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  • 301.
    Malmerström, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sahlen, Ebba
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelsen av att leva med endometrios: kvinnors lidande i vardagen2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Endometriosis is a chronic disease which affects young women. It’s when endometrial tissue appears outside of the uterus. There are many symptoms of endometriosis, but pain is the most common one. To diagnose endometriosis a laparoscopy is decisive. Surgical and medical treatments are the available treatments. Endometriosis is a painful disease that affects women’s everyday lives significantly.

    Aim The aim was to investigate women’s experiences of living with endometriosis.

    Method The method used was a literature based study with analysis of qualitative research. Nine articles were used in the result.

    Results The key findings in the result was that pain is the dominant factor that affects the women’s everyday life and quality of life the most. Endometriosis affects women negative in ways of damaging the relationships. It limits the social interaction and ability to work and giving them worries about the future. Attitudes towards the condition in the society and health care makes the women feel unbelieved in their disease which affects them adversely.

    Conclusion The everyday life and the quality of life was significantly affected by endometriosis, mostly due to the pains. The health care system and the society lacked of knowledge about endometriosis, which occured that the women felt disbelieved and poorly treated. If endometriosis were to be illustrated and the knowledge about the disease would enhance, the problems could decrease. That could in turn reduce the suffering the affected women are going through.

  • 302.
    Markgren, Britta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lendrup, Sarah
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av kommunikation med modern under förlossning i Namibia: en kvalitativ intervjustudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Communication is a cornerstone in maternity care. Childbirth is a vulnerable situation for the mother and the nurses' supporting role is therefore important. The nurses' communication can support the mother by creating a safe and trustworthy environment for her and reduces the risk of possible complications. Namibia has a lack of evaluations systems which makes it difficult for employers to ensure a high standard of employees. Little is therefore known about how the nurses in Namibia use their communication in their care. Aim The aim of this study was to describe namibian nurses' experiences of communication with the mother during labor. Method Six semi-structured interviews were conducted and analyzed using qualitative content analysis. Results The nurses' communicational experiences, with the mother during labor, were based on three aspects: responsibility, security and communication barriers. The theme responsibility included both the nurses and the mothers' communicational responsibilities towards each other. The second theme, security, was considered to be achieved by provide information and by establishing good relationship between the nurse and the mother. The last theme, communicational barriers, were experienced to include language barriers, "the quite mother" and labor pain. Conclusion The results showed that most interviewees had similar communicational experiences in working with the mothers during labor. The communication was considered to be important for the nurses to reach the mothers. If the communication didn't work their ability to perform their duties were negatively affected. Responsibility, creating security and conquering the communicational barriers was considered to be the cornerstones in their daily work with communication.

  • 303.
    Martinsson, Björn
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Filipovic, Ylva
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Psychological distress in Moroccan prison inmates and the effect of active substance abuse2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Psychiatric ill-health among prison inmate populations is frequently occurring problem, confirmed by previous research.

    Aim: The present study aims to determine Moroccan prisoners' psychiatric profile, operationalized as psychological distress, and to define the differences in the level of psychological distress among inmates with an active substance abuse and those with not active or no substance abuse.

    Methods: A sample of 177 male inmates completed an anonymous survey, which included the Drug Use Disorder Identification Test (DUDIT) and the Brief Symptom Inventory (BSI).

    Results: The difference in the level of psychological distress of "Active addicts" compared to "Not active or non-addicts" was highly significant. "Active addict" prison inmates scored significantly higher in each primary symptom domains of BSI. The strongest differences were measured in the general distress scale, and the hostility and depression domains.

    Conclusion: This is the first study describing Moroccan inmates' mental health profile while strengthening previous findings about the negative effects of active drug abuse on mental health.

  • 304.
    Martinsson, Christofer
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Enander, Simon
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Anhörigas erfarenheter av att leva med en närstående som drabbats av stroke2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stroke induces a great amount of suffering for the people it affects and can many times mean a total change of one’s everyday life. Often there are also at least one and sometimes several family members informally caring for the affected that might suffer in silence. Stroke is the disease that has the most treatment days in the somatic healthcare and is also the main reason for invalidity in the Swedish population which greatly impact family members of the affected. Aim: The aim of this study was to illuminate family members’ experiences of living with a relative affected by stroke. Method: Ten qualitative articles were analysed using a method to contribute to evidence-based nursing based on analysis of qualitative research. Results: The results showed that the lack of information and support from healthcare staff severely impact family members everyday life negatively. The support they did get from family, friends and colleagues was crucial for their ability to comprehend their new life. Conclusion: The findings in this study showed that the family members have a hard time to cope with their new role as caregivers. The study also showed that the family members require support and adequate information from healthcare staff to make the caregiving easier.

  • 305.
    Massey, Eleanore
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kingstam, Christian
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Parents need of support after miscarriage: A study based on scientific studies2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One out of four women experience a miscarriage. Even though the time the parents spent with the pregnancy is short, a relation to the child is established and the parents feel a connection. Parents have expressed their dissatisfaction regarding the lack of information, terminology, and they lack of sympathy and empathy shown by the health-careprofessionals. The social support from family, friends and unknowns were of high importance for bereaving parents. Aim: The aim of this study was to illustrate the parents need of support after a miscarriage. Method: A method to contribute to evidence-based nursing with ground in a literature review was performed to get a wider view of this vaguely explored topic. An analysis of five quantitative and four qualitative articles was carried out. The analysis resulted in five main themes. Results: The general lack of knowledge was the main cause of selfblame among parents. Men and women bereaved differently but the need of their partner as a supporter proved to have been of substantial importance. Talking to unknown people with the same experience showed to be a support for bereaving parents. The support received from the healthcare personal had a big influence on the healing process. Conclusion: Parents needed individualized support. Keywords Needs, parents, pregnancy loss, spontaneous abortion, support.

  • 306.
    Mattsson, Ellinor
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nordström, Maja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Partners upplevelse av att leva tillsammans med en person som lider av depression: en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is a common condition that affects the life of the person suffering from depression as well as their surroundings. Relatives of the person suffering from depression are affected by the condition and among these the partner is one of the most affected. The partner can be affected both physically and mentally from living with a person suffering from depression.

    Aim: The aim of the study was to explore partners’ experiences of living with a person suffering from depression.

    Method: The chosen method for this study was a literature review. The data was collected through both systematic and unsystematic searches. Eight articles were included, both qualitative and quantitative. The analysis was conducted according to a model made for literature reviews, where the data was compiled and sorted into descriptive themes.

    Results: The results of this study yielded three themes of experiences, including one with two subthemes. (1) Experience of how the daily life is affected (subthemes: experience of living on another person’s terms, and experience of how the situation affects the mental and physical health). (2) Experience of the need for knowledge. (3) Experience of being able to cope with the situation.

    Conclusion: The study shows that partners of people with depression need to be more included in the patient’s care. They also need to be offered information and support to make it easier to cope with the situation. The results of the study also shows that more research is needed on the subject.

  • 307.
    Mattsson, Jennie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wallin, Jennie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hur kan sjuksköterskan bidra till ett värdigt döende hos patienter som befinner sig i ett palliativt skede?: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients in a palliative stage are often fragile and exposed and therefore dependent on nursing from others. Palliative care focus on the situation right here and now and emphasizes that the patient should experience a dignified dying. The nurse has an important role in promoting a dignified dying and it is therefore important that the nurse is aware of what interventions and which approaches that will benefit the patient to experience dignity.

