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  • 401.
    Panke, Björn
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Schill, Christopher
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vem hjälper oss?: Anhörigas erfarenheter av sjuksköterskans palliativa vård2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 402.
    Parsa, Ramin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Pekkanen, Tanja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barns upplevelser som unga omsorgsgivare2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

  • 403.
    Paulsen, Eleanor
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindström, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vuxna patienters upplevelse av att leva med peritonealdialys: en litteraturbaserad studie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic kidney disease is the third biggest health-related reason for shortened life expectancy. Peritoneal dialysis is an established life‐saving treatment that is undertaken at home. Nurses play a key role in supporting patients with their dialysis. Although the treatment is invasive and has a great effect on the daily life of the patient few studies have focused on the patients' experiences of peritoneal dialysis. It is in the interest of the professional nurse to gain a greater understanding of these patients to be able to carry out their four fundamental responsibilities; to promote health, prevent illness, restore health and alleviate suffering.

    Aim: The aim of the study was to describe the lived experiences of patients with peritoneal dialysis.

    Method: A literature-based study was conducted based on an analysis of thirteen qualitative scientific articles focusing on the patients experience of living with peritoneal dialysis. The articles were found through systematic searches in the databases Cinahl, PsycInfo, PsycArticle, Google Scholar and PubMed and analysed using Friberg's five-step model.

    Results: The analysis resulted in two main themes with six significant subthemes; to not be in control with the subthemes; fear of the unknown, a changed body and limitations. The second main theme was to find the balance in life containing the subthemes; changed sleep habits, support and information and possibilities.

    Conclusion: The main finding was the patient´s need for support. Family support, the support from other patients in a similar situation and the support from health personnel. The support of a nurse in developing self-care through individualized information is of significant importance for the patient's ability to accept and adapt to their treatment.

  • 404.
    Paulsson, Petra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Perman, Madeleine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenhet av att vårda patienter med demenssjukdom: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

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

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

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

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

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

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  • 405.
    Pennbrant, Sandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Semi-Structured Interviews With a Sociocultural Perspective: The Meeting Between the Elderly Patien and the Physician in a Hospital Setting in Sweden2017In: SAGE Research Methods Cases, Sage Publications, 2017Chapter in book (Refereed)
    Abstract [en]

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

  • 406.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Berg, Ann
    Homecare, Svedala, Sweden.
    Johansson, Leone Fohlin
    Health Centre, Kalmar, Sweden.
    Self-care experiences of older patients with diabetes mellitus: A qualitative systematic literature review2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed)
    Abstract [en]

    Diabetes is a growing health problem and risk increases with age. Self-care is an important part of treatment. The aim of this qualitative systematic literature review was to investigate how older patients with diabetes experience self-care. A systematic literature review relating to older patients, diabetes and self-care was conducted. Systematic searches were carried out in the CINAHL, PubMed/MEDLINE and PsycINFO databases. The results show that older patients with diabetes are mainly concerned with the issues of blood glucose testing, dietary requirements, information about diabetes, motivation and support. To support safe self-care for older patients with diabetes, nurses need opportunities to increase their knowledge and reflection about diabetes and safe self-care support. Further research is needed to identify how nurses can promote older patients’ self-care and quality of life in the context of a person-centred approach.

  • 407.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gustafsson Törn, Jeanette
    Kungälvs sjukhus.
    Munthe, Helena
    Kungälvs sjukhus.
    Information about sexual activity after hip replacement: A literature review2018In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 38, no 3, p. 119-127Article in journal (Refereed)
    Abstract [en]

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

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  • 408.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hansen, Kristin
    NU Hospital Group, Västra Götaland Regional Council, Trollhätan, Sweden.
    District nurses meeting with and providing care to people with mental illness in health centers: An interview study2017In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 5, no 4, p. 96-104Article in journal (Refereed)
    Abstract [en]

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

  • 409.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Margareta
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Caring for Older People: Improving Healthcare Quality to Ensure Well-Being and Dignity2019In: Universal Health Coverage / [ed] Aida Isabel Tavares, London: Intechopen Limited , 2019Chapter in book (Other academic)
    Abstract [en]

    The aim of caring is to promote health. The global trend is that people are living longer, but in many cases, there is no support system for the care of older people, leading to major challenges in ensuring their health and well-being. The proportion of older people is expected to increase globally, and skilled healthcare professionals will be required to care for them. There is a risk that older people as suffering and vulnerable human beings will be forgotten due to the increasingly effective and technical care worldwide. A caring culture and relationship should be prioritised and developed to promote participation, well-being and dignity for older people in order to fulfil their care needs and ensure quality healthcare. It is important that research focusing on universal health coverage identifies the benefits of increased investment in service quality. To contribute to the improvement of this output, we propose the application of Eriksson's caritative theory. The aim of this theoretical chapter is to provide examples of how the dignity and well-being of older people can be promoted, at no additional cost to the person, by means of Eriksson's caritative theory, which can strengthen healthcare for universal health coverage.

  • 410.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Margareta
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Välbefinnande och värdighet för äldre människor: Utifrån Erikssons caritativa teori2020Report (Other academic)
    Abstract [en]

    The trend is that people are living longer, leading to major challenges in ensuring their health and well-being. The proportion of older people is expected to increase, globally, and nurses will be required to care for them. There is a risk that older people as suffering and vulnerable human beings will be invisible due to the increasingly effective and technical care. A caring culture and relationship should be prioritized and developed to promote participation, well-being and dignity for older people, and it is important with research in the field for increased quality in healthcare. In order to contribute to the well-being and dignity for older people in healthcare, we propose the application of Eriksson's caritative theory. The aim of this report is to create, with the support of Katie Eriksson's caritative theory, a model that promotes the dignity and well-being for older people for good caring.

