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  • 351.
    Björquist, Elisabet
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avd för socialpedagogik och sociologi. Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Nordmark, Eva
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Hallström, Inger
    Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
    Living in transition: experiences of healthand well-being and the needs of adolescents with cerebral palsy2015Ingår i: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 41, nr 2, s. 258-65Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    Transition to adulthood for adolescents in general is a multifaceted process, and for adolescents with cerebral palsy (CP) it also involves transition from child- to adult-oriented support. CP entails a variety and combination of disabilities, which in association with external factors may make the transition to adult health services difficult. The aim of this study was to gain a deeper understanding of how adolescents with CP experience their own health, well-being and need of support during their transition to adulthood.

    METHODS:

    An inductive qualitative approach was used based on interviews with 12 adolescents with CP aged 17-18 years and living in Sweden. Manifest and latent content analysis was used for the analysis of data.

    RESULTS:

    The results are described in the main theme 'Living in transition and looking forward to being an adult, but not feeling ready yet and being in need of further support'. Five subthemes highlight the adolescents' experiences of belonging to a family, of the importance of friends and love, of managing daily activities, being surrounded by support and having hopes for the future.

    CONCLUSIONS:

    Interviews with adolescents with CP provide valuable information for the planning of transition programmes and for the support of adolescents with disabilities who are in the transition to adult living. According to the adolescents in this study, the support should be flexible and not be fixed to biological age. Personal, individualized information and support was desired by the adolescents in order to be able to manage their own transition. One option to facilitate transition is the stepping-stone of being close to parents or staff members during the first phase, after leaving the parental home.

  • 352.
    Björquist, Elisabet
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avd för socialpedagogik och sociologi. Lunds universitet.
    Nordmark, Eva
    Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
    Hallström, Inger
    Department of Health Sciences, Faculty of Medicine, Lund University, Sweden.
    Parents’ Experiences of Health and Needs When Supporting Their Adolescents With Cerebral PalsyDuring Transition to Adulthood2016Ingår i: Physical & Occupational Therapy in Pediatrics, ISSN 0194-2638, E-ISSN 1541-3144, Vol. 26, nr 2, s. 2014-216Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    ABSTRACT. Aims: Parents are the primary support providers for adolescents with disabilities,their health and wellbeing is therefore of great importance when planning foryouths’ transition into adulthood. The aim of this study was to gain a deeper understandingof how parents of adolescents with cerebral palsy (CP) experience their ownhealth and wellbeing and their needs for support during the adolescent’s transition toadulthood. Methods: An inductive qualitative approach was used, including interviewswith 15 mothers and fathers to 10 adolescents with CP aged 17–18 years. Latent contentanalysis was used for analyzing the data. Results: Themain theme “Friction blisters chafingand healing during transition” illustrates the parents’ experiences. Five sub-themesformed the parents’ experiences of concerns along with sorrow and stress in life, worriesabout what was to come, their need for support, strategies for coping, and experiencesof cohesion. Conclusions: Knowledge of parents’ experiences of their health, wellbeing,and needs provide valuable information for the planning of transition for adolescentswith disabilities. Help with parents’ sorrow, stress, and worry in daily life might be facilitatedand parental health safeguarded by a navigator who can both guide and givehands-on support.

  • 353.
    Bladh, Amanda
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Vouros, Rebecca
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Vårdarens betydelse i flickors kamp mot anorexia nervosa: En litteraturöversikt2015Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: A desire to be beautiful enough from the eyes of society by losing weight is something that many girls struggle with. Anorexia nervosa is a disease that affects the individual both physically and mentally and is because of that difficult to treat. Even though the disease is difficult to treat health professional's should behave consistently and strive to create a mutual relationship in which individuals have confidence and affirmation.

    Aim: To illuminate the health professional's importance for girls' recovery from anorexia nervosa.

    Method: A literature review was chosen to this study and an analysis was made of eleven systematically searched articles and one unsystematic searched article. All articles were qualitative.

    Result: The analysis of the results revealed three themes: (1) Support to a better wellbeing, (2) The caring relationship, (3) Control and power. Six subthemes emerged: Motivation and participation, Health professional's response, Difficulties in the relationship, Structure and rules and Authority of care.

    Conclusion: The study confirms a number of ways that the health professional and the interpersonal relationship are significant for individuals suffering from anorexia nervosa. The results may contribute to an increased awareness and knowledge of individuals' perception of the health professional, which can facilitate and develop active health professional's understanding of individuals suffering from anorexia nervosa and how the health professional can support individuals to a better wellbeing.

  • 354.
    Blomberg, Simon
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Lundberg, Anitha
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Hivpositiva patienters upplevelser i mötet med sjukvården2015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 355.
    Blomgren, Annelie
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Engström Andreasson, Annika
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Sjuksköterskans strategier för att hjälpa patienten till en god egenvård: En kvalitativ innehållsanalys2015Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund:

    Många patienter med kroniska sjukdomar såsom astma/KOL, diabetes och hjärtsvikt/hypertoni kommer hem allt tidigare från en sjukhusvistelse och behöver därför mer support, råd och hjälp från sjuksköterskan inom primärvården för att kunna hantera sin sjukdom.

    Syfte:

    Syftet med studien var att beskriva sjuksköterskans strategier för att skapa så goda förutsättningar som möjligt för en bra egenvård hos patienten.

    Metod

    : En kvalitativ studie genomfördes. Åtta sjuksköterskor med specialistansvar som astma/KOL, diabetes eller hjärtsvikt/hypertonisjuksköterska på vårdcentral intervjuades. En kvalitativ innehållsanalys av insamlad data genomfördes.

    Resultat:

    Ur det analyserade intervjumaterialet växte fyra kategorier med vardera tre tillhörande subkategorier fram. De fyra kategorierna som framkom var: Att utgå ifrån patientens behov, Att se hela individen, Att nå patienten genom användning av hjälpmedel och Att komma vidare när det inte blir som planerat. Som en röd tråd genom dessa kategorier går sjuksköterskans roll i att vägleda patienten i genomförandet av en god egenvård.

    Slutsats:

    Samtliga sjuksköterskor i studien framhåller vikten av att se och möta patienten på dennes nivå. Detta för att nå fram till patienten och kunna stötta och ge den hjälp och de redskap patienten behöver i genomförandet av egenvård.

  • 356.
    Blomqvist, Anders
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Moschini, Helena
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Mötet med vårdpersonal - Personer som är suicidnära och deras erfarenhet: En litteraturbaserad studie2019Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    I Sverige begick 1189 personer självmord 2017, dessa människor såg ingen annan utväg än döden. Personerna som var självmordsbenägna hade både positiv och negativ erfarenhet av mötet med vårdpersonal. Om mötet blev dåligt ledde det till känslor av hopplöshet och när mötet blev bra kunde det leda till hopp för framtida relationer.

    Suicidnära personers erfarenhet av mötet med vårdpersonal visade att relationen med vårdpersonal var av betydelse och det innefattade att bli eller inte bli lyssnad på, att känna eller inte känna engagemang, att bli sedd eller inte bli sedd och att känna eller inte känna trygghet och tillit.

    Likt ett mynt har mötet två sidor där en sida leder till vårdlidande och den andra till ett hopp om livet. Att se personen innebar att vårdpersonal ingav hopp i mötet för personen som var självmordsbenägen. Det är därför viktigt för vårdpersonal att vara medveten om dessa personers erfarenhet för att kunna reflektera över sin egen roll, för att kunna ge god omvårdnad till hälsa och för att lindra lidande. När mötet var av positiv natur för individen kunde personerna berätta om sina innersta tankar och lära sig strategier för att ta itu med sina självmordstankar och uppleva en vändpunkt tillbaka till livet. Vårdpersonal kan göra en stor skillnad i mötet med personen som är självmordsbenägen genom att vara den livlina som gör att personen vill fortsätta leva.