    Aim: The aim of this study was to highlight how the nurse in her interventions and approaches can contribute to a dignified dying among patients in a palliative phase based on patients and nurses perspectives. Method: A literature-review was used as method and is based on six qualitative studies and five studies with mixed-methods.

    Results: Through the analysis two significant themes emerged. The first theme was about the interaction between nurses and patients. The theme describes how the nurse can promote a dignified dying by building a relationship with the patient, communicate with the patient and by making the patient involved in his/her own care. The second theme is about the nurses efforts to promote the patients physical, psychological and spiritual needs. The theme describes how the nurse can promote a dignified dying by providing symptom relief, meet patients religious and spiritual needs and by promoting the patients autonomy and self-esteem. Conclusion: The experience of dignity is individual and it is therefore important that the patient is given an opportunity to express what is significant to her so that the nurse can adapt the care. A feeling of dignity within the patient can appear if the nurse is aware of her approach and which nursing interventions that are of importance and how they should be carried out.

  • 308.
    Mattsson, Matteus
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gautam, Pratiksha
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av faktorer som påverkar egenvården vid typ 2 diabetes mellitus: En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes mellitus (T2DM) is one of the most common chronic diseases and often occurs after the age of 30 - 40 years. Living with T2DM and making lifestyle changes can be described as a continuous struggle. In order to handle the condition, every individual have to accept life changes and need to keep control over their life habits. Self-care education is considered important in the care of patients with T2DM. It is also important that the education and teaching is offered by competent and pedagogic healthcare professionals for the patient to experience well-being. In order to provide better care health professionals need to find out what factors can facilitate or hinder the patient to manage their self-care. Aim: To describe the patient's experiences of factors that may affect self-care in type 2 diabetes mellitus. Method: A qualitative literature based study was chosen for this paper. An analysis of 13 qualitative articles was carried out by using Friberg's five step model. Results: Four themes and 14 subthemes were revealed. The themes were 'Experiences of resources', 'Experiences of powerlessness and anxiety ', 'Experiences of lifestyle changes' and 'Experience of taking your own responsibility'. Conclusion: The result showed both positive and negative experiences of factors that may affect self-care. Support, information, instructions and good knowledge of the patient's experiences of self-care are important for healthcare professionals to offer better care.

  • 309.
    Mattsson, Nora
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pihl, Ellinor
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxna patienters erfarenheter av vårdande beröring inom somatisk vård på sjukhus2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Touch plays an important role throughout the life of humans. It can be used to comfort, to support and to soothe. It can reinforce what is being said and done. During illness a patient can experience a lack of touch, which can be detrimental to a person's health. Caring touch can then play a significant role.

    Aim: The aim of this study was to describe adult patients' experiences of caring touch in somatic hospital care. Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed to get a better understanding of patients' experiences of caring touch. An analysis of eight qualitative articles was carried out. The analysis resulted in five main themes and sixteen subthemes.

    Results: The main themes were; I am important, my experience of the performance, my feelings, help with my pain and the body starts to function again. The patients' experiences of caring touch show that it is often popular and has positive effects for the patient.

    Conclusion: Caring touch can give the patient a feeling of being important, that she or he has a value as a human being. If performed with sensitivity and respect the outcome can be beneficial to the patient. The patient's emotions may be positively influenced and a sense of well-being may arise. Personal concerns can be put aside for a moment.

  • 310.
    Merovci, Agon
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Carlsson, Tobias
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jag vill gärna förstå dig: Sjuksköterskans erfarenheter av kommunikationssvårigheter2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: By many reasons such as war or natural disasters people are forced to flee from their homelands and some of them reach and seeks refugee in Sweden. When people decide to settle in a new country they also bring cultural and linguistic diversity with them and many of them will have to challenge the communication barriers. The nursing staff is not always prepared for the challenging different types of communication barriers and often the patients care is affected in a negative way. The three main forms of communication are verbal, nonverbal and visual.

    Aim: The aim of this study was to describe nurses experience of communicating with persons who do not speak the same language as the nurse.

    Method: A qualitative study based on literature was used, by gathering result parts from other studies to make a new result based on our purpose.

    Result: The three main finding themes shows interpreters importance, challenges in communication and that culture in communication is important. Interpreters importance shows the experience of interpreters. Challenges in communication was about the barriers in communication and how they can be met. Culture is very important shows the communication differences and nurses perspective in this specific area.

    Conclusion: Nurses experience a difficulty when meeting people who do not speak the same language as the nurse. This could in some cases lead to a different care. It's challenging for the nurse in the meeting with people who have linguistic barriers.

  • 311.
    Meyerdahl, Emelie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lundström Nilsson, Emma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    De som överlevde: En kvalitativ litteraturbaserad studie som belyser patienters erfarenheter efter att ha överlevt ett hjärtstopp2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Cardiac arrest is the main reason for death globally. On the other hand, survival has increased since the turn of the century. Having survived a cardiac arrest creates many inconveniences afterwards, both physically and mentally. It is important that the general nurse has adequate knowledge of the patients experience after surviving to be able to provide a good care for these patients.

    Aim The aim of the study was to illuminate patients experiences after surviving a cardiac arrest.

    Method A method to contribute to evidence-based nursing based on analysis of qualitative research was used. An analysis of nine qualitative articles was carried out.

    Results The analysis resulted in three main themes which was emotional reactions, the body is changed and existential thoughts, and eleven subthemes. The result showed that the patients had problems with memory loss and therefore needed answers. Questions about the changed body and existential thoughts also emerged after the cardiac arrest. Several of the patients demanded clearer information and support from the health care professionals even after returning home, to be able to process and manage the incident and the new situation they faced.

    Conclusion Conclusions that can be drawn from the results of the study are that the nurse plays a major role in providing support and counseling to these patients, about what has happened but also how patients can expect the future to be.

  • 312.
    Miletic, Kristina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wallén, Jessica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Personers erfarenheter av tvångsvård inom den svenska psykiatriska slutenvården: en kvalitativ studie av bloggar2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Persons treated during compulsive care are in a vulnerable situation. Caring for someone against their will involves great responsibility and places high demands on the staff's psychiatric skills, empathy and ability to interpersonal relationships. Many people who have been treated under compulsive psychiatric care are critical to the health care content and its execution. Aim: The aim of the studie was to describe people's experiences of compulsive care in Swedish psychiatric hospital care. Method: A qualitative study of 15 blogs with inductive approach and descriptive design was chosen. The material from the blogs has been analyzed with inspiration from content analysis. Results: The result was subdivided into three categories; A care process characterized by powerlessness, fear and ambivalence, Interaction and participation on the terms of care and Meaningful environmental factors. Conclusion: The result described both positive and negative experiences from compulsive care. The care process was often described as difficult to handle and included a great powerlessness. There was a great dissatisfaction regarding communication, information and personal treatment. The conclusion is that if persons are informed of what the compulsive care will entail and what is expected of them, the chances are higher that they will feel respected and that their wellbeing generally improves during the care period. If the person's autonomy is considered, the experience of an unequal power relationship in healthcare and in the meeting with healthcare professionals changes.

  • 313.
    Mohamed Darod, Mona
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mohamed Darod, Rawda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    En litteraturstudie om anhörigas upplevelser av att vårda en person med demenssjukdom i hemmet2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is the fourth largest disease in Sweden. Some relatives care for their demented relatives in their own home and not at a retirement home. To care for a relative is also called an informal caregiver and is a great responsibility.