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  • 411.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    The work-integrated learning combined with the portfolio method: A pedagogical strategy and tool in nursing education for developing professional competence2017In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 8, no 2, p. 8-15Article in journal (Refereed)
    Abstract [en]

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

  • 412.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nunstedt, Håkan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bernhardsson, Lennarth
    University West, School of Business, Economics and IT, Division of Media and Design.
    Learning Through Reflection: The Portfolio Method As A Tool To Promote Work-Integrated Learning In Higher Education2019In: INTED2019 Proceedings / [ed] L. Gómez Chova, A. López Martínez, I. Candel Torres, Valencia: The International Academy of Technology, Education and Development, 2019, p. 729-739Conference paper (Refereed)
    Abstract [en]

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

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  • 413.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Skyvell Nilsson, Maria
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Rudman, Ann
    Karolinska Insitutet.
    Gustavsson, Petter
    Karolinska institutet.
    Öhlén, Joakim
    Göteborgs universitet.
    Mastering the professional role as a new graduate2012Conference paper (Refereed)
    Abstract [en]

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

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  • 414.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Lars
    University West, School of Business, Economics and IT, Divison of Informatics.
    Nursing and learning: healthcare pedagogics and work-integrated learning2018In: Higher Education, Skills and Work-based Learning, ISSN 2042-3896, E-ISSN 2042-390X, Vol. 8, no 2, p. 179-194Article in journal (Refereed)
    Abstract [en]

    Purpose The purpose of this paper is twofold: to describe work-integrated learning (WIL) related to healthcare pedagogics, and to describe the distinctive aspects of research on WIL with specialization in healthcare pedagogics. Design/methodology/approach The general purpose of this theoretical paper is to define and formulate a research agenda within WIL with specialization in healthcare pedagogics. Findings WIL with specialization in healthcare pedagogics is a multidisciplinary field of knowledge encompassing education, health sciences and social sciences, and focuses on research and knowledge-creation involving nursing schools in higher education, healthcare organizations and the surrounding community. Originality/value The starting point of the research environment is the ambition to gain knowledge about the conditions, processes and outcomes in healthcare education and healthcare organizations, both individually and collectively, intra- and inter-professionally, in the perspective of life-long learning. WIL with specialization in healthcare pedagogics is a research area that can carry out important research in healthcare education and healthcare organization and, thus, contribute to high-quality care meeting current and future needs.

  • 415.
    Persson, Louise
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Rund, Ingrid
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att bjuda in eller att inte bjuda in: En litteraturöversikt om sjuksköterskors erfarenheter av närståendes närvaro vid hjärt- lungräddning2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: For nurses in hospitals, the presence of close relatives in cardiopulmonary resuscitation (CPR) can be an uncertain experience. In 2015, 91 000 deaths occurred in Sweden, many of them in hospitals.

    Aim: This study aimed to explain nurses' experiences of relatives' presence at cardiopulmonary resuscitation in hospitals.

    Method: A literature review based on six qualitative and five quantitative articles was performed.

    Result: Two main themes, to invite and to not invite, constituted the result with four subthemes. The main theme to invite had two subthemes, good occupational experience and self-confidence. The main theme to not invite comprised likewise two subthemes, insecurity about absent guidelines and worry about relatives' reaction.

    Conclusion: A majority of the nurses believed that relatives should be present at CPR. Nurses believed that relatives easier could accept their relatives' death if they were able to touch their relative, share the last moments in life and say goodbye. Improvement of guidelines and development work is needed to maintain nurses' positive view of relatives' presence at CPR in hospital settings. To strengthen this, national guidelines are also necessary to assist local guidelines.

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  • 416.
    Persson, Marlene
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Grindsjö, Liselotte
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att höra men inte se: Sjuksköterskors erfarenheter av telefonrådgivning2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Telephone counseling is a multifaceted profession, which makes it possible to perform nursing care without meeting the care seeker physically. Nurses supports, assesses, guides and provides care seekers with self-care advice, which is of great importance to avoid health problems and complications for the care seekers.

    Aim: The aim of this study was to describe nurses' experiences of telephone counseling within health centers and 1177 Vårdguiden.

    Method: A method aimed to contribute to evidence-based care based on the analysis of qualitative research described by Friberg (2012), was used. Eleven articles were analysed and resulted in four categories, with fourteen sub-categories.

    Results: The four categories that emerged were; the importance of own knowledge and security, to face ethical dilemmas, stress and job demands and the use of decision support. The lack of visual contact requires specific knowledge by the nurses and communication with healthcare seekers from other cultures and with third parties to some extent created uncertainty. The nurses must be quick and do right in limited time. Decision support was perceived as both an obstacle and complement.

    Conclusion: Nurses´ experiences of working with telephone counseling was described as stressful, demanding but also positive and challenging. In order to best perform telephone counseling it required experience, vast competence and ability to apply knowledge. It was considered important to use oneself as a main asset and to be aware of strengths, weaknesses and reactions in different situations.

