement of the students, in their school time, increases the student´s motivation and decreases their feeling of stress. Three categories and two subcategories was categorized as important: School environment impact (1), Social relations (2) and the students involvement (3). Conclusion: Students consider that a safe school environment leads to increased wellbeing. Lack of security reduces ability to reach set scholar targets. Students also request good relations with the teachers and to be involved and influence their schooling. Students consider this to be positive for their health and reduces stress related to school. The stress to deliver and perform can lead to mental illness that can endure long into adult life.

  • 338.
    Bratt, Ewa-Lena
    et al.
    University of Gothenburg, Institution of Health and Care Sciences, Gothenburg, Sweden..
    Burström, Å
    Karolinska Institute, Institution for Women's and Children's Health, Stockholm, Sweden..
    Hanseus, K
    Department of Pediatric Cardiology, Skåne University Hospital, Lund, Sweden.
    Rydberg, A
    Umeå University, Department of Clinical Sciences, Pediatrics, Umeå, Sweden..
    Berghammer, Malin
    University West, Department of Health Sciences, Section for nursing - graduate level. Department of Pediatrics, The Queen Silvia Children's Hospital, Gothenburg, Sweden.
    Do not forget the parents: Parents' concerns during transition to adult care for adolescents with congenital heart disease2018In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 44, no 2, p. 278-284Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Growing up with congenital heart disease (CHD) often means transfer to adult care and lifelong medical follow-up. An optimal transition process usually involves a multipart collaboration between the patient, their parents and other family members, and the healthcare providers. Taking an active role while knowing when it is time to step aside can be difficult for all the concerned parties, even the healthcare professionals. The aim of the present study therefore, was to explore parents' expectations and needs during their adolescent's transition to adult care.

    METHOD: Semi-structured interviews were conducted with 18 parents of 16 adolescents (aged 13-18 years) with CHD in 4 pediatric cardiology settings in Sweden. The interviews were analysed with qualitative content analysis.

    RESULTS: The analysis resulted in 2 main themes: (a) Feeling secure-the importance of being prepared and informed. This theme focused on the need to be prepared and informed about transition and future transfer to adult care. (b) Recognizing when to hand over at the right time. This theme addressed the process of handing over the responsibility from the parent to the adolescents and contained handing over from pediatric care to adult care.

    CONCLUSION: Being prepared and informed about the upcoming transition process was essential. The parents underlined the importance of being involved in the transition planning for gradually handing over responsibility to the adolescent. They also considered establishing contact with the adult healthcare team before transfer as important and needed to be assured that CHD-related information of importance for the young person's daily life would be given.

  • 339. Bratteby, L E
    et al.
    Sandhagen, B
    Lötborn, M
    Samuelson, Gösta
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Daily energy expenditure and physical activity assessed by an activity diary in 374 randomly selected 15-year-old adolescents.1997In: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 51, no 9, p. 592-600Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To assess the average daily levels of physical activity, energy expenditure and the time and energy spent a different activities in two cohorts of Swedish adolescents.

    DESIGN: Total energy expenditure (TEE) and physical activity level (PAL = TEE/basal metabolic rate (BMR)) were estimated in 374 randomly selected healthy adolescents living with two different regions of Sweden on the basis of a seven-day activity diary (AD) and predicted BMR. A validation of the estimates from the AD with the doubly labelled water (DLW) method in a randomly selected subsample of 50 of these subjects is presented elsewhere.

    SETTING: The Unit of Paediatric of the Department of Clinical Physiology, University Hospital, Uppsala and the Department of Paediatrics, Northern Alvsborg Hospital, Trollhättan, Sweden.

    RESULTS: No significant differences in TEE and PAL were found between the adolescents of the two regions. High levels of TEE (14.2 and 10.9 MJ/d in boys and girls, respectively) and PAL (1.95 and 1.80) were observed. There was a close association between the PAL and the adolescents and their reported time spent sitting. Those with the lowest PAL values spent 3-6 h longer each day sitting compared to those with the highest PAL values. The results also indicate that everyday activities such as walking and bicycling have a crucial impact on the PAL values.

    CONCLUSIONS: In the 15 y old adolescents of the two studied regions of Sweden, high and concordant levels of energy expenditure and physical activity were found.