    Aim: The aim of this study was to highlight relatives' experiences of caring for a person with dementia in their own home.

    Method: The method used was literature review based on analysis of ten scientific articles with qualitative design.

    Results: The result showed both positive and negative experiences among relatives. The relatives experienced great changes in their lives in terms of a burden to carry, which led to loneliness and exhaustion. They also felt a need for increased support. They wanted more information about the disease and had a need for emotional support

    Discussion: This study showed that the relative caregivers needed a good support from the healthcare center and more knowledge about the disease dementia, in order for them to provide a good care for their demented relatives. Keywords Burden, caregivers, dementia, lack of knowledge and relatives.

  • 314.
    Mohammad Taher, Narmin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Malin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med bröstcancer: En litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common type of cancer among women. The firstsymptom of breast cancer is usually a lump in the breast. Screening of the breasts is recommendedto all women 40 years old or over in Sweden. The most common treatment isoperation but treatment with cytostatic or radiation is also used. It is known that breastsurgery, especially removing the breast, can affect womens' self-image negatively. Nursesneeds to understand womens' experiences of living with breast cancer in order to apply goodnursing care.

    Aim: The aim of this study was to describe womens' experiences of living with breast cancer.

    Method: The method used was a literature study based on qualitative research according toFriberg (2017). Ten articles were analyzed and four themes and six sub-themes emerged.

    Results: The main themes were Emotional chaos, Changed body perception, Changes ineveryday lifeand Life is in another way.

    Conclusion: Breast cancer changed the afflicted womens' life in several different ways. It isthe nurse's responsibility to try to understand the womens' feelings and experiences and tosupport each woman in the way they need.

  • 315.
    Moselius, Jessica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kull, Malin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters upplevelser av att leva med en stomi: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Surgeries history stretches far back in time. Stoma operations started being successfully in the 19th century. In the 1950s, a standard treatment for stoma operations was developed which still is being used today. The reason for getting a stoma may be due to various things such as illness or trauma. Getting a stoma can lead to a changed body perception and can affect the individual's experience of health and suffering. It´s up to the nurse to be able to approach these patients and their experiences in the best professional way.

    Aim: The aim of the study was to describe patients experiences of living with a stoma.

    Method: This study has been conducted as a qualitative litterature review. An analysis of eleven qualitative articles was carried out.

    Results: Three themes explaining the patient's experience of living with a stoma where identified as: the patient's path to acceptance, the patient's obstacles to the way of acceptance and the continued life with a stoma. Eight sub-themes: teaching and information, social support, an inner process, complications and leakage, uncertainty and concern, changed body perception, daily constraints, adaptation to a new life situation, where discovered.

    Conclusion: The experience of living with a stoma varies from person to person. There are factors that can affect the patient's life with a stoma. There are both positive and negative experiences that create an overall picture.

  • 316.
    Murzyn, Magdalena
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Anna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Överviktiga, vuxna personers upplevelse av bemötande i vården2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Overweight and obesity is a growing health problem. In encounters with health care personal overweight persons experience judgement and stigmatization about their lifestyles, despite the fact that obesity can be a complex problem with many causes. Negative attitudes from health care personal make obese persons feeling judged as well as a hinder to form a caring relationship Aim The aim was to describe overweight and obese adults’ experiences of encounters in health care Method A qualitative based literature review was conducted in this study. Ten qualitative articles was analyzed using Friberg’s five step-method. Two themes and seven subthemes emerged Results Obese persons experienced both powerlessness and power in the care meeting. Often the patient was not believed and listened to, felt no support or trust and was not involved. However, when these factors were met, the patient felt power over his situation. Overweight people's experiences of negative perceptions and the stigma that healthcare professionals have attributed to them often characterized the care meeting. Subthemes who emerged was dehumanization, guilt, obesity as a cause of all problems and lack of respect. These undersigns tend to reduce people together to be merely what the actual stigma symbolizes. Conclusion It is important to highlight the obese patient’s experiences of the encounter between patient and nurse. Moreover, increased knowledge about obesity is needed and how to treat people with this disease in the most respectful way possible

  • 317.
    Niemelä, Nathalie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lövgren, Amanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Den påbörjade resan mot ett nytt liv efter att ha genomgått en Obesitasoperation: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Obesity has become a worldwide health problem that keeps on increasing. Overweight and obesity has increased due to energetic food with a high fat content, decreased physical activity, change of lifestyle and life environment. Bariatric surgery is currently the most effective method for treatment of obesity and decreases diseases related to obesity.

    Aim The aim of this study was to describe patients´ experience after undergoing Bariatric surgery.

    Method The method used was a literature-based study with the aim to contribute to evidence based care with an analysis based on qualitative research.

    Results The main themes were- The journey to a healthier lifestyle, the relationship to food that effects the daily life, Disappointments after the surgery and experiences of the need for support. To achieve a successful weight-loss patients´ need to have functional coping strategies. Nurses need to increase their knowledge to be able to support the patients´ according to their needs.

    Conclusion The result showed that obesity surgery is the best treatment for patients who has functional coping strategies. Some patients need support to handle their food addictions so that other unhealthy addictions do not arise. Results of the study showed that a majority of the patients are in need of more support from the healthcare system such as psychological help, to find alternative strategies to cope with the everyday life and their changing body.

  • 318.
    Nilsson, Ann-Charlotte
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bothén, Theres
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patienters erfarenheter av att vara i en palliativ fas: efter att de drabbats av cancer2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cancer is the second most common cause of death in the world. When the disease become incurable, patients are offered palliative care. Knowledge is needed about how these patients experience being in a palliative phase.

    Aim: The aim of this study was to explore patient's experiences of being in a palliative phase.

    Method: The method was based on qualitative research, a literature study was made and twelve scientific articles were analyzed based on Fribergs (2012) five step's model.

    Results: The results were three themes and six sub- themes. The themes were: Not to lose control, The hope of tomorrow, Living with death.

    Conclusion: It was important to have a good relationship with others, the results also showed that some of the patients had a bad conscience for their illness as they felt they were heavy burdens for their relatives. To prepare and plan for their funeral and have practical things in order created a sense of control. Patients were not afraid of the moment of death.

  • 319.
    Nilsson, Fabian
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Toft, Alicia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att mista en familjemedlem till följd av suicid: En litteraturbaserad studie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Suicide is defined as a deliberate and self-destructive act that leads to death. It’s considered as a extensive health problem and each year, nearly 800 000 people die as a result of suicide around the world. Six people in each case estimates to be affected about the suicide. Sufficient support is considered important for these people. Aim: The aim of this study was to illuminate relative’s experience of losing a family member as a result of suicide. Method: A literature-based study including qualitative studies was chosen, according to Friberg (2006), in order to illuminate the relative’s experience of losing a family member as a result of suicide. The results of a total of nine scientific articles were compiled. Results: The results are presented in four themes, and a total of eight subthemes. The presented themes where grief, to be judged by others and to judge themselves, need of support and to continue living. Conclusion: The relatives often experience great suffering, but the results in this study shows that most suicide survivors don’t receive sufficient support. The care of these survivors thus requires a big commitment from the nurses. A guidance to relevant support measures is therefore of great importance, because sufficient support relieve illness, suffering and depression. The nurse should have a reflective approach and a scientific base in the care of these suicide survivors.