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  • 417.
    Pettersson, Evelina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lindén, Elin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vårdas mot sin vilja: Tvångsåtgärder ur ett patientperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: If a person is afflicted with mental illness and unable to voluntarily seek care or pose a threat to themselves or others, compulsory psychiatric care can be applied. Coercive measures can then be used if the patient opposes to treatment and care. This challenges the fundamental principles of human rights on being treated with respect and dignity. To care for a patient using coercion can therefore be perceived as complicated by health professionals, due to its contradiction of the ethical principles which all care is supposed to be based upon. Aim: To describe patients' experiences and views of being treated with coercion within psychiatric care. Method: Literature review was conducted; one quantitative and nine qualitative peer-reviewed articles were selected and analyzed. Results: The findings were analyzed and compiled into three main themes; (1) views of coercion, (2) views of care settings and (3) the impact of coercion. Patients expressed varying meanings of the use of coercion. The physical care settings and treatment they received from health professionals could have impact on patients' experiences of their care. Lack of influence and information were described by patients due to the limiting nature of coercion. Different feelings were mentioned in relation to coercion, such as reduced self-esteem and changed self-image. Conclusion: Although both positive and negative experiences were declared by patients, criticism toward coercion was mainly apparent. This study showed the importance of highlighting the patient perspective to be able to offer good care and maintain a humane approach, despite the circumstances.

  • 418.
    Pålsheden, Emelie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Selling, Jennifer
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att möta den som står bredvid på resan i livets slutskede2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Many people need palliative care in the end of life. In palliative care, the ones closest to the dying patient has a central role. Previous studies have shown that it can be a challenge for the nurses to care for the ones closest to the dying patient because they carries a lot of emotions. The aim of this study was to describe nurse’s experiences of meeting relatives in end of life care. The method used in this study was a literature review based on qualitative studies. Twelve articles were analyzed according to Friberg’s (2017) qualitative content analyze in five steps for literature-based studies. The result showed that nurses experienced the meeting with relatives as a journey. Three themes emerged from how the nurses experienced the meeting with relatives in end of life care: The support from the start of the journey until the end, Together through the journey and Challenges during the journey. The conclusion is that it is challenging for the nurses to meet the relative in end of life care. It is a lot of feelings involved and the nurses have to think about many things to give as good care as possible.

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  • 419.
    Rahmati, Ali
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Berg Jakobsson, Johanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Våga vårda: Sjuksköterskans upplevelse av hot och våld i vårdande situationer : En litteraturöversikt2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Threats and violence occur in all aspects of care mainly in emergency rooms, ambulance care, primary care, psychiatry, social care and dementia care but there is not enough knowledge about its impact on nurses and thereby consequences on caring.

    Aim: The purpose of the study was to investigate the nurse's experience of threats and violence in caring situations.

    Method: This study is a literature overview study based on both qualitative and quantitative articles. Ten articles thereof one quantitative, one mixed method and eight qualitative articles were included and analysed.

    Results: In the result, three main themes emerged, The normalised threat and violence in the profession, The impact on the nurse and the impact on the caring. Threats and violence in care were frequent and were experienced by nurses as part of the patient's disease picture. Workplace management did not take the problem of threats and violence seriously. This resulted in nurses experiencing feelings such as guilt, shame, and fear. Several of the nurses suffered from physical, mental and social problems, as a result of threats and violence. Nurses also felt a reduced job satisfaction due to threats and violence from patients and relatives. Caregiving was negatively affected by threats and violence and resulted in lack of patient safety and nonchalance toward patients.

    Conclusion: Threats and violence is a world wide problem in various parts of health care, where new nurses feel more vulnerable than those with longer experience in the profession. The current problems have a negative impact on the nurse's ability to provide good and safe care, as patients safety is poor and quality of care decreases. Both employers and nurses have a responsibility to report and prevent threats and violence in healthcare, as the problem does not contribute to a good work environment for staff or patients.

  • 420.
    Ramberg, Gustav
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Persson, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Depression hos äldre: Äldre personers upplevelser av att leva med depression2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Depression is one of the most common diseases among elderly people all around the world. It is both psychological and physical factors that plays part in elderly developing depression. Because of an increasing population of elderly, the amount of elderly people with depression will increase year by year. Research regarding elderly people with depression is inadequate and a greater focus from the health care system is necessary, for developing a better understanding for this group and their well-being.

    Aim: The aim of this study was to describe elderly people's experiences of living with depression.

    Method: A literature-based study with qualitative method was used to analyze nine articles. Results: In the result three categories developed; isolation, loneliness and self-autonomy. The isolation from other people was associated with both physical limitations and with self-selected feelings of not wanting to become a burden for relatives and to preserve their independency. The loneliness was both associated with loss of relatives and close friends and with lack of coherence. The self-autonomy was associated with fear of losing control over life and to preserve independency.

    Conclusion: The elderly people are vulnerable for strain and sensitive for losing their dignity. As they get older, a sense of loneliness and isolation are strongly associated with depressive feelings among the elderly. To protect their self-autonomy, many of the elderly people wants to take care of their depression on their own, with no influence from relatives or health care.

  • 421.
    Rehnlund, Ann-Charlotte
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Seidel, Marcus
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att beskriva patienters erfarenheter av bemötande efter ett suicidförsök2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Suicide is a global public health problem that not only has an impact on the patient but also on many in the person's surrounding. In Sweden, approximately 1,200 people commit suicide each year, in addition to these, the dark number is greater as approximately 400 deaths cannot be determined. Suicide is the most common cause of death among younger men while the second most common among younger women. Committing a suicide attempt can be a cry for help after a long-term suffering that can be reflected in various contexts. Patients arrive in some form of emergency care unit after a suicide attempt in which the healthcare staff plays a major role in the care and suicide prevention.

    The purpose of the study was to investigate how patients who have committed suicide attempts experience care. The study sheds light on patients' interactions with the staff after a attempted suicide as a feeling of powerlessness and the desire to be seen as a person. It turned out that a good relationship with the healthcare staff is of great importance for healing and relapse prevention.