  • 340. Bratteby, L-E
    et al.
    Samuelson, Gösta
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Tid ägnad olika aktivitetstyper hos ungdomar med varierande grad av fysisk aktivetet1997Conference paper (Other academic)
  • 341.
    Brauer, Josefin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pettersson, Lisa
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Skolsköterskors erfarenheter av att samtala med barn med övervikt: Det krävs fingertoppskänsla2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Almost every fifth child in Sweden has overweight or obesity. In school all children meets the school nurse and through their work they can support and guide children with overweight, and they have a great opportunity to help these children. Working with children with overweight is seen as a demanding part of the school nurses work, among other things because of lack of knowledge in how conversations with children with overweight should take place. Aim: The aim of the study is to describe School nurses experiences of bringing a conversation to children with overweight. Method: A qualitative method was used. Ten school nurses were interviewed with semistructured questions. The material from those interviews were analyzed with a qualitative content analysis according to Graneheim and Lundman (2004). Result: The analysis of the material resulted in three categories: To create the conditions for a successful conversation, To meet challenges, Using strategies in the conversation. During the work, a theme has emerged: dialogue that requires compliance. School nurses considered that children with overweight were a difficult and emotional topic to talk about. The School nurses experienced difficulties when the pupils lacked of motivation and when support from the parents was missing. Even lack of time and how the conversations were best adapted to each individual pupil were further challenges for the school nurses. To be compliant in the conversation and building a bond was seen as a major part of getting a positive conversation and a good continuing work with these children. Conclusion: School nurses experiences of having a dialogue with children with overweight shows that it is a complex and sensitive topic. Difficulties considered to be cooperation with the parents and to work with children who has a lack of motivation. Differences also emerged about how school nurses work with templates.

  • 342.
    Brink, Charlotte
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jönsson, Michaela
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det är bara en sjukdom: Människors upplevelser av att leva med HIV2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Through successfully medical therapy of HIV today the population with HIV is an increasing group of patients. These patients have to suffer a lot of difficult challenges and therefor are in a big need of a lot of support. Therefore the experiences of living with HIV is an important knowledge that makes it easier for the nurse in the care and support of persons with HIV. Aim: The aim was to describe peoples experiences of living with HIV Method: A literature-based study based on twelve qualitative studies was performed Results: The study resulted in five main categories which together gives a view over the experiences of living with HIV. The categories is: life takes a different turn, come out or keep it secret, consequences of the diseases, need for support and life goes on. Conclusion: The result shows that living with HIV can be a challenge and the nurse is an important person for this population, who they can get support from. Much support is needed when it can be hard for some to live the life they want and many who is diagnosed with HIV is living with it as a secret. Nurses knowledge about their experiences is important to confirm their feelings and reduce the stigma that is common in the society by sharing their knowledge.

  • 343.
    Brink, Eva
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fredriksson-Larsson, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Lång, Marianne
    Department of Cardiology, NU Hospital Group, Trollhättan, Sweden.
    Cliffordson, Christina
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Development of a Tool for Assessment of Post-Myocardial Infarction Fatigue2018In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 08, no 11, p. 811-822Article in journal (Refereed)
    Abstract [en]

    Introduction: After treatment for myocardial infarction (MI) quite a few persons will experience different symptoms, including fatigue, during the recovery phase. The aim of the present study was to construct the multidimensional Post-Myocardial Infarction Fatigue (PMIF) scale, based on empirical data gathered in coronary heart disease contexts. Methods: The construction of the post-MI fatigue scale was conducted in seven steps, ending in a psychometric evaluation of the internal structure of the scale, using confirmatory factor analysis, as well as testing of convergent and discriminant validity, using correlational analysis, in a sample of 141 persons treated for MI. Results: The results showed that the PMIF scale represents three dimensions: physical, cognitive and emotional fatigue. It was also found that the scale is suitable for summing the items to obtain a total score representing a post-MI global fatigue dimension. Conclusion: The PMIF is a brief and easily completed scale for identifying persons experiencing post-MI fatigue. Early identification of fatigue, together with health behavior support, might prevent progression toward a more severe state of fatigue.

  • 344.
    Brinkenman Raske, Ludwig
    et al.
    University West, Department of Health Sciences.
    Höglund, Tor
    University West, Department of Health Sciences.
    Compassion Fatigue hos sjuksköterskor: En litteraturöversikt över medlidandets baksida2024Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Professions that involve close contact with people leaves workers prone to develop Compassion Fatigue, leaving nurses at risk. This condition arises from encountering the suffering of others and involves a diminished ability to feel empathy.