    Att se personens lidande och lindra är vårdpersonalens uppgift, men detta sker inte alltid i mötet och det ledde till ett vårdlidande för personerna som präglades av känslor som uppgivenhet, förödmjukelse och att inte vara jämlika människor.

  • 357.
    Bodri, Titti
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Karlsson, Maja-Stina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Evidensbaserad vård för personer med KOL: En journalgranskning utifrån Socialstyrelsens riktlinjer/indikatorer på en primärvårdsenhet2016Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

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

  • 358.
    Bohlin, Karl Johan
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Wall, Petra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Närståendes upplevelser av sjuksköterskans stöd i samband med plötsligt dödsfall: En litteraturbaserad studie grundad på analys av kvalitativ forskning2015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: In Sweden about 19000 people fall victims of sudden death every year. This covers around 20% of all deaths. Relatives are those who are closest to the patient, regardless of the type of relationship. When a patient suddenly dies this affects the relatives and they can suffer from high risk of complicated grief reactions or crises. Being the nearest professional contact in these situations, the nurse has an important role in supporting and guiding the relatives.

    Aim: The aim of this literature review was to nominate the relatives' needs of support from the nurse when a loved person suddenly dies.

    Method: The literature review was based on seven articles with a quality approach.

    Results:The analysis resulted in four themes; "to be seen and confirmed", "information", "take farewell" and "follow-up ".

    To be able to give support both mentally and physically, it is important for the nurse to give proper attention to the relatives. The nurse supports according to individual circumstances, giving clear and concise information. With privacy, peace and quiet the nurse may create the conditions for a dignified farewell. Afterwards, when the shock phase subsides, many questions need to be answered and a follow-up meeting is important.

    Conclusion:

    As nurses we will meet with relatives of patients who have suddenly died. Our results are, however, useful in all types of care, not only in cases of sudden death. The nurse´s attention to the relatives is an important factor in health care. Knowledge about the benefits of taking care of relatives in a situation of sudden death is, currently insufficient. Knowledge of the reactions of relatives who are confronted with sudden death needs to be further explored and existing research needs to be conducted / implemented in health care.

  • 359.
    Bohlin, Margareta
    Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.
    Music and risk in an existential and gendered world2011Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Adolescents in Western society often expose themselves to high levels of sound at gyms, rock concerts, discotheques etc. These behaviours are as threatening to young people’s health as more traditional risk behaviours. Testing boundaries and risk taking are fundamental aspects of young people’s lives and the processes of developing their identities. There is, however, a need to balance reasonable risk taking and risks that can damage health. The aim of Study I was to analyze the relationship between self-exposure to noise, risk behaviours and risk judgements among 310 Swedish adolescents aged 15-20 (167 men/143 women). The adolescents’ behaviour in different traditional risk situations correlated with behaviour in noisy environments, and judgements about traditional risks correlated with judgement regarding noise exposure. Another finding was that young women judge risk situations as generally more dangerous than young men, although they behave in the same way as the men. We suggest that this difference is a social and culture based phenomenon which underlines the importance of adopting a gender perspective in the analysis of risk factors. Adolescents reporting permanent tinnitus judged loud music as more risky than adolescents with no symptoms and they did not listen to loud music as often as those with occasional tinnitus. The aims of study II were to illuminate  the complexity of risk behaviour, the meaning and purpose of adolescent risk-taking in both a traditional sense (e.g. smoking and drug use) and in noisy environments (e.g. discotheques and rock concerts), in relation to norms and gender roles in contemporary society. In total, 16 adolescents (8 men/8 women, aged 15-19) were interviewed individually and in focus groups. The interviewees’ responses revealed social reproduction of gender and class. Main themes of the phenomena for both genders emerged: Social identity and Existential identity of risk taking. The descriptive sub themes, however, which together formed the general structure, were rather diverse for men and women. The incorporation of social and existential theories on gender as basic factors in the analysis of attitudes towards risk-taking behaviours is considered to be of utmost importance. Likewise, research on hearing prevention for young people needs to acknowledge and make use of theories on risk behaviour and similarly, the theories on risk behaviour should acknowledge noise as a risk factor.

                 Study III aims to increase the knowledge about young women’s and men’s risk judgement and behaviour by investigating patterns in adolescent risk activities among 310 adolescents aged 15-20 (143 women; 167 men). The Australian instrument ARQ, developed by Gullone et al, was used with additional questions on hearing risks [1] and a factor analysis was conducted. The main results showed that the factor structure in the judgement and behaviour scale for Swedish adolescents was rather different from the factor structure in the Australian sample. The factor structure was not similar to the Australian sample split on gender and there were differences in factor structures between genders among Swedish adolescents. The results are discussed from a gender and existential perspective on risk taking, and it is emphasized that research on risk behaviour needs to reconceptualize stereotypical ideas about gender and the existential period in adolescence. The aim of Study IV was to investigate possible gender differences regarding psychometric scales measuring risk perception in noisy situations, attitudes towards loud music, perceived susceptibility to noise, and individual norms and ideals related to activities where loud music is played. In addition, the purpose was to analyze whether these variables are associated with protective behaviour, e.g. the use of hearing protection. A questionnaire was administered to a Swedish sample including 543 adolescents aged 16 to 20. The result revealed significant gender differences for all the psychometric scales. Furthermore, all psychometric measures were associated with hearing protection use in musical settings. Contrary to previous studies, gender did not solely contribute to any explanation of protective behaviour in the analysis. One conclusion is that although gender does not contribute solely to the explanation of protective behaviour, gender may affect psychological variables such as risk perception, attitudes and perceived susceptibility and these variables may in turn be valuable for decision-making and protective behaviour in noisy situations. Although women tend to be more ’careful’ psychologically, they nevertheless tend to behave in the same way as men regarding actual noise-related risk-taking.

     

  • 360.
    Bohm, Hanna
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Ottosson, Erika
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Ett stormande hav – ett liv med bipolär sjukdom: En självbiografistudie2014Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Mental illness affects approximately 20-40% of the population in Sweden. To be able to meet these patients in a good way you need to understand the complexity of everyday life for a person with bipolar disorder. Each year about 1500 people commits suicide, of which about 90% has some form of mental illness.

    Aim: The aim of this study was to elucidate the experiences from people living with bipolar disorder. Method: The study was based on narratives, which in this case means analysis of autobiographies. Three autobiographies, written by people with bipolar disorder, were analyzed using Dahlborg-Lyckhage's method for inductive narrative analysis. Results: Four categories and ten subcategories emerged which describes positive and negative experiences about how it is to live with bipolar disorder. Negative experiences of healthcare result in powerlessness, anxiety and mental lability, whereas positive experiences of healthcare result in hope.

    Conclusion: As a nurse it is very important to keep in mind how complex it is to live with bipolar disorder. As a nurse you need to remember how important it is to understand and support the patients and their relatives.

  • 361.
    Bolin, Anette
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Sorbring, Emma
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Ymefors, Mattias
    Teambaserat skolsocialt arbete: fördjupad och utökad elevhälsa2017Ingår i: Skolsocialt arbete: Skolan som plats för och del i det sociala arbetet / [ed] Backlund, Åsa, Högdin, Sara & Weitz, Ylva Spånberger (red.), Malmö: Gleerups Utbildning AB, 2017, s. 183-194Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 362.
    Bolinder, Therése
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Kvinnors upplevelser av sjuksköterskans bemötande i samband med ett missfall innan graviditetsvecka 162015Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background

    A miscarriage counts as a women´s disease which brings the women into contact with a gynecological ward or emergency room. There she usually meet nurses that takes care of her. Pre-vious studies show that the nurse treatment during and after a miscarriage plays a big part how well women can cope a miscarriage.

    Aim

    This study aims to describe women´s experience of nurse´s treatment during miscarriage before the 16th week of pregnancy.