  • 422.
    Rejnö, Åsa
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Nordin, Per
    The Skaraborg Institute for Research and Development, Skövde, Sweden..
    Forsgren Gebring, Susanne
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sundell, Yvonne
    Västra Götalandsregionen.
    Sjuksköterskestudenters närvaro vid läraktiviteter i relation till hur de klarar kursexaminationer2016In: ViLär 8-9 december 2016, Vänersborg / [ed] Kristina Johansson, 2016Conference paper (Other academic)
  • 423.
    Rejnö, Åsa
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. Stroke Unit, Skaraborg Hospital, 541 85 Skövde, Sweden.
    Nordin, Per
    The Skaraborg Institute for Research and Development, Skövde, Sweden.
    Forsgren, Susanne
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sundell, Yvonne
    University West, Department of Health Sciences.
    Rudolfsson, Gudrun
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Professional Studies, Bodø, Norway.
    Nursing students’ attendance at learning activities in relation to attainment and passing courses: a prospective quantitative study2017In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 50, no March, p. 36-41Article in journal (Refereed)
    Abstract [en]

    Background

    Students' motivation and ways of engaging in their schoolwork are important for their performance, including passing exams. Attendance at learning activities has also been argued to be of major importance, although no causal relationship with passing exams has been established in nursing education.

    Objectives

    The aim of this study was to describe the impact of attendance at nonmandatory learning activities on attainment, in terms of passing or failing of exams, in nursing education courses including both mandatory and non-mandatory activities.

    Design

    A prospective quantitative design.

    Setting

    The nursing education programme at a Swedish university.

    Participants

    Nursing students (n = 361) from two courses and four classes within the nursing programme.

    Methods

    Attendance was registered at every non-mandatory teaching activity by asking the students to note their attendance on a list. Data such as sex, age, and whether the students had passed the exam were also collected for each course and each semester separately.

    Results

    Increased participation was associated with an increasing proportion of students passing the exam. The chance of passing the exam increased by 13% for every additional learning occasion attended. Logistic regression showed an OR of 5.4 for an attendance of 100%.

    Conclusions

    An increase in attendance gave a higher proportion of exam passes. Encouraging students to attend non-mandatory learning activities could be of value, and potentially contribute to an increased graduation rate for nursing students.

  • 424.
    Rekdahl, Aida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Brobeck, Matilda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Föräldrars upplevelse av att ha ett barn i behov av organtransplantation: En litteraturbaserad studie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Organ-transplantation is the only treatment for end-stage failure in heart, liver, lung and intestinal and therefore lifesaving even for children. Although it is lifesaving it also comes with severe side effects that may impact the transplant recipients and his or her parents daily life. Aim: The aim of this study was to describe parents experiences having a child in need for organ-transplantation. Method: In this literature-based study a qualitative method with ground in analysis of qualitative research was used to contribute to evidence-based nursing. Through the process of analysis similarities and differences was highlighted in the studies to build a new entirety with main-themes and sub-themes. Result: The findings revealed that parents were going through many lifestyle changes both before and after the child’s organtransplantation. Their emotions commuted between hope and despair and the parents felt they had to limit the child in daily activities to cope with their new reality. The parents also described the importance of having enough knowledge about medications and being one with the transplant-team. Conclusion: Knowledge about the child’s illness, care and treatment gave the parents an opportunity to participate in the care of their child. This strengthened and helped them feel confidence in managing the child’s care after transition from hospital to home. The organ-transplantation came along with major life-changing events and limited the families daily lives. By focusing on positive aspects of life and by keeping the hope for the childs future, the parents succeed to handle the situation.  

  • 425.
    Reked, Rozah
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Omvårdnadsåtgärder vid postoperativt illamående2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this literature overview was to illustrate evidence-based nursing interventions for postoperative nausea. This literature overview is based on five scientific articles that have been critically reviewed. All scientific articles have received approval of ethical formal joint research. The findings have shown that according to research, the non-pharmacological treatment of postoperative nausea is effective and that a nurse can perform these care measures. In two of the five scientific articles, acupressure was used as an intervention without any side effects and showed that it is and can be used as an action against postoperative nausea with a good effect. The scientific articles have concluded that hospital stays decreases in nonmedical nursing interventions. However it needs to be done more research around the area of non-pharmacological measures for postoperative nausea and an expanded selection of non-pharmacological measures. Research should also be more carried on other causes of nausea, because it is an everyday problem in health care.

  • 426.
    Rexha, Arta
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karpuzi, Erinda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter av att vårda patienter i ett palliativt skede: En litteraturbaserad studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Providing palliative care evokes different types of feelings amongst nurses. A third of all dying people in Sweden occur in hospital wards. It is therefore important to raise awareness about what emotional impact palliative care has on nurses working in hospital wards. Aim: To highlight nurses’ experiences of caring for patients in a palliative stage, in inpatient somatic care. Method: To contribute to evidence-based care based on analysis of qualitative research. A total of nine scientific articles where analyzed according to Friberg (2017). Result: Three main themes emerged with ten subthemes. Rewarding and satisfying to practice palliative care, was about the positive feelings nurses experiences when doing all they could for the patient and striving to provide ideal care. Difficulties in palliative care, was about the emotional stress nurses felt, the nurse’s recognition in patients’ situation and the difficulties they experienced within inpatient somatic environment. Lack of support and knowledge, was about nurses’ experienced lack of knowledge, feelings of exclusion in the palliative care team and the importance of support from colleagues. Conclusion: The results shows that nurses experience both negative and positive feelings in providing palliative care within inpatient somatic care. The result also emphasizes that nurse’s experience a lack of knowledge in palliative care and the importance that nurses receive support from their colleagues.