  • 320.
    Nilsson, Katarina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelser när ett barn får cancerdiagnos: En kvalitativ litteraturbaserad studie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every day, a child in Sweden get cancer. A cancer diagnosis inflicts the whole family situation. The parents have to deal with it socially as well as emotionally. It´s important that nurses have knowledge and are able to provide best possible care to the parents.

    Aim: The aim of this study is to describe parents' experiences when a child got a cancer diagnosis.

    Method: The method used to the analysis was qualitative research for getting better understanding of parent's experiences.

    An analysis of eleven articels was carried out, the analysis resulted in three themes and seven subthemes.

    Results: What can be seen in the studies of parents' reactions when a child gets cancer is that there is a change in the parents' relationships, need of information and knowledge of the healthcare system and its impact, as well as the shock that gives emotional suffering for the parents. To contribute to continued knowledge development, these things are important to pay attention to as a nurse in order to provide safe care to the family.

    Conclusion: By gaining knowledge about parents' experiences when their children receive cancer diagnosis, nurses can get a better understanding of how parents will be treated in such a situation.

  • 321.
    Nilsson, Linn
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Yoga: En litteraturbaserad studie om människors erfarenheter av yoga som symtomlindring2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In caring-science several methods are described for nurses to practice in helping patients encourage health and relieve suffering. Individualized care is highlighted as desirable and-, therefore there is a need for different kinds of methods for symptom relief. Previous studies have shown that yoga can reduce different physical and psychological symptoms .The aim of this study was to explore peoples´ experiences of yoga as symptom relief. The study was designed as a literature based study in which results from seven qualitative studies were reviewed and compiled. The analysis of the peoples´ experiences of yoga resulted in three head themes and ten subthemes: Physical experiences with the subthemes relaxation, body awareness, pain and mobility and negative experience. Emotional experiences with subthemes acceptance, calmness, self–acceptance and negative experience and Social life with subthemes positive group influence and social interaction. This literature based study indicates that yoga reduces suffering and increases quality of life for people with different kinds of symptoms. The results support yoga being used as a self-care method recommended by nurses in practice, although more research on the subject is needed.

  • 322.
    Nilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahlström Larsson, Jennie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att hitta nya vägar som förälder: En litteraturbaserad studie om föräldrars upplevelser om att leva med ett barn med typ 1 diabetes2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Each year approximately 700 children are affected by type 1 diabetes in Sweden. This chronic disease has an impact on the whole family but especially the parents who have the responsibility as a caregiver. Parents are therefore in need of support from friends and family as well as help from the nurse to deal with the situation. The nurse can provide support with a family focused care and will therefore include the whole family and use their strengths and resources.

    Aim: The aim of this study was to describe parents' experience of living with a child with type 1 diabetes.

    Method: The method used was a literature study with the aim to contribute to evidence based care with an analysis based on qualitative research. Ten scientific articles were analyzed. Three themes and seven subthemes emerged.

    Results: Three main themes and seven subthemes emerged during the analysis that responded to parents' experience living with a child with type 1 diabetes. The main themes were the stress that parents are exposed to, need of help and the unique community.

    Conclusion: Parents experienced a change in everyday life for the whole family. Therefore, the nurse needs to be responsive and adapt the nursing care to the parents, so they can support the child in a better way.

  • 323.
    Nilsson, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ohlsson, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Unga vuxnas upplevelse av att leva med typ 1-diabetes2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 1-diabetes is a chronic disease associated with severe complications, requiring constant preventive control. For young adults who are in a phase of life which is characterized by increasing independence, it can be difficult to deal with all the requirements the disease causes, which can contribute to poor diabetes control. From a nursing perspective, there is a need for more knowledge on the experiences of young adults with diabetes type 1.

    Aim: To illuminate young adults' experiences of living with type 1-diabetes.

    Method: This study was a literature-based study, based on a total of ten scientific articles with either a qualitative or quantitative design.

    Result: The analysis resulted in three main themes and seven subthemes. The first main theme was The constant threat of the body associated with fear of hypoglycemia, complications and increased responsibility. The second main theme was Constantly trying to be normal, including endeavors to maintain a normal identity despite disease and lack of understanding from others. The third main theme was Seeking security, including support from friends to find security and finding safety in themselves.

    Conclusion: Young adults had a great need to feel like everyone else. They sometimes faced a lack of social understanding, but also experienced good support in friends and family. Many found resources within themselves to cope with stressful situations and life thereby became comprehensible, manageable and meaningful. However, some also had difficulties managing their disease. By gaining awareness of how young adults with type 1-diabetes experience living with their disease, the supportive role of the nurse can be further developed.

  • 324.
    Nilsson, My
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olbin, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara barn i dödens väntrum: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background One of the hardest experiences in a human life is seeing a loved one suffer from terminal illness. Despite the fact that this is a life-changing experience with extensive psychological effects, there is very little research on the subject. In order to provide the best possible care for a palliative patient and his or her family, and especially the children involved, it is necessary to study how children experience life with a dying parent. Aim The aim of this study was to describe the experience of children living with a parent in palliative care.Method The chosen method of this study was to contribute to evidence based nursing with ground in analysis of qualitative research. This method was selected because of its ability to gain a deeper understanding of the participants' experiences. A total of ten articles where selected. Following analysis, a number of main categories were identified and described. Results The results were divided into two main categories; changes in the everyday life of thechild and the emotions of the child. These two main categories were then further divided into seven sub-categories; time, life style, responsibility, need for support, sense of togetherness and the child's need for communication. The main results of the study were that children experienced that their everyday life in terms of habits and family routines changed, that time became more precious and insufficient, and that there was a clear need for information and communication both with care professionals and family members to ensure that the child could feel less afraid.Conclusion This study has contributed with knowledge about the experience of children with parents in palliative care. The main finding relevant to the nursing profession is the increased need for children to feel supported, listened to and included in the care process through information and communication adjusted to their age and situation in order to decrease fear.

  • 325.
    Nilsson, Tobias
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rezaii, Pejvak
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Kvinnors upplevelse efter att ha fått diagnosen bröstcancer2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common form of cancer among women, but the chance of survival increases. To receive the diagnosis breast cancer often comes as a chock and leads to anxiety, fear and suffering. As a nurse, it is important to have knowledge about the women’s experiences dealing with breast cancer in order to provide an individualized care and sufficient information to each patient. Aim: The aim of this study was to illuminate the woman’s experiences after receiving the diagnosis breast cancer. Method: A method of analyzing qualitative research is used to obtain the women's experiences of getting breast cancer. The result of the study were analyzed using a content analysis consisting of five steps. This resulted in three main themes and eight subthemes after analyzing 9 articles. Results: Receiving the diagnosis breast cancer resulted in fear, anxiety and depression among the women. Mastectomy as a form of treatment often resulted in an experience of incompleteness and the women felt less feminine. The result showed that the women has a great need for information and support from both healthcare professionals and relatives to cope with the difficult period of time. Conclusion: Breast cancer affected the women’s life, both mentally and physically and created major constraints and suffering in her everyday life. The women experienced a big need for information about treatments and how it can affect their bodies and appearance. Therefor, the nurse need to respond to the patient’s needs and provide the patient with sufficient information and be available as support throughout the care period.