    Aim: The purpose of this study was to investigate the consequences of Compassion Fatigue on nurses' ability to provide care.

    Method: The method used in the study was literature review, and nine articles were analyzed according to Friberg’s model in four steps.

    Results: The analysis of the results resulted in two main themes. The main theme, Personal and professional challenges, revealed that Compassion Fatigue reduced nurses' ability to feel empathy and compassion, and contributed to nurses’ distancing themselves from caring for the patients. The main theme, No longer being able to take responsibility for the care, showed that physical and mental health were affected due to Compassion Fatigue. This resulted in various behaviors and adaptations among nurses to cope with their work.

    Conclusion: The consequences of Compassion Fatigue led nurses to experience guilt and shame, to become task-oriented, or to have reduced work engagement. This results in a distortion of the nurse's area of responsibility; thus, Compassion Fatigue has a negative effect on care which ultimately leads to suffering for the patient and healthcare-associated harm. In addition, the consequences also impact society, as deficiencies in social sustainability led to turnover, resulting in economic consequences, and thus reduced economic sustainability.

  • 345.
    Brotén, Cecilia
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Runger Simonsson, Johanna
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ibland går det inte riktigt fram: en intervjustudie om konsten att informationsöverföra mellan hemsjukvård och hemtjänst2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Lack of information transfer between healthcare actors is a recurring cause of injuries to patients. More and more patients with advanced care needs are cared for at home, usually with a combination of both home health care and home care assistants, both of which are based on the municipality but based on two different bodies, health care and social services. In order to protect patients against care injuries, and to be able to offer good quality care, homehealth care and home service need to have a functioning communication and information transfer between them. Aim: Illuminate experiences and methods for information transfer between home care assistants and nurses/district nurses in home care Method: The study was conducted as a qualitative interview study. The data were analyzed by content analysis. Interviews took place with staff from home care assistants and nurses / district nurses from home care and were based on an interview guide. Results:Information transfer between home care and home care assistants has deficiencies which leads to difficulties in cooperation, risk of failure in care work and time-consuming solutions. Divided in three main categories; Sometimes it does not work; Yes, the telephone is the most common means of contact; Good when we know each other, communication is then facilitated, the result shows that contact routes by telephone and planners proved to be the most common way of passing on information. Routines for information transfer and a common documentation system were lacking and lack of time was a reason for a lack of information transfer. Continuity of staff and regular scheduled meetings between the groups were important factors in improving communication and information transfer. Feelings of distrust and irritation towards each other could be reversed by the groups starting to meet and get to know each other. Conclusion: Information transfer needs to be reviewed to solve the problems that existed with unclear routines and difficulties in collaborating by introducing regular meetings, a common documentation system and routines for how, when and to whom information is to be provided. The focus should be on team perspectives to strengthen the collaboration between home care assistants and home health care to increase the feeling of working together for a common cause.

  • 346.
    Brundin, Alexandra
    et al.
    University West, Department of Health Sciences.
    Larson, Anna
    University West, Department of Health Sciences.
    Våldet vi inte ser: Litteraturöversikt om våld i nära relation mot män2022Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Intimate partner violence is not a new problem, it has existed in all cultures and throughout history. Violence occurs in different degrees and what distinguishes violence in a close relationship is that it is not continuous, it also includes loving bits from the partner. The environment and suffering is palpable, as the violence takes place in the home environment and the suffering is constant for the vulnerable vulnerability experienced by the men.

    Aim: The aim of the literature review is to describe the types of violence to which men are exposed to and what prevents men from seeking help in cases of intimate partner violence by a female partner.

    Method: A literature review was conducted as a method included eight qualitative and six quantitative articles, as well as three articles that used both methods, all of which were quality reviewed. The databases used for the literature review were CINAHL and PsycInfo. 

    Results: The results show that men are exposed to different types of violence and there are several factors that make it difficult for men to seek help for their vulnerability. The social structure of how men should be, expectations of masculinity, norms and the stereotype that exists on how men and women should be.

    Conclusion: The results of the literature review showed that men are not getting the help they need due to the expectations placed on men. Further knowledge is needed to recognize and prevent men's vulnerability.