  • 427.
    Ribòn, Astrid
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Alblebish, Ibtihal
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors upplevelser av att samtala om sexualitet med patienter som lider av psykisk ohälsa: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality has been considered as a part of people's lives that are more than a biological and reproductive function. Diseases, medications and mental conditions can directly or indirectly affect the person's sexual health, so it is a subject not to ignore in the nursing perspective. Although nurses believed that sexuality was an important subject, it is not a priority in psychiatric care. People with mental illness lacked information and conversations about sexuality and sexual health. It is precisely in this area that people had a higher risk of being sexually exploited, suffering from sexually transmitted infections, and unwanted pregnancies. In order to achieve a holistic care, nurses expressed that they needed to involve sexuality in their profession. Aim: The aim of this study was to describe nurses' experiences of talking about sexuality with the patients suffering from mental illness. Method: A literaturebased study of ten scientific qualitative articles that have been compiled and analyzed. Articlesearches were conducted in the databases PubMed, CINAHL, PsychInfo and PsycArticles. Results: Four categories emerged that explain the experiences of nurses related to their responsibilities and knowledge about sexuality. A category was how the responsibility of the organization to implement routines and effective work environment can influence the communication of the nurses and patients. Another category presented the feelings of nurses about how their approach and how their attitudes affect the communication with patients suffering from mental illness about sexuality. Conclusion: The nurses are awarded that sexuality is an important subject and a fundamental aspect of life. Nurses needed more education about sexuality to be able to engage in a conversation with patients and kept in mind that they are responsible for holistic care. Nurses attitudes towards to the mental health patients and sexuality is a big barrier in which nurses need to change and the organization needs to provide all the necessary help for the nurses to do an adequate job. Patients need to receive the best care regardless of their mental state.

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  • 428.
    Riddebäck, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Enlund Velander, Malin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Palliativ vård av vuxna patienter: Ur ett sjuksköterskeperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care is an important part of nursing care. The need is expected to increase as the population ages. Financial problems and a lack of knowledge of health professionals are examples of reasons that many patients in the palliative phase does not receive the care they need. For the nurse to alleviate the suffering of the patient, more knowledge is needed about this form of care.

    Aim: To illuminate the nurse's experiences of palliative care of adult patients.

    Method: The method used was "to contribute to evidence-based care with the foundation in the analysis of qualitative research". This method was well suited to the purpose of which was to highlight the experiences of nurses. The inclusion criteria for this study was that the studies should be written based on the nurse's perspective, the participants should be registered nurses and focus on palliative care. In studies involving more professionals than the nurse's experiences presented were excluded, as well as studies on palliative care for children.

    Results: The result gave the two main themes and four sub-themes. The first main theme was named "The nurse's experience of the encounter with the patient and family," and dealt with how communication could be used to teach patients and families and that communication could fail due to conflicts within the patient's family, but also if the patient was demented. The nurses could also experience grief when their patients died. The second main theme was named "the nurse's experience of their potential to alleviate suffering" and dealt with what was perceived promotion and what was perceived as an obstacle. To get to know the patient and find out their wishes seemed promotion to provide good care, and to have a good care plan. The environment, lack of knowledge and the time perceived as barriers to providing good care.

    Conclusion: Based on the study's results it is concluded that nurses experienced knowledge, experience and personal commitment as important aspects to give the patient what is needed. Lack of financial resources and the environmental problems perceived as barriers to give the patient a good care along the patient's wishes. When cooperation between nurses and colleagues did not work nurses experienced frustration, failure and inadequacy, which resulted in the patient's suffering. On this basis it is considered that more resources and training is needed.

  • 429.
    Romero Vergara, Elena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Utlandsfödda patienters upplevelser av sjuksköterskors bemötande: En litteraturbaserad studie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Over one and half million of Sweden's population is foreign-born. Given that Sweden has about 9.7 million inhabitants, this means that foreign-born people almost 15%. As nurses, we will therefore meet these patients.

    Aim: The aim of the study was to describe the experiences of meeting with the nurse out of the foreign-born patients' perspective.

    Method: This study was performed as a literature review based on eleven qualitative articles.

    Results: Two main themes were identified: Positive experiences, that showed what the foreign-born patient's was considered valuable characteristics of the nurse to feel seen and valuable, trust and feel involved. Negative experiences, that showed what the foreign-born patients was considered poor attitudes of the nurse or lack of knowledge, such attitudes that made the patient felt offended.

    Conclusion: Despite the multicultural society we live in the nurse requires more knowledge about other cultures to meet these. Cultural competence of the nurse showed positive effects on foreign-born patients' experiences but discrimination and prejudice exist.

  • 430.
    Rose, Elin
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av fysisk aktivitet som hälsofrämjande metod vid psykisk ohälsa ur sjuksköterskans och patientens perspektiv: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    It is estimated that people with mental health problems will have a shorter life-span than the average population and that they have a predisposition to suffer from a number of somatic illnesses, such as heart and vascular diseases. The nurse has through her role as a health promoter a possibility to strengthen the individual’s own resources to engage in a more active lifestyle and to take into account fundamental care needs, considering both physical and mental health. The aim of this literature review is to highlight how the nurse can motivate and support a patient with mental health problems to undertake physical exercise as well as the experience from the patient’s point of view. The study that has been undertaken is a literature study based on ten scientific articles. The results identified that nurses are a suitable category of health professionals to motivate people to become physically active. A number of issues that prevent nurses to motivate, as well as stop patients to carry out physical exercise were identified. Some of these were a lack of motivation, lack of time and side-effects of medication. The results identified that physical exercise promote health, well-being and create opportunities for social interaction. The conclusion is that physical activity has a positive impact in people with mental health problems.   