    Method

    A qualitative literature review was performed, based on eight qualitative articles. The articles were found from two differ-ent databases, Cinahl and Pub Med. Four articles were found unsystematic. All articles were re-viewed critically by the author.

    Results

    The result show four main themes: "Absence of support", "Absence of respect", "Making invisible" and "Nurses understanding". The four main themes gen-erated eight sub themes: "Perfunctory treatment", "Lack of empathetic treatment", "Not being taken seriously", "Inaccessible treatment", "Not being seen", "Being left alone", "To show honesty" and "To show dedication".

    Conclusion

    In this study a big need of being treated with empathy and taken seriously was identified. The women experience the nurses treatment inadequate. The nurse´s treat-ment to women who experience miscarriage must be improved, to satisfy the women´s different di-mensions of needs.

  • 363.
    Bolmgren, Margareta
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Westin, Alexandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Healthy Cities - What makes the difference at a local level?: an analysis on factors for success in creating healthy public policy2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    The World Health Organization (WHO) states that working intersectorally and internationally with health issues is crucial in creating a change towards healthy public policy at a local level. Healthy Cities is one of the programmes where WHO uses a health governance approach (governing through networks) to try to reach this objective. The aim of this bachelor thesis is to identify the factors that make member cities of the WHO European Healthy Cities Network successful in reorienting local public policy towards healthy public policy. An analysis of nine documents corresponding to the selection criteria set up by the authors was conducted. These documents consisted of reports published by WHO on the Healthy Cities programme, but also of independent research articles and one thesis published on other networks similar to Healthy Cities. Also, further data was collected through telephone interviews with contact persons in four member cities. The interviews were transcribed word by word. Both data (documents and interviews) were analysed using a qualitative content analysis.

     

    The results show that the four key “elements for action” (political commitment, leadership, readiness for institutional change and intersectoral collaboration) crystallized by WHO for creating healthy public policy were mainly confirmed in this research study. Therefore, the authors draw the conclusion that WHO has succeeded in making the member cities commit to the Healthy Cities philosophy and in spreading the idea of health governance in Europe. However, additional factors were found both in the document analysis and in the interviews. When looking at the top four frequently occurring factors in the documents, community participation and status were highlighted. The two additional factors found in the interview data was holistic thinking and systematic, goal-oriented work. Also, the importance of political commitment was questioned by a minority of the respondents. This might indicate that the four key “elements for action” crystallized by WHO might not have as big of an effect in creating change at a local level as has been made out by WHO. Furthermore, respondents stated that difficulties existed in translating theory into practice at a local level. This might indicate that potential changes made in the member cities after joining the Healthy Cities programme are mainly ideological. Despite this, the attitudes among the respondents towards membership in the WHO European Healthy Cities Network were overall positive, and even though difficulties still exist, the respondents maintained that Healthy Cities enables them in taking the next step towards healthy public policy at a local level.

  • 364.
    Bolmvall, Astrid
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Bond, Joakim
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Att leva med cancer: En litteraturbaserad studie som beskriver upplevelser av att leva med cancersjukdom2016Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Allt fler människor i dagens samhälle lever och behandlas för en cancersjukdom. Det innebär att sjuksköterskan oftare kan komma att möta människor med olika cancersjukdomar inom sjukvården. Detta examensarbete kommer att beskriva vuxna människors upplevelser av att leva med en cancersjukdom.

    Nio vetenskapliga artiklar söktes fram via systematiska sökningar i databaserna Cinahl och PubMed, medan en artikel hittades osystematiskt. Dessa artiklar analyserades sedan genom att identifiera nyckelfynd som besvarade litteraturstudiens syfte. Med hjälp av dessa nyckelfynd kunde artiklarna sedan sammanställas till ett nytt resultat, vilket presenteras i denna uppsats.

    Resultatet påvisar att en cancersjukdom medför påfrestningar och förändringar i människans vardagliga liv. Framtiden upplevs som osäker men med stöd från familj, vänner och stödgrupper och känslan av hopp blir det lättare att kunna hantera sjukdomen. Resultatet visar också att cancersjukdomen medför att människan upplever sig som en börda, både för sig själv och sin omgivning. Relationer till familj och vänner sätts på prov. Det finns minskad ork till att utföra aktiviteter. Oro skapas över att samlivet förändras och de upplever även förändrat utseende på grund av håravfall.

    Med ökad kunskap om hur det är att leva med cancersjukdom får sjuksköterskan möjlighet till ökad förståelse för människan. Genom en ökad förståelse kan sjuksköterskan lyssna, ställa frågor och delge information på ett sätt som kan hjälpa människan att enklare kunna hantera sin vardag och livssituation.

  • 365.
    Boman, Åse
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Fathers involved in children with type 1 diabetes: finding the balance between disease control and health promotion2013Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Background:

    Type I diabetes is a chronic disease that places great demands on the child and family. Parental involvement has been found to be essential for disease outcome. However, fathers’ involvement has been less studied, even though high paternal involvement has been correlated with less disease impact on the family and higher quality of life among adolescents.

    Aim: The overall aim of the study was to explore and analyze constructions of fathers’ involvement in their child’s everyday life with type 1 diabetes from an ecological and health promotion perspective. Four specific aims were applied: 1) explore and describe discourses in health care guidelines for children with type 1 diabetes in Nordic countries, focusing on parents' positioning (I), 2) analyze how Swedish pediatric diabetes teams perceived and discussed fathers’ involvement in the care of their child with type 1 diabetes, and to discuss how the teams’ attitudes toward the fathers’ involvement developed during a focus group process (II), 3) explore and discuss how fathers involved in caring for their child with type 1 diabetes experience support from their pediatric diabetes team in everyday life with their child (III), and 4) analyze how involved fathers to children with type 1 diabetes understand their involvement in their child’s daily life and to discuss their perceptions from a health promotion perspective (IV).

    Material and methods: A qualitative and inductive approach was applied. Data were collected and analyzed during 2010-2012. The sample consisted of three pediatric guidelines originating from Norway, Denmark and Sweden (I), three Swedish pediatric diabetes teams (PDTs) (II), and 11 (III) and 16 (IV) fathers of children with type 1 diabetes who scored high involvement on the Parental Responsibility Questionnaire. Data were collected through repeated focus group discussions with the PDTs (II), online focus group discussions (III) and individual interviews (III, IV) with the fathers. Three analysis methods were applied: analysis of discourses (I), Constructivist Grounded Theory (II, III) and content analysis (IV).

    Findings: The findings illuminated the complex interaction between the pediatric guidelines, the PDTs and the fathers. Fathers highly involved in their child’s daily life experienced different levels of tension between the general recommendations and their personal experiences of living with a child with type 1 diabetes (III). The fathers regarded their involvement in their child’s diabetes care as additional to their general parenting, and a fine balance was identified between a health promotion perspective and a controlling involvement. The common denominator between the highly involved fathers was their use of parental leave (IV). The PDTs initially perceived fathers’ involvement as gendered and balanced on the mother’s agement, but as focus was set on fathers’ engagement the PDTs increased their awareness of this and started to identify and encourage their engagement II). At the macro-level, parents’ voices were diminished in Nordic pediatric diabetes guidelines in favor of an expert discourse (I).

    Conclusions: Fathers’ involvement concerning a child with type 1diabetes is constructed in a complex way, based on an interaction between the fathers’ perceptions of their additional involvement and the support provided by the PDTs; the PDTs’ perceptions of the fathers’ involvement; and how parents/fathers are constructed in pediatric diabetes guidelines. In order to promote the health and well-being of children with type 1 diabetes, fathers’ involvement needs to be taken into account in the pediatric guidelines as well as in clinical practice. 