  • 347.
    Brunius Charlez, Hilda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Ellinor
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors erfarenheter av att leva med endometrios: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Endometriosis is a chronical disease and it affects 10 % of all human beings living with an uterus. There are still little known about the etiology of endometriosis. The most common symptom is deep pelvic pain and the women who´s living with endometriosis are often affected by the disease in their daily life. Aim: The aim of this study was to gain understanding for women´s experiences of living with the chronical disease endometriosis. Method: This study was a literature-based study and it's based on 10 qualitative articles that were analyzed for the result. The articles were analyzed by using the method of contributing to evidence-based nursing based on analysis of qualitative research. Results: Two main themes emerged from this study as; The impact of the human meeting and the impact on quality of life. Seven subthemes were identified as; to be treated with ignorance, to not been taken seriously, to be confirmed, to get a diagnosis, to find coping strategies, that the social life is affected and that relationships are affected. Conclusion: Conclusions that can be deducted from this study are that women who suffer from endometriosis experience different dimensions of suffering. The need of more knowledge about endometriosis and how that can affect the women’s experiences of the healthcare is another conclusion that can be deducted from the study.

  • 348.
    Brunosson, Catherine
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gangby, Linda
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Skolsköterskors erfarenheter av att identifiera barn som far illa: En kvalitativ intervjustudie2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sweden was the first country in the world to introduce a ban on corporal punishment of children, but despite this, many children are getting hurt, and reports of concern continue to increase. Child abuse is a global health issue and can lead to major consequences for both the individual and society in the long run. Compulsory school is important for children in vulnerable situations and the school nurse has in their role an ideal condition to discover and identify child abuse.

    Aim: The aim of this study is to describe the school nurses' experiences of detecting child abuse.

    Method: The study is based on a qualitative method. Six school nurses from Swedish schools participated in the study. The data collection was based on a semi-structured interview guide and was then analyzed according to qualitative content analysis.

    Results: The school nurses felt that honesty and sincerity were fundamental qualities that they needed to possess in order to gain the student's trust. Trust was a recurring theme and a central thread in the result. School nurses emphasized that all topics of conversation were allowed in the reception room. Students who often sought out the school nurse were important to pay attention to because the students often had a latent reason for their visit. The school nurses emphasized that the collaboration with other professions around the students was important and the student's well-being was always at the center of assessment and investigation. Students were observed and professions were helped to interpret each other's assessments based on their different areas of competence and experiences.

    Conclusion: Trust can occur through oral, physically and figurative communication, and through the interpretation of interactions between people. School nurses need to use all their senses to be physically and mentally present and observant at school. In order to detect child abuse, school nurses need to be responsive and sharp-sighted in order to identify visible as well as invisible ways to get hurt on.

  • 349.
    Brändström, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dufva, Madeleine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Uppgivenheten på akutmottagningen: en litteraturöversikt om sjuksköterskors upplevelse av arbetsrelaterad stress2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Registered nurses in the emergency department are exposed to a high workload, and the work environment is stressful. Frequent reports of burnout in the health care profession are a fact, and nurses are a particularly vulnerable group.

    Aim: The aim of this study was to investigate registered nurses’ experiences of work-related stress in the emergency department.

    Method: A literature review including 13 quantitative and qualitative studies was conducted. The databases CINAHL and Pubmed were used to find relevant research for this study’s intended purpose. The authors read all the studies multiple times to gain understanding and to find connections between the results.

    Results: The findings in this study revealed three main themes: the feeling of inadequacy, not having control and, finally, the deterioration of their health. The nurses conveyed that they were not capable of performing optimal care due to a lack of recourses paired with a high workload. The feeling of endangering the patients' safety because of the nurses' stress was recurring. The nurses described multiple coping mechanisms to handle stressful situations at emergency departments, but none that really worked.

    Conclusion: The nurses in the emergency department feel that work-related stress has a negative impact on their mental and physical health. Feelings such as powerlessness, guilt towards the patients and shame were common. Most nurses described that they were not satisfied with the quality of the care they provided. All nurses expressed the need for more resources to manage stress and to provide appropriate patient-safe care.

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  • 350.
    Brändström, Linnea
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Mazaz Pozveh, Nader
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nurses experience of collaboration between community healthcare and psychiatric in-patient care: a Swedish study2014Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

    Method: Qualitative content analyses of focus group interviews.

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

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

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

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