  • 326.
    Nobel, Nenya
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nobel, Simon
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vård vid livets slut inom intensivvård: sjuksköterskors erfarenheter2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden approximately 72 000 people will need some form of palliative care. The purpose of palliative care is to promote quality of life and to relive suffering at the end of life. The intensive care is a busy and noisy environment, and aims to cure the patient with aggressive treatment and monitoring. Aim: The aim of this study was to illustrate nurses’ experiences of palliative care at the end of life, in intensive care. Method: In this study a method to contribute to evidence-based nursing with ground in analysis of qualitative research was used. Eight studies were analyzed using five steps described in Friberg (2012). Results: The nurses described that they often were excluded from the decision-making process regarding treatment withdrawal. The environment present in intensive care often effected not only the nurse but also the patient and family. The nurses’ expressed a lack of support in dealing with their emotions. They also recognized a need for emotional support among both patients and family but expressed lack of time due to a heavy workload. Nurses´ described a lack of knowledge regarding palliative care, causing emotional distress. Conclusion: This study contributes to knowledge of how end of life care is experienced by nurses’ in an intensive care environment. Nurses are the professionals most present at the bedside and therefore it is imperative that nurses’ are included in the decision making to improve nursing care.

  • 327.
    Nordin, Isak
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Algebäck, Valentin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet efter hjärtinfarkt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Myocardial infarction (MI) and cardiovascular diseases are the most common cause of death in the western world today. Despite this fact more people can now survive due to better treatment and medication. But surviving this kind of life-threatening disease leads to strong emotions. Therefore it's important to explore the experiences of the survivors and the complexity of these experiences and also how multi-facetted the coping mechanisms can be for different people. 

    Aim The aim of this study was to illuminate the experiences of life in myocardial infarction patients. Method This is a literature based study using qualitative research. The study has a hermeneutic perspective to gain knowledge and understanding towards the experiences of MI patients. Result Four main themes were formed in the result, A new positive way of looking at life, Security, Uncertainty and A feeling of hopelessness. These themes manifested the complexity of all the factors that influence the experiences of life after MI. The themes form two groups, two themes that describe the positive experiences and two themes that describe the negative.

    Conclusion To have knowledge about these factors such as environment and support including how this might influence the patient's life is important in the nurse occupation.

  • 328.
    Novela Larsson, Lilith
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Öberg, Ida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelser av anhörigas närvaro vid hjärt- och lungräddning: en litteraturbaserad studie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to the ethical guidelines, family members of the patient should be allowed to be present during cardiopulmonary resuscitation (CPR). Nurses should be able to, besides performing CPR, decide if family presence is appropriate, support and explain the course of events to the family.

    Aim: The aim of this study was to illuminate nurses' experiences of family presence during resuscitation. Method: A literature study has been made of 11 qualitative studies, where differences and similarities were analysed. The studies were published between the years 2000 – 2015.

    Result: Two main themes were identified and five subthemes. The main themes were: "The nurse's experience of their work situation" and "The nurse's experience of the circumstances that affects the nursing". The findings showed that the nurses experienced a dilemma when they needed to decide if family presence was appropriate. The nurses experienced that a bond could be created with the families through the role of support person. They experienced that the family members could participate in the care but they could also be a distraction and a source of stress. Conclusion: Clear local guidelines would facilitate the decision if family presence is appropriate. A support person for the family would also facilitate the family's presence. More education and experience in this subject helps nurses overcome fears of difficulties often associated with family presence.

  • 329.
    Nunstedt, Håkan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Portfoliometoden: Ett pedagogiskt verktyg för att integrera teori och praktik i sjuksköterskeprogrammet2017Report (Other academic)
    Abstract [en]

    Portfolio is a systematic, purposeful, consolidated and structured collection of study works that the teacher and students use to follow up the development of knowledge, skills and attitudes in some area. Work integrated learning (WIL) can be seen as a process and an educational strategy for an active exchange of knowledge, reflected action and lifelong learning. The purpose of this report is to describe and discuss portfolio as a pedagogical method and WIL as a pedagogical strategy in the clinical education in the nursing program at University West. One of the main ideas behind the WIL-portfolio method isthat students have the opportunity to take control of their learning and thereby become more active in the learning and better understand the generated learning. The WIL-portfolio can create opportunities for nursing students to develop professional skills, systematized by using the portfolio structure and content. WIL-portfolio methodical process consists of the six phases; prereflection, reflection-in-action, reflection-on-action, self-evaluation, metareflection and knowledge-in-action. WIL-portfolio can serve as a basis for reflection and become a mirror image of learning, both in the present and in the future. The WIL-portfolio method can thus contribute to a deeper understanding of one's own knowledge of the process of lifelong learning.

  • 330.
    Nunstedt, Håkan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patients' Variations of Reflection About and Understanding of Long-term Illness: Impact of Illness Perception on Trust in Oneself or Others2017In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 11, p. 43-53Article in journal (Refereed)
    Abstract [en]

    Background: Patients' understanding of their illness is of great importance for recovery. Lacking understanding of the illness is linked with the patients' level of reflection about and interest in understanding their illness. Objective: To describe patients’ variations of reflection about and understanding of their illness and how this understanding affects their trust in themselves or others. Method: The study is based on the “Illness perception” model. Latent content analysis was used for the data analysis. Individual, semi-structured, open-ended and face-to-face interviews were conducted with patients (n=11) suffering from a long-term illness diagnosed at least six months prior to the interview. Data collection took place in the three primary healthcare centres treating the participants. Results: The results show variations in the degree of reflection about illness. Patients search for deeper understanding of the illness for causal explanations, compare different perspectives for preventing complication of their illness, trust healthcare providers, and develop own strategies to manage life. Conclusion: Whereas some patients search for deeper understanding of their illness, other patients are less reflective and feel they can manage the illness without further understanding. Patients' understanding of their illness is related to their degree of trust in themselves or others. Patients whose illness poses an existential threat are more likely to reflect more about their illness and what treatment methods are available.

  • 331.
    Nunstedt, Håkan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Alsén, Pia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Strategies for healthcare professionals to facilitate patient illness understanding.2017In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4696-4706Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe how healthcare professionals facilitate patient illness understanding.

    BACKGROUND: Healthcare professionals and patients differ in their illness understanding. If the information provided by healthcare professionals is not adapted to the patient's daily life it may be unusable for the patient. Previous research has found that healthcare professionals should individualise the information to enable the patient to apply the knowledge to the personal situation and to develop illness understanding. However, little is known of how healthcare professionals can facilitate patient illness understanding.

    METHOD: A qualitative descriptive study based on individual, semi-structured, open-ended and face-to-face interviews was conducted with healthcare professionals (n=11) concerning how they facilitate patients illness understanding. Three health centres were involved during the period of March to November 2014. The interviews were analysed with qualitative content analysis.

    RESULTS: The result identified a continuous and collaborative process with three strategies used by healthcare professionals to facilitate the patient's illness understanding: 1) assess the patient's illness understanding, 2) interact with the patient to develop illness understanding, and 3) support the patient's personal development for illness understanding. The steps in the process depend on each other.

    CONCLUSIONS: The results of our analysis indicate that healthcare professionals can use the continuous and collaborative process to enhance the patient's self-care ability and turn his or her knowledge into action for improving illness understanding.

    RELEVANCE TO CLINICAL PRACTICE: The three continuous and collaborative process strategies involving pedagogical approaches can create conditions for healthcare professionals to obtain a holistic view of the patient's life and to be a key resource for person-centred care. This article is protected by copyright. All rights reserved.