  • 366.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Learning by supporting others: experienced parents' development process when supporting other parents with a child with Type 1 diabetes2018Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, nr 5-6, s. E1171-E1178Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

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

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

  • 367.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Bohlin, Margareta
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Eklöf, Mats
    University of Gothenburg, Department of Psychology, Gothenburg, Sweden.
    Forsander, Gun
    The Queen Silvia Children’s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Munthe, Christian
    University of Gothenburg, Department of Philosophy, Linguistics and Theory of Science, Gothenburg, Sweden.
    Törner, Marianne
    Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Health care to empower self-care in adolescents with type 1 diabetes mellitus and an immigrant minority background2017Ingår i: SAGE Open Medicine, E-ISSN 2050-3121, Vol. 5, artikel-id 2050312117700056Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

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

  • 368.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Bohlin, Margareta
    Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.
    Eklöf, Mats
    University of Gothenburg, Gothenburg.
    Forsander, Gun
    University of Gothenburg, Gothenburg.
    Törner, Marianne
    University of Gothenburg, Gothenburg.
    Conceptions of Diabetes and Diabetes Care in Young People With Minority Backgrounds.2015Ingår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 25, nr 1, s. 5-15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Adolescents with type 1 diabetes (T1DM) need stable self-care routines for good metabolic control to minimize future cardiovascular health complications. These routines are demanding, and might be particularly challenging in underprivileged groups. The aim of this study was to gain in-depth knowledge on the experience of adolescents with T1DM and a non-Swedish background regarding factors that might influence their ability to take care of themselves; in particular, factors that might influence diabetes management routines, their social situation, and the support they receive from caregivers. We interviewed 12 adolescents with T1DM and minority backgrounds. The results indicated resources and constraints in the adolescents' social context and in the health care organization. The adolescents developed conceptions that helped to explain and excuse their self-care failures, and their successes. These findings highlight the importance of integrating T1DM as part of the individual's personal prerequisites. We discuss implications for the organization of diabetes care for adolescents.

  • 369.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap NHV.
    Dahlborg-Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Swedish pediatric diabetes teams' perception of fathers' involvement: A Grounded Theory study2013Ingår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 15, nr 2, s. 179-185Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose of this study was to analyze how Swedish pediatric diabetes teams perceived and discussed fathers' involvement in the care of their child with type 1 diabetes. It also aimed to discuss how the teams' attitudes towards the fathers' involvement developed during the data collection process. The Constructivist Grounded Theory design was used and data were collected during three repeated focus group discussions with three Swedish pediatric diabetes teams. The core category of the teams' perception of fathers' involvement emerged as: If dad attends, we are happy – if mom doesn't, we become concerned. Initially the teams balanced their perception of fathers' involvement on the mother's role as the primary caregiver. In connection with the teams' directed attention on fathers, in the focus group discussions, the teams' awareness of the importance of fathers increased. As a consequence, the team members began to encourage fathers' engagement in their child's care. We conclude that by increasing the teams' awareness of fathers as a health resource, an active health promotion perspective could be implemented in pediatric diabetes care.

  • 370.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Borup, Ina
    Nordic School of Public Health, Gothenburg.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Parents' discursive resources: Analysis of discourses in Swedish, Danish and Norwegian health care guidelines for children with diabetes type 12012Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, nr 2, s. 363-371Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The incidence of diabetes type 1 in children, the most common metabolic disorder in childhood, increases worldwide, with highest incidence in Scandinavia. Having diabetes means demands in everyday life, and the outcome of the child's treatment highly depends on parents' engagement and involvement. The aim of this study was to explore and describe discourses in health care guidelines for children with diabetes type 1, in Sweden, Norway and Denmark during 2007-2010, with a focus on how parents were positioned. As method a Foucauldian approach to discourse analysis was applied, and a six-stage model was used to perform the analysis. The findings shows a Medical, a Pedagogic and a Public Health discourse embedded in the hegemonic Expert discourse. The Expert discourse positioned parents as dependent on expert knowledge, as recipients of education, as valuable and responsible for their child's health through practicing medical skills. This positioning may place parents on a continuum from being deprived of their own initiatives to being invited to take an active part and could result in feelings of guilt and uncertainty, but also of security and significance. From this study we conclude that guidelines rooted in the Expert discourse may reduce opportunities for parents' voices to be heard and may overlook their knowledge. By broadening the selection of authors of the guidelines to include patients and all professionals in the team, new discourses could emerge and the parents' voice might be more prominent. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.

  • 371.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Brink, Eva
    Högskolan Väst, Institutionen för hälsovetenskap.
    Salutogen omvårdnad2015Ingår i: Salutogenes: om hälsans ursprung : [från forskning till praktisk tillämpning] / [ed] Eriksson, Monica, Stockholm: Liber, 2015, 1. uppl., s. 191-208Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 372.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap.
    Hanås, Ragnar
    Uddevalla Hospital.
    If dad comes, we are happy - if mom fails to appear, we become desperate: A Grounded Theory study of Swedish diabetes teams perecption of fathers’ involvement in their child's everyday life2011Ingår i: 4th International Research Seminar on SALUTOGENESIS and meeting of the IUP-GWG-SAL: May 30-31, 2011, University West, Trollhättan, Sweden, 2011, s. 1-12Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: Since parental involvement is essential to the outcome of diabetes type 1 treatment in childhood and high paternal engagement in everyday life promote the child's health, it is of value to explore how professionals, the diabetes teams (DT), perceive fathers' involvement in their child with diabetes type 1.

    Method: The study design was Constructivist Grounded Theory and data was collected by Repeated Focus Groups discussions with three Swedish pediatric diabetes teams, between May 2010 and January 2011.

    Results: The core category for the diabetes teams' perception of fathers' involvement was If dad comes, we are happy – if mom fails to appear, we become desperate. The core category relied on three subcategories. Societal and cultural context where DTs perceived fathers involvement as having specific properties and specific areas of responsibility, Balancing where the DTs balanced the father's involvement against the mother's engagement and Becoming aware where the DTs raised awareness of the fathers from being a indistinct parents-unit till to identify and appreciate the father's engagement.

    Conclusions: Perceiving fathers as equal caregivers, and becoming aware of fathers as a health resource, could support an active health promotion perspective in pediatric diabetes care. 

  • 373.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordic School of Public Health NHV, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers' encounter of support from paediatric diabetes teams: the tension between general recommendations and personal experience2013Ingår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 21, nr 3, s. 263-270Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose of this grounded theory study was to explore and discuss how fathers involved in caring for a child with type 1 diabetes experienced support from Swedish paediatric diabetes teams (PDTs) in everyday life with their child. Eleven fathers of children with type 1 diabetes, living in Sweden and scoring high on involvement on the Parental Responsibility Questionnaire, participated. Data were collected from January 2011 to August 2011, initially through online focus group discussions in which 6 of 19 invited fathers participated. Due to high attrition, the data collection continued in eight individual interviews. A semi-structured interview guide was used, and the fathers were asked to share experiences of their PDT's support in everyday life with their child. A simultaneous and constant comparison approach to data collection and analysis allowed the core category to emerge: the tension between general recommendations and personal experience. This core category illuminates how the fathers experienced tension between managing their unique everyday life with their child and balancing this to meet their PDT's expectations with regard to blood glucose levels. The core category was supported by two categories: the tension between the fathers'and their PDT's knowledge, whereby fathers reported discrepancies between their PDT's medical knowledge and their own unique knowledge of their child; and the tension between the fathers'and their PDT's goals, whereby the fathers identified differences between the familys' and their PDT's goals. As a dimension of the core category, fathers felt trust or distrust in their PDT. We conclude that to achieve high-quality support for children with diabetes and to enhance their health and well-being, involved fathers' knowledge of their unique family situation needs to be integrated into the diabetes treatment.