  • 431.
    Rosengren, Frida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wallin, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    I väntan på döden: Närståendes upplevelser av att vårda en patient i palliativt skede i hemmet2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The palliative care at home is depending and relies on the relatives ability to care for the patient in the daily care. Aim: The aim of this study is to investigate the relatives experiences of palliative care at home. Method: The study is a literature based study from qualitative studies. The search in the databases Cinahl and PubMed generated in 11 articles. This resulted in three themes and eight subthemes. The themes were; The importance of communication, The responsibility as a burden, The complexity of feelings. Results: The results of this study showed that communication between carer and relatives are important for a good care at home. It could be grounded in conversations that leads to reflection and support. The relatives can feel an obligation to take the caring role which can lead to complicated emotions. Conclusion: This study provides the nurses with important knowledge to support the relative both practically and emotional.

  • 432.
    Rostam, Massouda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson Peña, Åsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stroke i nära relationer: en studie om anhörigas upplevelser2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The impact of stroke gives consequences to everyday life. The relatives experience that the life of the person suffering a stroke suddenly changes so that they do not have time to adapt to the new situation. Both relatives and the person who suffered a stroke struggled to master the feeling of lack of control in the new life. Aim: The aim of the study was to describe the experiences of relatives of persons who suffered a stroke. Method: This study was performed as a literature review based on eleven qualitative articles. Results: The result of the study was presented by five themes; The impact of life changes in everyday life, The strain of the new situation, Loss of autonomy, Thoughts about the anxiety and uncertainty of the present situation and the future and Overwhelmed by the new situation. Conclusion: The most essential themes that emerged in the result were the experiences of a changed everyday life and loss of autonomy. Information is important to alleviate the new situation for relatives of persons who suffered a stroke. It is also important for the nurse to understand the needs of these family members to be able to meet and support in the best way.

  • 433.
    Rosén, Jennifer
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sandersson, Hanna
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara förälder till ett barn med anorexia nervosa: En litteraturbaserad studie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Until the 80’s Anorexia Nervosa (AN) was a rare disease. With the influence from media and the growing ideal of how a human body should look like, AN is nowadays a more common disease. AN often have a negative effect on parents. Therefore, it is important that nurses and society gain an understanding of parents experiences of having a child with AN, and how it impact their lifes.

    Aim The aim of the study was to illuminate the experience of being a parent to a child with AN.

    Method This study is a literature review over qualitative scientific articles, which have been analyzed through a method of five steps according to Friberg.

    Results The results showed that AN has a negative impact on parents, both the personal life and family life. It also describes parents’ need for support. Parents experience many negative feelings as worrying, frustration and fear. They often had bad experiences of treatment from medical staff.

    Conclusion This study provides an understanding of parents’ feelings of having a child with AN. Parents have an important role for their children during their illness and on the road to recovery. If parents should be able to take the responsibility that comes with having a child with AN, they need support. Otherwise they can be a threat to their own health. This is something that the nurse should pay attention to.

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  • 434.
    Rudolfsson, Gudrun
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level. Nord University, Faculty of Nursing and Health Sciences, Bodø, Norway.
    Karlsson, Veronika
    University West, Department of Health Sciences, Section for nursing - undergraduate level. Skovde Univ Coll, University of Gothenburg Inst Hlth & Care Sci.
    Interacting with parents in Sweden who hesitate or refrain from vaccinating their child2019In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, article id 1367493519867170Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to explore nurses' experiences of encountering parents who are hesitant about or refrain from vaccinating their child. A qualitative approach was chosen and data collected through individual, semi-structured interviews with 12 nurses. The text was analyzed using thematic analysis. Three themes emerged from the interviews: giving room and time for acknowledging parents' insecurity concerning vaccination, striving to approach the parents' position with tact, and a struggle between feelings of failure and respect for the parents' view. The findings indicate that it was crucial to give time, be tactful when meeting parents, as well as to appear credible and up-to-date. The nurses wanted to be open and respect the parents' views on vaccination but found it difficult and frustrating to be unable to reach out with their message because their quest was to protect the child.

  • 435.
    Rundström, Jennifer
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Närståendes behov i samband med ett återupplivningsförsök2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: When a person becomes a victim of a resuscitation attempt in connection with a cardiac arrest or trauma in an emergency room or intensive care unit and the person's relatives are present, it is quite understandable that the patient’s relatives raises many questions. They may feel confused and become emotionally unstable. For the relatives can this experience provide as very stressful. It is important that the nurse stops and show the relatives support and let them know that they are not being forgotten, even in the most hectic situations.

    Aim: The purpose of this study was to elucidate the relatives' needs during a resuscitation attempts.

    Method: A literature-based study based on eight qualitative and quantitative studies.

    Results: The result showed that relatives need to maintain relationships during resuscitation attempts by an active support of a nurse during resuscitation attempts, having a working relationship with the nurse and to maintain closeness to the sick person. The results also showed that the relatives have need to be involved in the resuscitation attempts by getting continuous information about what happens and to witness the resuscitation attempt.

    Conclusion: The study showed the importance of a working relationship between the nurse and the relatives. The relatives who received a respectful treatment from the nurses at the emergency department, was pleased with the experience and the relationship between themselves and the nurse.

  • 436.
    Rydhé, Louice
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Stenberg, Ivar
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med klippta vingar: En litteraturstudieom patienters upplevelser av amputation och hur det dagliga livet påverkas2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients who have had to amputate a limb go through a big change in their lives. The biggest cause for amputations is as a result of heart and vascular disorders. The leg is the most commonly amputated limb.

    Aim: The aim of this study has been to describe patients' experiences of amputations and how it effects their daily lives.

    Method: This literature review was based on qualitative research in order to contribute to evidence-based nursing. Ten scientific articles were analysed. These were later analysed on a deep level to reach a consensus. The analysis resulted in three main themes and eight sub themes.