  • 332.
    Nyblom, Viktor
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Borén, Josef
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av fysisk aktivitet för människor med psykisk ohälsa2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental ill-health is a severe problem in today's society. In a historical view the treatment of mental illness is still mainly medical and/or psychological. However, over the past decades, several alternative treatment methods emerged in psychiatric care. One of these is physical activity. Mental ill-health often is combined with physical inactivity, which in turn can have negative physical, social and/or mental effects. People with mental ill-health often have to struggle with coping daily life in which physical activity plays an important part. Aim: The purpose of this study was to describe the experiences of physical activity of people with mental ill-health. Method: The method used in this study was a literature review of qualitative studies. Ten articles have been analysed with an inductive qualitative approach.Results: The results were divided into three main themes: (1) possibilities that facilitate physical activity, (2) barriers to perform physical activity and (3) consequences of physical activity. Facilitating possibilities were: being motivated by others, participating in structured education and being part of a social community. Barriers were described as: severe mental illness, practical and social threats, and low self-esteem. The consequences were: making daily life easier, reducing symptoms of mental illness and improving self-esteem. Conclusion: The result shows that patients experience both opportunities and barriers to perform physical activity. When involving in physical activity patients experienced improvement in their mental health. Improvement of self-esteem and social interaction with other persons could also be seen. To be able to involve in physical activity social support and motivation is needed for these persons.

  • 333.
    Odmyr, Tobias
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Olsson, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Flyktingars upplevelser av mötet med hälso- och sjukvården: Att inte kunna göra sin röst hörd2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: More people than ever before are now seeking refuge from war and terror in other countries (UNHCR, 2016). This has as a consequence that the health care in many Western countries faces new patient categories which don’t speak the language and are culturally different from what health professionals are familiar with. Ethical considerations are important, since being misunderstood and not met with dignity or respect can cause care-related suffering. This may increase the suffering already experienced due to loss of security, family and friends.

    Aim: To illustrate refugees’ experiences in the contact with health care.

    Method: This is a literature-based, qualitative study. 15 articles were selected to investigate refugees’ experiences of health care. The analysis resulted in 2 themes, each containing 3 subthemes.

    Results: The main themes that emerged were: Feeling acknowledged and respected, and Overcoming language and cultural barriers. The result mainly reveals that language barriers are common, and that refugees consider it important to be seen as individuals, which is not always the case in health care.

    Conclusion: The challenge in caring for refugees as a nurse consists in ensuring there is a common understanding. While being aware of a patient’s history, it is also important to see the individual in a person-centered approach.

  • 334.
    Olluri, Egzona
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dejancic, Ivona
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svåra cancerbesked: Sjuksköterskors erfarenheter2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Getting cancer news is described as difficult news. The definition of difficult news means unwelcome news. Patients who receive difficult news are deprived a part of their lives. At least every third person in Sweden is expected to receive some form of cancer diagnosis, during their lifetime. After recently receiving the news from a doctor, nurses are often the patients closest and first contact. Also general nurses encounter these patients after receiving the news from a doctor. It is important as a nurse to be prepared for the meeting by having knowledge of cancer and difficult cancer news. Therefore this study focuses on nurses' experiences of caring for these patients. Aim: The purpose of this study was to highlight nurses' experiences in the care of patients receiving difficult cancer news. Method:A literature-based study based on qualitative research was chosen as a method. Nine articles were analyzed according to Friberg's (2017) five-step model. Results: The results were presented in three themes: To be a support, To communicate and inform and To be an intermediary link. Conclusions: In order for nurses to be able to care for these patients, experience and knowledge of cancer and difficult cancer news are required. Nurses who did not have enough experiences or knowledge found it difficult to care for patients that recently received difficult cancer news.

  • 335.
    Olofsson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Spataris, Amanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    "Jag är inte en hel kvinna längre": kvinnors upplevelse av sin kropp efter bröstcancerkirurgi2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, 7800 women are diagnosed with breast cancer each year. This means that one out of nine women will be affected during their life. To survive and defeat cancer becomes more common. The health care system shares a common goal, which is to prevent and cure diseases. Research continuously develops new means to improve and make the health care more efficient but the time after recovery is often neglected. Aim: The aim of the study was to enlighten women's experiences of their body after breast cancer surgery. Method: A literature-based method is used to bring out the women´s experiences of their body after breast cancer surgery. The results of the studies were analyzed using a qualitative content analysis consisting of five steps. The analysis resulted in three themes and six subthemes. Results: The results reveal that the majority of the women experience a feeling of reduced femininity after surgery, that the remaining scar evoke emotions and that they were concerned about their surroundings and partner's reactions. Conclusion: The study showed that the breast cancer surgery affected several aspects in life, e.g. the women felt suffering related to a feeling of reduced femininity and their body image became worse. The results indicates that age differences affect processing and reactions but no definite conclusion related to this could be drawn.

  • 336.
    Olofsson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Spataris, Amanda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    "Jag är inte en hel kvinna längre": Kvinnors upplevelse av sin kropp efter bröstcancerkirurgi2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, 7800 women are diagnosed with breast cancer each year. This means that one out of nine women will be affected during their life. To survive and defeat cancer becomes more common. The healthcare system shares a common goal, which is to prevent and cure diseases. Research continuously develops new means to improve and make the healthcare more efficient but the time after recovery are often neglected. Aim: The aim of the study was to enlighten women's experiences of their body after breast cancer surgery. Method: A literature-based method is used to bring out the women´s experiences of their body after breast cancer surgery. The results of the studies were analyzed using a qualitative content analysis consisting of five steps. The analysis resulted in three themes and six subthemes. Results: The results reveals that the majority of the women experience a feeling of reduced femininity after surgery, that the remaining scar evoke emotions and that they were concerned about their surroundings and partner's reactions. Conclusion: The study showed that the breast cancer surgery affected several aspects in life, e.g. the women felt suffering related to a feeling of reduced femininity and their body image became worse. The results indicates that age differences affects processing and reactions but no definite conclusion related to this could be drawn.

  • 337.
    Olsson, Annie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hurtig, Nathalie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Unga vuxnas upplevelser av att leva med medfött hjärtfel2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Approximately 1000 children with a congenital heart disease are born in Sweden each year. Congenital heart diseases include malformations of the heart which comprise various anatomical differences. Progresses in diagnostics and treatment of the cardiac diseases have contributed to the survival of these young adults which makes a new and growing group of patients.

    Aim: The aim of this study was to describe young adults' between the ages of 13-40 experiences of living with congenital heart disease.

    Method: A literature study based on qualitative studies from Cinahl and PubMed was performed. Ten articles were analyzed by content analysis.

    Results: The results of the study present two main categories "accept one's heart disease" and "challenge to accept one's heart disease" with a total of ten subcategories.

    Conclusion: Individuals with congenital heart disease may experience their situation in various ways and they may or may not have accepted their congenital heart disease. Some individuals feel that the disease contributes to personal strength, while others are living with a constant presence of anxiety over the fact that life can change for the worse at any time.

  • 338.
    Olsson, David
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Eriksson, Emanuel
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att dansa med livet på en armslängds avstånd: En litteraturbaserad studie som beskriver människors upplevelser av att leva med obotlig cancer2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Cancer is one of the diseases with the highest mortality rate in the world, and every year more people are diagnosed with the disease. To be able to relate to people living with incurable cancer and to apply a good nursing care, it is important that the healthcare professionals know how these people experience their illness.