  • 374.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers of Children With Type 1 Diabetes: Perceptions of a Father's Involvement From a Health Promotion Perspective2014Ingår i: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 20, nr 3, s. 337-354Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study describes how fathers of children diagnosed with type 1 diabetes understand their involvement in their child's daily life from a health promotion perspective. Sixteen Swedish fathers of children living with type 1 diabetes were interviewed. Manifest and latent content analysis was used to identify two themes: the inner core of the father's general parental involvement and the additional involvement based on the child's diabetes. The former was underpinned by the fathers' prioritization of family life and the fathers being consciously involved in raising the child, and the latter by the fathers promoting and controlling the child's health and promoting and enabling the child's autonomy. The results highlight that the quality of the fathers' involvement is essential in the management of a child's chronic illness. It is important for pediatric diabetes health care professionals to assess the quality of fathers' involvement to promote the child's health.

  • 375.
    Borgede, Emma
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Vuxna personers upplevelser av att leva med funktionsnedsättningen ADHD: - en självbiografistudie2013Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background

    ·ADHD  is a syndrome characterized by attention deficits, difficulty of concentration, restlessness and lack of control. The number of persons diagnosed with ADBD have increased over the past few years. One reason for the increase is believed to be that the knowledge has increased in recent years and more persons can be diagnosed . As a nurse it is important to know about ADHD and how it affects the persons with it.

    Aim. The purpose of this autobiography study was to describe the experience of adult persons living with the disability ADHD.

    Method. A qualitative approach was used for this literature review. In this study two biographies were analyzed. Qualitative content analysis was used with a manifest focus.

    Results The analysis of the biographies revealed two main categories; perceptions of lack of control and experiences of various emotions. The results shows that the person experience disorder in life, impulsiveness, difficulty of concentration, feeling different, anger and anxiety and being brave and curious.

    Conclusion To live with ADHD is something that effects the whole life for the person. To get the diagnosis is a relief and an explanation for their behavior. The authors of the biographies had both had a hard school time where extra help and support would have been valuable. The persons thinks that ADHD gives them both benefits and difficulties. Nurses can better help the persons by seeing each individual based on their own potential

  • 376.
    Borgström, Kajsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Kartunnen, Marlene
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Att växa upp med ADHD: En litteraturbaserad studie2017Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Idag uppskattas att cirka fem procent av alla skolbarn i Sverige har ADHD. Symtomen yttrar sig som överdriven hyperaktivitet, impulsivitet samt koncentrationssvårigheter, vilket kan medföra stora problem både i skolan, hemmet och i sociala sammanhang. Bristande kunskap leder till att individer i samhället har en stigmatiserad bild av diagnosen, detta påverkar individer med ADHD negativt.

    Genom att ha analyserat 10 vetenskapliga kvalitativa artiklar där nyckelfynd om barn och vuxnas upplevelser av att växa upp med ADHD har plockats ut, har ett nytt resultat växt fram.

    Det framkom i resultatet att när lärare och föräldrar var stöttande, accepterande, omtänksamma och hjälpsamma klarade barnen med ADHD av vardagen på ett mer hanterligt sätt. Barnen upplevde att det var enklare att fokusera i en strukturerad miljö där aktivt och kreativt lärande förekom. Fasta rutiner, regler samt struktur var något som var betydelsefullt för barnen. Vidare tyder resultatet på att det var krävande att växa upp med ADHD. Deltagarna kände sig annorlunda och hade svårt att passa in i sociala sammanhang. När omgivningen inte visade acceptans och förståelse för barnets beteende, upplevde de bland annat frustration, vilket i sin tur resulterade i konflikter och bråk. Det framkom i studien att deltagarna upplevde bristfälligt stöd och hjälp från sjukvården, och fick därför söka information om sin diagnos på egen hand. Bemötandet var viktigt för barn med ADHD och det är därför betydelsefullt att omgivningen, såväl som allmänsjuksköterskan, får en ökad förståelse och acceptans för barnets beteende. Det kan bidra till att livssituationen för individen bli mer hanterbar.

    Eftersom ADHD är vanligt förekommande möter även allmänsjuksköterskan dessa barn inom vården. Genom att få kunskap om hur individer med ADHD upplever sin situation skapas en tydligare bild kring de behov som finns hos barnet. Kunskapen leder till att sjuksköterskan kan ge ett mer anpassat bemötande, stöd och information i samband med vårdandet. Syftet med denna studie var därför att belysa upplevelser av hur det är att växa upp med ADHD.

  • 377.
    Boström, Annika
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Mehmedovic, Edina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Rättspsykiatriska vårdares attityder till patienter diagnostiserade med Antisocialt personlighetssyndrom2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

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

  • 378.
    Boström, Malin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Runge, Jenny
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Den inre konflikten: Sjuksköterskors förhållningssätt till och upplevelser av att vårda individer med substansbrukssyndrom.2018Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

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

  • 379.
    Bouchatta, Otmane
    et al.
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Ouhaz, Zakaria
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Ba-Mhamed, Saadia
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Kerekes, Nora
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap. University of Gothenburg, Centre for Ethics, Law and Mental Health (CELAM), Institute for Neuroscience and Physiology, Sweden; Swedish Prison and Probation Service, Gothenburg, Sweden.
    Bennis, Mohamed
    Cadi Ayyad University, Lab of Pharmacology, Neurobiology and Behavior (URAC-37), Faculty of Sciences Semlalia, Marrakech, Morocco.
    Acute and chronic glue sniffing effects and consequences of withdrawal on aggressive behavior2016Ingår i: Life Sciences, ISSN 0024-3205, E-ISSN 1879-0631, Vol. 152, s. 14-20Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 380.
    Bourne, Frans
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Rydberg, Linda
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Personcentrerad vård vid demens2018Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

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

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

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

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

  • 381.
    Brandt, Maria
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Rosell, Emma
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Erfarenheter av att främja barns delaktighet i vårdmötet med skolsköterskan: En kvalitativ intervjustudie2019Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Barn i Sverige har skolplikt och samtliga träffar vid något tillfälle skolsköterskan. Skolsköterskans uppdrag är att arbeta hälsofrämjande, förebyggande och enligt det övergripande folkhälsomålet för en jämlik vård. För att skolsköterskan ska nå varje enskild elev i vårdmötet är det viktigt att eleven är delaktig. Delaktigheten skapar en meningsfullhet som tillsammans med begriplighet och hanterbarhet upplevs som en känsla av sammanhang vilket främjar hälsa.

    Syfte: Studien syftade till att beskriva skolsköterskans erfarenhet av att främja barnsdelaktighet i vårdmötet.

    Metod: En kvalitativ intervjustudie med induktiv ansats genomfördes. Åtta skolsköterskor i Västra Götaland deltog i studien. Intervjuerna transkriberades ordagrant. Det transkriberade materialet analyserades med kvalitativ innehållsanalys.

    Resultat: I resultatet av hur skolsköterskor främjar barns delaktighet i vårdmötet framkom tre kategorier. Att inge förtroende och skapa en trygg relation, att anpassa kommunikationen utifrån elevens behov och att vara medveten om hinder och motstånd.

    Slutsats: Tidigare forskning stödjer här ytterligare och vi kan bekräfta många tidigare relevanta teorier med resultatet av studien. Skolsköterskornas erfarenheter och arbetssätt i, och runt vårdmötet, av att främja barns delaktighet kännetecknas av att inge förtroende och att skapa en trygg relation, att anpassa kommunikationen utifrån elevens behov samt att vara medveten om hinder och motstånd. En viktig iakttagelse är att det uppstår ett etiskt dilemma då skolsköterskan har skyldigheter som hon måste beakta samtidigt som hon vill upprätthålla en förtroendefull relation med eleven. Detta kan resultera i ett hinder i att främja barnsdelaktighet.