    Results: The presented themes was"An irrevocable decision" "My prosthesis and I" and "To live with clipped wings". The results showed that patients' experiences of limb loss were based on the patients' previous life experiences. When the decision for amputation was taken, the strongest reactions came from the patients who felt worried about the future. The support from family members and other relatives was important for the patients' recovery.

    Conclusion: Depending on the cause for the amputation, the changed life situation affected the patients in different ways. For the patients, the new life situation implied a physical, emotional and social struggle. Life never was the same after the amputation, even though the patients reached acceptance.

  • 437.
    Rydin, Gunilla
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    SBAR främjar informationsöverföringen ur sjuksköterskans perspektiv: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Deficiency in the nurse's communication when transferring information can lead to serious consequences for the patient. It is often in transition between different teams or nursing units that deficiencies arise in the transfer of information, but the results of deficiencies can also arise throughout the care chain.

    The aim of this study was to elucidate the way in which SBAR facilitates nurse communication when transferring a patient within the health care system.

    This literature study was based on analysis of quantitative research. Seven quantitative articles were analysed using five step model by Friberg.

    The results of this study showed that SBAR helps the nurse to focus, prepare and structure the documentation and contributes to safer patient assessments. The use of SBAR leads to efficient reporting that promotes collaboration with other professions by making the message clear and structured.

    The conclusion was that by using SBAR as a communication tool for the nurse, patient safety increases.

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  • 438.
    Rådberg, Anna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dahlberg, Julia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lidandets vändpunkt: Erfarenheter av dialektisk beteendeterapi vid borderline personlighetssyndrom ur ett patient- och vårdarperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: To live with borderline personality disorder involves a great deal of suffering and is often seen as untreatable. The complexity lies in the emotional regulation of the patient. To decrease the inner pain people with borderline personality disorder often use self-harming as a coping strategy. Dialectical behavior therapy is a treatment developed specifically to treat symptoms of borderline personality disorder and focuses on accepting and change. The care-givers often have feelings of helplessness and hopelessness which leads to pessimistic atti-tudes towards patients. Aim: The aim of this study was to describe experiences of dialectical behavior therapy for borderline personality disorder from a patient and caregiver perspective. Method: A literature review study based on analysis of nine qualitative articles. Results: Us-ing DBT as a treatment contributed to improved well-being. DBT was seen as a turning point for both patients and caregivers and gave a sense of hope. Even if the treatment was helpful, the patients experienced difficulties understanding the complexity of the therapy. Approaches to borderline personality disorder was changing during DBT and the caregivers experienced that they had something to offer to the patients. Conclusion: Patients experienced dialectical behavior therapy as a life-saving treatment and they felt more secure in their identity. The caregivers expressed that the support of colleagues was helpful in their professional role and to understand the patients' experiences of borderline personality disorder

  • 439.
    Rödin, Marie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Fernandes, Josephine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med en partner med demens: En litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is an increasing global health problem as the population grows older and older. It is usually the partners who must take care of these people with dementia, which can be a very tough role.

    Aim: The aim of this study is to illuminate experiences of living with a partner with a dementia diagnosis.

    Method: A literature-based study was performed, analyzing 13 qualitative articles with Friberg's five step model.

    Results: Three main themes emerged with ten subthemes. The first theme was changes in the relationship with three subthemes, personality changes, from partner to career and changes in the intimate and loving relationship. The second main theme was the need of support with four subthemes, an absent presence, difficultness of communication, social support and the feelings of relief. The third theme was the psychosocial strain with three subthemes, an emotional roller coaster, strategy development and an uncertain future.

    Conclusion: This study mainly shows negative experiences of living with a partner with dementia. Partners are affected by the personality changes of the person with dementia and the increased need for care that leads to a changed life situation and a degraded well-being. Therefore, the nurse has a great responsibility in supporting these partners, confirming their individual needs and providing information about help and support they can get from society.

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  • 440.
    Rönnerhag, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level. University of South-Eastern Norway, Centre for Women's, Family and Child Health, Faculty of Health and Social Sciences, P.O. Box 235, N-3603, Kongsberg, Norway.
    Severinsson, Elisabeth
    University of South-Eastern Norway, Centre for Women's, Family and Child Health, Faculty of Health and Social Sciences, P.O. Box 235, N-3603, Kongsberg, Norway.
    Haruna, Megumi
    The University of Tokyo, Department of Midwifery and Women's Health, Division of Health Sciences& Nursing Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care2019In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 3, p. 585-593Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this study was to explore healthcare professionals' perceptions of adverse events during childbirth with focus on communication and teamwork.

    BACKGROUND: Inadequate communication, a poor teamwork climate and insufficient team training are harmful to women. Reviews of reported adverse events can be used to develop a safety culture based on preparedness for preventing adverse events and strengthening patient safety.

    DESIGN: Action research principles were used to facilitate the implementation and evaluation of this study.

    METHODS: An interprofessional team of healthcare professionals comprising obstetricians, registered midwives and assistant nurses employed at a labour ward agreed to take part. Data were collected from multistage focus group interviews (March 2016 - June 2016) and analysed by means of interpretative thematic analysis.

    FINDINGS: Two analytical themes based on five sub-themes emerged; Promoting interprofessional teamwork and Building capabilities by involving healthcare professionals and elucidating relevant strategies. The findings reveal the importance of facilitating relationships based on trust and respectful communication to ensure a safe environment and provide safe maternity care.

    CONCLUSION: There is a need for formal and informal support for quality interprofessional teamwork. Research on patient safety may reduce adverse events related to miscommunication and poor teamwork. We recommend different forms of communication and teamwork training in interprofessional teams to increase the ability to provide feedback. Accumulated research is required for the evaluation of evidence-based models in the patient safety context. This article is protected by copyright. All rights reserved.