    Aim The aim of this study was to highlight people's experiences of living with incurable cancer.

    Method The method used was a literature study based on qualitative research. Eleven articles were analysed according to Friberg ́s five-step model and resulted in three main themes and eight sub-themes.

    Results The main themes that emerged was: Limited time, A tightening world of living and A journey towards death.

    Conclusion The results showed that people with incurable cancer experience a changed lifeworld when confronted with themselves, time, space and environment. The patients are often faced with both physical and mental challenges and easily end up in an emotional isolation.

  • 339.
    Olsson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stangnes, Eric
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en person med cancer i palliativt skede: En litteraturbaserad studie om närståendes erfarenheter2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care is increasing within health care. When a person is treated in the end of life, the focus is on the patient. The relatives often end up in the background even though they need support. It's important to learn about what the relatives experience and what they are going through during this challenging phase to be able to give them the support they need.

    Aim: The purpose of this study was to illuminate experiences of being related to a person with cancer in a palliative phase.

    Method: A method to contribute to evidence-based nursing with ground in analysis of qualitative research was performed to get a better understanding of relatives' experiences. A five step method was used to analyse the findings from the 10 qualitative articles that was selected which resulted in four main themes and thirteen subthemes.

    Results: The result showed which aspects that had an impact on the relatives' experiences. Changes in life and the importance of maintaining everyday life was highlighted as well as benefits from social support. The importance of having a good relationship with the nurse, been given relevant information and getting professional support was also aspects that affected the relatives' experiences. Lastly was the grief and struggle the relatives' experienced.

    Conclusion: The conclusion showed the importance for the relatives to be seen and that it is often necessary to give them help and support during the end of life care with their loved ones.

  • 340.
    Omar Warsame, Fadumokifah
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Raage, Samira
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Allmänsjuksköterskors upplevelser av att vårda patienter med drog-och alkoholmissbruk2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Substance abuse often results in health care problems for the patient. Patients with health problems because of substance abuse require person-centred care and nurses' who are able to provide this care. The aim of this study was to describe general nurses' experiences of caring for patients with drug and alcohol abuse. The method used was literature based and the databases used to find articles were Cinahl, Proquest and Pubmed. Ten qualitative articles were included in the study and they were examined through a review template. The results showed that nurses experienced fear, distrust and stress when caring for patients with drug and alcohol abuse. Additionally, nurses experienced that a good relationship with patients, more knowledge and clearer guidelines made it easier to care for these patients. Conclusion: This study showed that nurses' needed a good caring relationship, a good attitude and more knowledge about substance abuse in order to provide qualitative good care to patients.

  • 341.
    Oskarsson, Emil
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pettersson, Erik
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Psykisk ohälsa hos människor på flykt: En litteraturöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There has been an increasing prevalence of mental illness among Swedes; in addition a lot more people have fled their home countries due to war and disaster. With them they carried traumatic experiences. What have these effects and occurrences had on their mental status? Aim: This study aims to investigate the prevalence and experience of mental illness among fleeing people. Method: A literature overview was performed to gather and analyse data from both qualitative and quantitative studies. A search for prevalence in quantitative data was used. Prevalence of mental illness is first presented in a compilation and then three themes with seven subthemes describing similarities and differences emerged in the analysis of qualitative and quantitative studies. Results: Prevalence of mental illness was more common among displaced people than the non-displaced with depression, anxiety and posttraumatic stress as the most common diagnosis. Traumatic experiences were also a factor that could hinder the individuals from adopt in the new country. It also showed that there were effects that fortified the mental illness as well as their own defence mechanisms. However, the individuals also experienced support from people with similar experience as well as people in the society they now belong to. They also felt that they wanted to be acclimatized into their new country in order to create a new life. Conclusions: The nurse's role is of importance to create an interpersonal relationship and thus provide safety and trustworthiness to give patients’, persons who have fled, understanding and confidence in health care regarding their mental health.

  • 342.
    Panke, Björn
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Schill, Christopher
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vem hjälper oss?: Anhörigas erfarenheter av sjuksköterskans palliativa vård2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: A large proportion of patients’ needs palliative care. Relatives play an increasingly important role in the care of the patient and should be included by the nurse in the nursing care. This means that relatives should receive as much support and care as the patient. Aim: The purpose of this qualitative literature study is to describe the relatives’ experiences of the nurse’s palliative care. Method: The method chosen is a literature-based study based on analysis of qualitative research. Twelve articles were systematically searched for and analysed into different themes. Findings: These findings were divided into three main themes; being familiar, being involved and being supported. Conclusion: The experiences that relatives had were fundamentally positive but could turn negative, when nurses didn’t include relatives in the care of the patient.

  • 343.
    Parsa, Ramin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pekkanen, Tanja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barns upplevelser som unga omsorgsgivare2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Many young children that lives with an ill relative takes a caring role, and they practice both emotional and physical caring. Consequentially if the adult world does not pay attention to children's needs within schooling, lack of leisure time and personal development will lead to future complications for children. Aim: The aim of this literature review is to describe the children's experiences of support as young carers. Method: A literature-based study, based on an analysis of twelve qualitative articles was conducted. Results: The children felt that information and support from health care services was difficult to obtain and school was not adapted to their needs. It was common that their situation was not detected by both the school and health care professionals. The professionals and the teachers did not take their role seriously and that they were not important to the relatives who were in need of care. Some of the children were bullied at school, and felt that they were excluded by other children, making them feel isolated. Some children skipped school because of bullying and used the ill parent as an excuse to avoid school. However, some of the children experienced relief when they got to talk and vent to someone outside the family in relaxed and non-formal ways, and experienced support and security by having continuous contact with professionals. Conclusion: The results of the study show that young carers were mostly neglected, ignored and trivialized by the school and health care professionals.

  • 344.
    Paulsson, Petra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Perman, Madeleine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenhet av att vårda patienter med demenssjukdom: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today, 160,000 people with dementia live in Sweden. With increasing age, the risk of suffering from dementia is higher. Many of those who seek hospital care and other healthcare facilities have dementia in addition to other disorders. Caring for people with dementia demands that the nurse has the knowledge and skills required to be able to provide adequate and safe care.

    Aim: The aim of this study is to describe nurse´s experiences in taking care of patients with dementia disease.

    Method: A literature-based study was performed, analyzing ten qualitative articles

    Results: The results consist of two main themes with four subthemes each. The first theme is nurses experience of barriers to good dementia care with four subthemes, the organization as an obstacle, lack of time, lack of knowledge, education and experience, non-adapted care environment. The second main theme was nurse's experience with conditions to good dementia care with four sub-themes, working in teams, working person-centered, knowledge of dementia diseases and caring environment. These highlight nurses experience to care for people with dementia.