  • 382.
    Bratt, Ewa-Lena
    et al.
    University of Gothenburg, Institution of Health and Care Sciences, Gothenburg, Sweden..
    Burström, Å
    Karolinska Institute, Institution for Women's and Children's Health, Stockholm, Sweden..
    Hanseus, K
    Department of Pediatric Cardiology, Skåne University Hospital, Lund, Sweden.
    Rydberg, A
    Umeå University, Department of Clinical Sciences, Pediatrics, Umeå, Sweden..
    Berghammer, Malin
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Pediatrics, The Queen Silvia Children's Hospital, Gothenburg, Sweden.
    Do not forget the parents: Parents' concerns during transition to adult care for adolescents with congenital heart disease2018Ingår i: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 44, nr 2, s. 278-284Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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

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

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

  • 383.
    Bratt, Ewa-Lena
    et al.
    University of Gothenburg, Department of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy.
    Sparud-Lundin, Carina
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy.
    Östman-Smith, Ingegerd
    University of Gothenburg, Department of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy.
    Axelsson, Åsa B
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy.
    The experience of being diagnosed with hypertrophic cardiomyopathy through family screening in childhood and adolescence.2012Ingår i: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 22, nr 5, s. 528-535Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim To describe the experiences of children and adolescents being screened positive for hypertrophic cardiomyopathy and how this impacts their daily life. BACKGROUND: Hypertrophic cardiomyopathy is a hereditary disease and the most common medical cause of sudden death in childhood and adolescence. This is the reason for recommending screening in children with an affected first-degree relative. A diagnosis of hypertrophic cardiomyopathy implies lifestyle modifications, restrictions that may bring profound changes to the daily life of the affected individual. DESIGN: This is a descriptive qualitative interview study. METHODS: We interviewed 13 asymptomatic children or adolescents diagnosed with hypertrophic cardiomyopathy through family screening 12-24 months after the diagnosis. Analysis was conducted with qualitative content analysis. RESULTS: Children described an involuntary change, which affected their daily life with limitations and restrictions in life, both in the individual and social context. Lifestyle recommendations had the most severe impact on daily life and affected their social context. They tried to navigate in a world with new references, and after reorientation they felt hope and had faith in the future. CONCLUSIONS: Children diagnosed with hypertrophic cardiomyopathy through family screening went through an involuntary change resulting in limitations and restrictions in life. This study indicates that there is a need for support and that healthcare professionals have to consider the specific needs in these families. Our findings thus give guidance in how best to improve support to the patients and their family. Diagnosis in asymptomatic children should be accompanied by ideally multi-professional follow-up, focusing not only on medical issues.

  • 384.
    Bratt, Ewa-Lena
    et al.
    , Department of Paediatric Cardiology, The Queen Silvia Children’s Hospital.
    Östman-Smith, Ingegerd
    The Queen Silvia Children’s Hospital, Department of Paediatric Cardiology, Gothenburg.
    Axelsson, Åsa
    University of Gothenburg, Institute of Health and Care Sciences, The Sahlgrenska Academy.
    Berntsson, Leeni
    University of Gothenburg, Institute of Health and Care Sciences, The Sahlgrenska Academy,.
    Quality of life in asymptomatic children and adolescents before and after diagnosis of hypertrophic cardiomyopathy through family screening.2013Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, nr 1-2, s. 211-221Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims and objectives.  The aim of this study was to measure quality of life (QoL) in asymptomatic children with hypertrophic cardiomyopathy (HCM) before and after diagnosis. Background.  Hypertrophic cardiomyopathy is a disease with a 50% risk of inheritance. Children at risk for serious complications can be diagnosed early with family screening, but before embarking on a screening programme, it is important to evaluate the psychosocial consequences of such screening. Design.  Prospective case-control study. Methods.  Quality of life was measured using a questionnaire by Lindström incorporating both objective and subjective aspects of the three spheres: external, interpersonal and personal, before and two years after diagnosis. The study group consisted of 13 children/adolescents (11 boys), median age 11 (5-18) years, with HCM diagnosed at family screening. All filled out a questionnaire before diagnosis and at follow-up. 41 healthy children/adolescents (22 boys), median age 11 (2-19) years with a first-degree relative diagnosed with HCM served as controls; 15/41 also completed follow-up data. Results.  The total QoL score for all spheres was similar in both groups at baseline and follow-up. In the interpersonal sphere, it was more common that children diagnosed with HCM had no siblings both at baseline (p = 0·002) and follow-up (p = 0·005). The family situation, social support and life events were unchanged from baseline to follow-up. Children with HCM had significantly more psychosomatic symptoms compared with controls at baseline (p < 0·05) but not at follow-up. Self-esteem, peer acceptance and satisfaction with school were unchanged and similar between groups. Conclusion.  Family screening for HCM does not appear to negatively influence QoL. Relevance to clinical practice.  This study indicates that family screening of asymptomatic children and adolescents had no significant detrimental effects on QoL. This suggests that the benefits of finding symptomatic individuals at risk for serious complications outweigh concerns about screening asymptomatic individuals.

  • 385.
    Bratt, Ewa-Lena
    et al.
    University of Gothenburg,, Department of Paediatrics, Institute of Clinical Sciences, The Sahlgrenska Academy.
    Östman-Smith, Ingegerd
    University of Gothenburg,, Department of Paediatrics, I.
    Sparud-Lundin, Carina
    University of Gothenburg, Institute of Health and Care Sciences, The Sahlgrenska Academy.
    Axelsson, Åsa B
    University of Gothenburg, Institute of Health and Care Sciences, The Sahlgrenska Academy.
    Parents' experiences of having an asymptomatic child diagnosed with hypertrophic cardiomyopathy through family screening2011Ingår i: Cardiology in the Young, ISSN 1047-9511, E-ISSN 1467-1107, Vol. 21, nr 1, s. 8-14Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Hypertrophic cardiomyopathy is hereditary and the commonest medical cause of sudden death in childhood and adolescence, which is the reason for recommending screening in children with an affected parent. A diagnosis of hypertrophic cardiomyopathy implies lifestyle modifications, restrictions that may bring profound changes to the affected individual and impacts on the whole family.

    OBJECTIVE: To describe parents' experiences of how the diagnosis of hypertrophic cardiomyopathy in their child affects daily life.

    METHOD: Twelve parents with asymptomatic children diagnosed with hypertrophic cardiomyopathy through family screening were interviewed 12-24 months after the diagnosis. Analysis was conducted with qualitative content analysis.

    RESULTS: Parents described the immediate reaction of shock, grief, and injustice but were also grateful that the child was still asymptomatic. The diagnosis caused a significant change in lifestyle for most families due mainly to restrictions of sports activities. Parents had to adapt to the new life and develop strategies to protect their child. Death became a reality causing feelings of vulnerability. Regular medical check-ups and access to the liaison nurse were described as important factors of reassurance.

    CONCLUSIONS: Parents experienced early diagnosis as positive in a long-term perspective. The main changes perceived were ascribed to lifestyle modifications. Parents with athletic children experienced the lifestyle modifications as more severe. They strived to create a new life where they could feel secure and have faith in the future, and emphasised the need of regular follow-up and support from health care professionals as "mental pain relief", which helped them achieve a new state of normality.

  • 386. Brattby, LE
    et al.
    Sandhagen, B
    Enghardt, H
    Fan, H
    Samuelson, Gösta
    Validering av ungdomars kostintag1998Ingår i: Scandinavian Journal of Nutrition/Næringsforskning, ISSN 1102-6480, E-ISSN 1651-2359, Vol. 42, nr 1, s. 29-30Artikel i tidskrift (Refereegranskat)
  • 387. Brattby, LE
    et al.
    Sandhagen, B
    Samuelson, Gösta
    Energiförbrukning, fysisk aktivitet och idrottsvanor hos 15-åringar i Uppsala och Trollhättan1998Ingår i: Scandinavian Journal of Nutrition, ISSN 1102-6489, Vol. 42, nr 1, s. 31-34Artikel i tidskrift (Refereegranskat)
  • 388. Bratteby, L E
    et al.
    Samuelson, Gösta
    Sandhagen, B
    Mallmin, H
    Lantz, H
    Sjöström, L
    Whole-body mineral measurements in Swedish adolescents at 17 years compared to 15 years of age.2002Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 91, nr 10, s. 1031-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To provide reference data for bone mineral variables in 15- and 17-y-old adolescents and to analyse the relationships between these variables and measures of bone and body size, gender, puberty, growth, various lifestyle and environmental factors and socioeconomic background.

    METHODS: In the same 321 randomly selected adolescents (147 boys and 174 girls) living in two different regions of Sweden, the total bone mineral content (TBMC), bone area (BA) and total bone mineral density (TBMD) were assessed by dual-energy X-ray absorptiometry at ages 15 and 17 y. The effects of bone and body size, gender, growth, sexual maturity, physical activity, region of domicile, social conditions, food habits, smoking and alcohol intake on TBMC and TBMD were examined in multivariate analyses.

    RESULTS: In the 15-y-old adolescents, BA, height, gender, physical activity, maturity and weight explained 91% and 48%, of the variance in TBMC and TBMD, respectively. In similar analyses in the 17-y-olds, the corresponding figures were 92% and 62%, respectively, when BA, height, growth, physical activity, gender and region emerged as significant in the model. In all these analyses, BA explained most of the variance in TBMC and TBMD. No significant reduction of variance was found when different measures of social conditions, smoking, food habits, alcohol or dietary intakes of energy, calcium or vitamin D were included in the models. The reason why region of domicile had a significant impact on TBMC in the 17-y-olds is not known. The fact that the normal fluoride concentration in drinking water (1.1 mg/L) is 10 times higher in the region where TBMC was higher than in the other region is an interesting observation.

    CONCLUSION: Almost 90% of the variance in TBMC and 50% of that in TBMD was explained by measures of bone and body size and only a few percent by gender, physical activity, Tanner stage, growth and region of domicile.

  • 389. Bratteby, L E
    et al.
    Sandhagen, B
    Fan, H
    Enghardt, H
    Samuelson, Gösta
    Total energy expenditure and physical activity as assessed by the doubly labeled water method in Swedish adolescents in whom energy intake was underestimated by 7-d diet records.1998Ingår i: American Journal of Clinical Nutrition, ISSN 0002-9165, E-ISSN 1938-3207, Vol. 67, nr 5, s. 905-11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Swedish children and adolescents may be adopting a sedentary lifestyle with low energy expenditures and intakes, but no quantitative data are available. The purpose of the present study in 50 adolescents aged 15 y was to investigate whether assessment of total energy expenditure (TEE) and physical activity level (PAL) by the doubly labeled water method and indirect calorimetry and estimation of energy intake by a 7-d diet record would indicate physical inactivity. The boys' (n = 25) mean weight was 112% and the girls' (n = 25) was 109% of Swedish reference values from 1976; the mean height of both boys and girls was 102% of those reference values. Mean TEE in the boys and girls, 13.82 +/- 1.90 and 10.70 +/- 1.59 MJ/d, and mean PAL (TEE/basal metabolic rate), 1.89 +/- 0.16 and 1.79 +/- 0.22, respectively, were nonsignificantly higher than corresponding figures from other published studies. Mean energy intake as a percentage of TEE was 81.9 +/- 17.9% in the boys and 78.3 +/- 16.4% in the girls. Significant negative correlations were found both between energy intake as a percentage of TEE and percentage body fat and between energy intake as a percentage of TEE and body mass index. These results add to the evidence that 7-d diet records underestimate energy intake in adolescents, particularly those with a tendency for overweight and increased body fat. The results support indications of a trend of increasing body weight and height in Swedish adolescents, but conflict with the presumptions of low physical activity, low energy expenditure, and low energy intake. These results support the view that current recommendations for energy intake during adolescence are too low.

  • 390.
    Bratteby, L-E
    et al.
    University Hospital, Department of Medical Sciences, Clinical Physiology.
    Sandhagen, B
    Hospital, Department of Medical Sciences, Clinical Physiology.
    Samuelson, Gösta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Physical activity, energy expenditure and their correlates in two cohorts of Swedish subjects between adolescence and early adulthood2005Ingår i: European Journal of Clinical Nutrition, ISSN 0954-3007, E-ISSN 1476-5640, Vol. 59, nr 11, s. 1324-34Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To assess physical activity and energy expenditure and to identify their correlates during adolescence and early adulthood. DESIGN: In a cohort study, total energy expenditure (TEE) and physical activity level (PAL) were assessed at 15 and 21 y from a 7-day activity diary and predicted BMR. The influences on TEE and PAL of body size, gender, sexual maturity, physical activity habits, sitting time, region, social conditions, employment, food habits, smoking and alcohol intake were examined in multivariate analyses.Subjects:71 male and 89 female subjects, living in two socioeconomically different regions of Sweden, a university region and an industrial region. SETTING: The university city of Uppsala and the industrial town of Trollhättan. RESULTS: At both 15 and 21 y, PAL and TEE were high, with gender, sitting time and physical activity habits as main correlates. At age 21 y, employment and the mother's educational level also appeared as significant correlates. The relations between the main variables and their correlates were more complex than at age 15 y, and the sitting time was reduced and the activity habits were changed. CONCLUSIONS: A reduction of daily sitting appears to be a major reason why high levels of physical activity and energy expenditure were maintained from 15 to 21 y of age in spite of changed and less frequent activity habits during this interval.

  • 391.
    Brauer, Josefin
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Pettersson, Lisa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Skolsköterskors erfarenheter av att samtala med barn med övervikt: Det krävs fingertoppskänsla2019Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Nästan vart femte barn i Sverige har övervikt eller fetma. I skolan möter alla barn skolsköterskan som genom sitt arbete kan stötta och vägleda barn med övervikt och följaktligen har stora möjligheter att hjälpa dessa barn. Att arbeta med barn med övervikt ses som en krävande del av skolsköterskors arbete bland annat på grund av kunskapsbrister i hur samtal med barn med övervikt bör ske. Syfte: Syftet med studien är att beskriva skolsköterskors erfarenheter av att samtala med barn med övervikt. Metod: En kvalitativ intervjustudie genomfördes. Tio skolsköterskor intervjuades utefter en intervjuguide med semistrukturerade frågor. Datamaterialet analyserades med kvalitativ innehållsanalys. Resultat: Analysen av datamaterialet utmynnade i tre kategorier: Att skapa förutsättningar för ett lyckat samtal, Att möta utmaningar, Att använda strategier i samtalet. Temat: det krävs fingertoppskänsla, utkristalliserades. Fingertoppskänsla kan förklaras som en förmåga att känna av eleven i stunden samt att vara lyhörd och följsam i samtalet. Skolsköterskorna ansåg att barn med övervikt var ett svårt och känsloladdat ämne att samtala kring. Svårigheter i samtalet upplevde skolsköterskorna framförallt då eleverna saknade motivation och stöd från sina föräldrar, men också i bristen på tid och i hur samtalen anpassades bäst för varje enskild elev. Att vara följsam i samtalen och att skapa en relation sågs som en stor del för att få samtalen och fortsatt arbete med dessa barn så positiva som möjligt. Slutsats: Skolsköterskors erfarenheter av att samtala med barn med övervikt visar att det är ett komplext och känsligt ämne som kräver fingertoppskänsla. Strategier för ett lyckat samtal tycks vara följsamhet, lyhördhet, att bygga relationer och att kunna lyssna. Svårigheter ansågs vara samarbete med föräldrarna samt att arbeta med elever som saknar motivation. Olikheter framkom kring hur skolsköterskor arbetar med arbetsredskap.