    Conclusion: To care for patients with dementia, according to the result, time and knowledge are mainly required. Working person-centered gives the patient quality of care. Building a relationship with the patient and learning how to interpret signals takes time but is necessary for good care and good working environment. Resources are needed from management in form of time, staffing and knowledge development

  • 345.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Semi-Structured Interviews With a Sociocultural Perspective: The Meeting Between the Elderly Patien and the Physician in a Hospital Setting in Sweden2017In: SAGE Research Methods Cases, Sage Publications, 2017Chapter in book (Refereed)
    Abstract [en]

    In Swedish healthcare, great emphasis is laid on the patient’s rights. Patients should receive information on their conditions and treatment options so that they can make informed choices and become involved. My study described elderly patients’ experience of meeting with the physician in a hospital setting specialized in geriatrics and medicine. To understand how the patient experienced the meeting, I used the following research questions: What is of importance for the experience of the meeting? How is the meeting experienced by the elderly patient? To explain the patients’ experiences of meeting with physicians, a sociocultural perspective was used. The main conclusion of the study is that physicians’ position of powe rmakes it difficult for elderly patients to participate in meetings. It would be helpful if physicians had a patient-centered attitude and translated medical terminology into everyday language.Physicians need to be aware of their body language and learn to acknowledge the patients’ questions and consider their medical conditions and personalities when building relations. The healthcare sector needs to become a learning organization in which physicians are trained to prevent misunderstandings when meeting elderly patients. Future research could focus on efforts to integrate geriatrics into the full curricula of medical schools. This case study provides an account of one practical aspect, namely, semi-structured interviews, with focus on some specific methodological problems that arose during the research.

  • 346.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gustafsson Törn, Jeanette
    Kungälvs sjukhus.
    Munthe, Helena
    Kungälvs sjukhus.
    Information about sexual activity after hip replacement: A literature review2018In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 38, no 3, p. 119-127Article in journal (Refereed)
    Abstract [en]

    Sexual activity is an important aspect of quality of life and contributes to healing and recovery. Adequate information may minimize post-operative risks and improve wellbeing. The aim of this literature review was to identify and review articles regarding the information on sexual activity after hip replacement provided to or obtained by patients and partners prior to their hip replacement surgery. The literature search was performed in the following databases: CINAHL, PubMed/Medline, MEDLINE (via Ebscoost) and Scopus. The results underline the importance of providing hip replacement patients and partners with relevant information, to reduce their concerns and improve their satisfaction and quality of life. Such information could promote person-centered care for patient and partner, and increase long-term cost-effectiveness for the healthcare organization. Information to patients and partners on post-hip-replacement sexual limitations has not been closely studied. Further research is needed to help healthcare providers promote patients’ and partners’ sexual health and quality of life and improve wellbeing.

  • 347.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hansen, Kristin
    NU Hospital Group, Västra Götaland Regional Council, Trollhätan, Sweden.
    District nurses meeting with and providing care to people with mental illness in health centers: An interview study2017In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 5, no 4, p. 96-104Article in journal (Refereed)
    Abstract [en]

    Objective: Primary healthcare is facing increasing numbers of people with mental illness. Although district nurses are expected to promote health and prevent illness, most health centers in Western Sweden have no psychiatric nurses. The aim of this study was to explore how district nurses experience meeting with and providing care to patients with mental illness in health centers. Methods: Eight individual, semi-structured interviews with district nurses working in health centers were analyzed using qualitative content analysis. Results: The district nurses felt that it is challenging to meet with patients with mental illness and that they need to learn to master such situations better. In particular, interaction challenge when assessing the patient’s mental care needs, the dialogue challenge when attempting to achieve the patient’s trust, and the competence challenge when trying to determine correct and safe care for the patient. Conclusions: District nurses would benefit from having specific guidelines on how to provide person-centered care to patients with mental illness. Such guidelines would help district nurses in their planning and facilitating meetings with patients with mental illness and in their efforts to find solutions adapted to the specific patient, thus increasing both the district nurses’ feelings of adequacy and the patient’s feelings of safety and trust.

  • 348.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    The work-integrated learning combined with the portfolio method: A pedagogical strategy and tool in nursing education for developing professional competence2017In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 8, no 2, p. 8-15Article in journal (Refereed)
    Abstract [en]

    During nursing education students obtain knowledge and skills to develop their professional competence. Teachers may elect to provide pedagogical tools preparing students for current and future healthcare needs. The purpose of this theoretical article was to highlight Work-Integrated Learning combined with the Portfolio Method as a pedagogical strategy and tool for nursing students to develop professional competence for lifelong learning. This strategy contains six phases: pre-reflection, reflection-in-action, reflection-on-action, self-evaluation, meta-reflection and knowledge-in-action, which can help nursing students, during their clinical education, develop deeper understanding of their future profession, while also providing a teaching planning tool.

  • 349.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bernhardsson, Lennarth
    University West, School of Business, Economics and IT, Division of Media and Design.
    Learning Through Reflection: The Portfolio Method As A Tool To Promote Work-Integrated Learning In Higher Education2019In: INTED2019 Proceedings / [ed] L. Gómez Chova, A. López Martínez, I. Candel Torres, Valencia: The International Academy of Technology, Education and Development, 2019, p. 729-739Conference paper (Refereed)
    Abstract [en]

    Students need to develop meta-reflection to strengthen their learning process and to be able to manage the continuous changes encountered both higher education and in workplaces. Reflection is the most important for achieving progress within work integrated learning. For students to develop meta-reflection and achieve progression within work integrated learning, they need a systematic structure and conscious tools. The Portfolio method can be one of those tools.In this article we are going to discuss, from a theoretical standpoint, how teachers can develop a better structure for students so that they can strengthen their learning-process and progression of work integrated learning in higher education during internships which in turn promote lifelong learning. This progression of work integrated learning will be discussed in relation to the “WIL4U” model together with examples of reflection questions, learning outcomes, learning activities and examination forms. The “WIL4U” model was developed from the “AIL 4E (DUCATION)” model created by Bernhardsson, Gellerstedt and Svensson.The purpose of this conceptual discussion article is to highlight the portfolio method as a structure and tool for progress work integrated learning by reflection.With support of the portfolio method, the students can develop their ability to make well-balanced, and reflected choices in planning actions for work integrated learning. This requires well-developed self-regulation and the ability to meta-cognition and systematic meta-reflection to evaluate the effects of various actions. The portfolio method can also improve the reflection-process to develop the student's ability to emphasize strengths and increase the ability to achieve the learning outcomes in higher education.

  • 350.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Rudman, Ann
    Karolinska Insitutet.
    Gustavsson, Petter
    Karolinska institutet.
    Öhlén, Joakim
    Göteborgs universitet.
    Mastering the professional role as a new graduate2012Conference paper (Refereed)
    Abstract [en]

    Professional development is a process that starts in education and continues through working life. To be a new graduated registered nurse has been described as difficult and tough. The healthcare organization, patients and nurses would all benefit if the professional development was smooth and supportive. The aim was to develop a model describing newly graduated registered nurses professional development during the first years of healthcare practice. To develop a model a constant comparative analysis was performed. Data consisted of written answers to an open question concerning what newly graduates perceived of particular significance to facilitate the transition between education and professional life. In this study the core concept constructed from data was mastering the professional role and was seen as a result of an ongoing process regarding the individual's experiences as well as relations with the surrounding environments. The analysis shows that the professional developmental process involves three interrelated sub-processes; Evaluating and re-evaluating educational experience, developing professional self-efficacy and developing clinical competence. These sub-processes are all influenced by six factors, social values and norms, the healthcare organization, nurse-management, coworkers, patients/relatives and private life situation. These factors affect nurse' professional development directly, indirectly or as mediating influences and can lead to various possible orientations. The result underlines the importance of knowing of how to develop the personal professional role within in a working life context inorder to experience to mastering the professional role. In this process the new registered nurses need support from both their nursing school and employer. This model will be the subject of further measurement and testing

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