  • 392.
    Brink, Charlotte
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Jönsson, Michaela
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Det är bara en sjukdom: Människors upplevelser av att leva med HIV2017Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Examensarbetet behandlar personers upplevelser av att leva med HIV som kronisk sjukdom. HIV-populationen ökar ständigt i takt med förbättrad medicinering och att få sjukdomen idag är inte samma som när den först upptäcktes. Trots detta präglas sjukdomen fortfarande av stigma och okunskap vilket försvårar den drabbade personens livssituation. Tolv vetenskapliga artiklar hittades i två olika databaser och genom att analysera de olika artiklarna framkom många olika resultat som svarar mot studiens syfte. Dessa delades upp i huvudkategorier och underkategorier för att beskriva resultatets likheter och skillnader.

    Det framkommer tydligt i resultatet att beskedet kan innebära många olika känslor, däribland känslan av att livet är på väg att ta slut och känslan av skuld och skam är återkommande. Alla som lever med HIV vill inte prata om sin situation och många väljer att hålla det för sig själva för att minska risken att utsättas för negativa reaktioner. Att hålla det för sig själv kan upplevas som en trygghet men kan samtidigt vara mycket påfrestande och påverka livet negativt. Många väljer därför att berätta om sin diagnos för noga utvalda personer i hopp om att inte känna ensamhet. Det är inte enbart fysiska biverkningar som påverkar livet med HIV utan många påverkas även av samhällets syn vilket kan hindra dem i livet. Att känna stöd framkommer som en avgörande faktor för att kunna leva ett gott liv och resultatet visar att det kunde komma från närstående, hälso- och sjukvården eller olika organisationer. En annan avgörande faktor för ett gott liv var att acceptera sin situation och göra det bästa av sitt nya liv. Många lärde sig uppskatta små saker i livet och lät inte sjukdomen påverka deras liv utan försökte leva som alla andra.

  • 393.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Adaptation Positions and Behavior Among Post–Myocardial Infarction Patients2009Ingår i: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, Vol. 18, nr 2, s. 119-135Artikel i tidskrift (Refereegranskat)
  • 394.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Considering both health-promoting and illness-related factors in assessment of health-related quality of life after myocardial infarction2012Ingår i: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 6, nr 1, s. 90-94Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The present study addresses factors that contributed to explaining the variance in health-related quality of life (HRQOL) one year after myocardial infarction, considering both illness-related and health-promoting factors. The aim was to elucidate the influence of depression, fatigue, optimism and sense of coherence on HRQOL. The sample consisted of 95 persons who had been treated for myocardial infarction. Correlation and multiple regression analyses were performed. The results showed that depression, fatigue, optimism and sense of coherence variables were all correlated with both the physical and the mental dimensions of HRQOL. In two multiple regression analyses where the physical component score (PCS) and the mental component score (MCS) were the criterion variables, fatigue contributed to the explained variance in the PCS (p< 0.001), and both depression (p< 0.01) and fatigue (p< 0.01) contributed to explained the variance in the MCS, after controlling for age and gender. To conclude, fatigue was the most significant variable associated with HRQOL, which was interpreted as having the following clinical implication: When a person suffers from post-myocardial infarction fatigue, this must be addressed first. Clearly, it is time to take the problems of patients who suffer from post-myocardial infarction fatigue seriously. It is of vital importance to develop and evaluate fatigue relief strategies in cardiovascular nursing and to test them in interventional studies. This does not exclude investing in health-promoting factors, e.g. sense of coherence, in coronary care interventions. Intervention strategies focusing on both illness-related and salutogentic factors may be optimal. This is a question for further research.

  • 395.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Psykosociala konsekvenser av hjärtinfarkt.2006Ingår i: Inre och yttre världar.: Funktionshinder i psykologisk belysning / [ed] Hjelmquist, Erland., Lund: Studentlitteratur , 2006, s. 129-145Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 396.
    Brink, Eva
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Alsén, Pia
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Validation of the Revised Illness Perception Questionnaire (IPQ-R) in a sample of persons recovering from myocardial infarction – the Swedish version.2011Ingår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 52, nr 6, s. 573-579Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    When people’s health is threatened, they generally develop illness perceptions to make sense of their illness. The Illness Perception Questionnaire (IPQ-R), developed by Moss-Morris et al (2002), has been widely used in many countries to measure such representations. However, since studies in this crucial research area are lacking in Sweden a Swedish version of IPQ-R was validated with a focus on the seven subscales: timeline acute/chronic, timeline cyclical, consequences, personal control, treatment control, illness coherence and emotional representations. Using confirmatory factor analysis, the aim of the present study was to validate the internal structure of the Swedish version in a sample of 202 persons (144 men and 58 women) who had been diagnosed with myocardial infarction four months earlier. Additionally, inter-correlations among the seven subscales and external concurrent validity were also investigated. The results of confirmatory factor analysis revealed that, in line with the English version of the IPQ-R, the specified seven-factor model had a satisfactory fit. One item was however not considered reliable and was therefore excluded from the instrument. The internal consistency (Cronbach’s alpha coefficients) and the inter-factor correlations were relatively similar to those reported in the validation study of the original English IPQ-R. In tests of concurrent validity, the seven IPQ-R subscales were, as hypothesized, mainly associated with external variables. To conclude, the Swedish version of the IPQ-R’s seven dimensions, with one item removed, (total 37 items) was found to be a reliable and valid measure of illness perception.

  • 397.
    Brink, Eva
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning. Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Alsén, Pia
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Herlitz, Johan
    University of Borås, School of Health Sciences, .
    Kjellgren, Karin
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    General self-efficacy and health-related quality of life after myocardial infarction2012Ingår i: Psychology, Health & Medicine, ISSN 1354-8506, Vol. 17, nr 3, s. 346-355Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Fatigue after myocardial infarction (MI) has been found to be distressing. A person's self-efficacy will influence his/her health behavior and plays an active role in tackling illness consequences. This study investigated associations between fatigue, disturbed sleep, general self-efficacy, and health-related quality of life (HRQoL) in a sample of 145 respondents admitted to hospital for MI two years earlier. The aim was to identify the predictive value of general self-efficacy and to elucidate mediating factors between self-efficacy and HRQoL. General self-efficacy measured four months after MI was positively related to HRQoL after two years. In tests of indirect effects, fatigue meditated the effects between self-efficacy and the physical and the mental dimension of HRQoL, respectively. The indirect effect of disturbed sleep went through that of fatigue. To conclude, patients who suffer from post-MI fatigue may need support aimed at helping them increase their self-efficacy as well as helping them adapt to sleep hygiene principles and cope with fatigue, both of which will have positive influences on HRQoL.

  • 398.
    Brink, Eva
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Brändström, Yvonne
    Department of Medicine, Uddevalla Hospital, Sweden.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Herlitz, Johan
    Sahlgrenska University Hospital, Department of Molecular and Clinical Medicine.
    Karlson, Björn W.
    AstraZeneca R&D, Mölndal, Sweden.
    Illness consequences after myocardial infarction: Problems with physical functioning and return to work2008Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 64, nr 6, s. 587-594Artikel i tidskrift (Refereegranskat)
  • 399.
    Brink, Eva
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Herlitz, Johan
    Department of Cardiology, Sahlgrenska University Hospital.
    Karlson, Björn W.
    Medicine and Science, AstraZeneca R and D, Mölndal.
    Dimensions of the Somatic Health Complaints Questionnaire (SHCQ) in a sample of myocardial infarction patients2007Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 6, nr 1, s. 27-31Artikel i tidskrift (Refereegranskat)
  • 400.
    Brink, Eva
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Fredriksson-Larsson, Ulla
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Alsén, Pia
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lång, Marianne
    Department of Cardiology, NU Hospital Group, Trollhättan, Sweden.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Development of a Tool for Assessment of Post-Myocardial Infarction Fatigue2018Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 08, nr 11, s. 811-822Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

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