  • 441.
    Rönnerhag, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level. University of South-Eastern Norway, Centre for Women's, Family and Child Health, Department of Nursing and Health Sciences, Faculty of Health Sciences, Kongsberg, Norway.
    Severinsson, Elisabeth
    University of South-Eastern Norway, Centre for Women's, Family and Child Health, Department of Nursing and Health Sciences, Faculty of Health Sciences, Kongsberg, Norway.
    Haruna, Megumi
    The University of Tokyo, Department of Midwifery and Women's Health, Tokyo, Japan.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Qualitative study of women's experiences of safe childbirth in maternity care2018In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 20, no 3, p. 331-337Article in journal (Refereed)
    Abstract [en]

    Few studies have focused on women's childbirth experiences in relation to patient safety. The aim of this study was to explore the meaning of safety as a process phenomenon by outlining women's positive and negative experiences of safety in childbirth. A descriptive explorative design was chosen and 16 interviews were conducted. Qualitative content analysis was used. One main theme emerged: safe childbirth through involvement and guidance, based on four subthemes. The characteristics of women's experiences of safe childbirth included the need to be informed and involved by sharing and receiving trustworthy information. Women's experiences of unsafe childbirth included lack of meaningful and trustworthy information that resulted in feelings of being misled or lulled into a false sense of security. Not being involved evoked feelings of being ignored. In conclusion, this study highlights issues of importance for safe maternity care. The perspectives of childbearing women can contribute to an understanding of how to achieve meaningful improvements to provide safer maternity care.

  • 442.
    Rönnerhag, Maria
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level. University of South-Eastern Norway, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, P.O. Box 235, N-3603 Kongsberg, Norway.
    Severinsson, Elisabeth
    University of South-Eastern Norway, Department of Nursing and Health Sciences, Faculty of Health and Social Sciences, P.O. Box 235, N-3603 Kongsberg, Norway.
    Haruna, Megumi
    The University of Tokyo, Department of Midwifery and Women’s Health, Division of Health Sciences & Nursing Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033 Japan.
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Risk Management: evaluation of healthcare professionals reasoning about and understanding of maternity care2019In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 27, no 6, p. 1098-1107Article in journal (Refereed)
    Abstract [en]

    Aim: To evaluate healthcare professionals' explanations of the prerequisites for safe maternity care and understanding of risk management, including the underlying reasons for decision‐making intended to ensure safe care.Background: Risk management focuses on maintaining and promoting safe care by identifying circumstances that place childbearing women at risk of harm, thus reducing risks.Methods: A hermeneutic action research approach was chosen. Through a series of focus group sessions we uncovered healthcare professionals' explanations of risk management.Results: One overriding theme emerged; The consequences of what managers do or fail to do constitute the meaning of taking responsibility for team collaboration to provide safe care. Inadequate support, resources and staff shortages have consequences, such as inability to concentrate on team communication and collaboration, leading to the risk of unsafe care.Conclusion: Communication constitutes a prerequisite for both team collaboration and risk management. Thus, communication is linked to the ability of managers and healthcare professionals to provide safe care.Implications for Nursing Management: In terms of safety management, nurse managers have a significant role in and responsibility for supporting communication training, developing guidelines and providing the prerequisites for interprofessional team reflection.

  • 443.
    Rönnlund, Nathalie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelser av palliativ vård2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Through time, people have been taking care of their loved ones whilst ill or encountering death. As the medical and caring sciences has developed, so has palliative care. During palliative care, nurses are in charge of the patients' emotional, physical and spiritual needs as well as taking care of their relatives. To have that responsibility can be stressful.

    Aim: To illuminate the nurse experiences of palliative care.

    Method: A literature-based study with qualitative approach. Literature searches were made through Cinahl in which similarities and differences were identified to create new subthemes and themes.

    Results: The nurses experience difficulties in handling their own feelings about patient death and dying. Further on, they find difficulties in creating good relationships and communicating with patients and their loved ones. Inter professional conflicts between nurses and physicians occur and cause stress, angst and the feeling of helplessness amongst nurses. The nurses identify lack of knowledge as a factor for obstructing quality in palliative care.

    Conclusion: As complex as the palliative care is, there is a great need for thorough education in nursing programs as well as further education at workplaces. For the nurses to be able to handle their feelings, to create relations with the patient, their relatives and colleagues and to be able to provide good palliative care, strategies are needed.

  • 444.
    Sahlbring, Linnea
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Spetz, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gåvan av ett nytt hjärta: Vuxna patienters upplevelser efter hjärttransplantation2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Each year, thousands of patients around the world receive a new heart through heart transplant surgery. This is a lifesaving action and is most common among people with a heart disease that has led to a severe and non-treatable heart failure, for instance cardiomyopathy. But the process of receiving a new heart comes with challenges and the patients can experience emotional and physical difficulties.

    Aim: The aim of this study was to illuminate adult patients' experiences after heart transplantation.

    Method: A literature-based study was conducted and fourteen scientific qualitative articles were analyzed with a qualitative approach.

    Results: After analyzing the results, three main themes emerged; "To receive someone else's heart", "Learning how to live" and "To experience difficult emotions". Each main theme had three significant subthemes. The findings showed that a diversity of experiences arose among the patients after undergoing heart transplant surgery. They experienced gratitude, faith, concern, existential thoughts and sadness. They expressed support and the pursuit of gaining control in daily life as meaningful and essential. But they also had to handle limitations in their lives concerning the medical treatment, the continuous follow-ups and the diet restrictions.

    Conclusion: As a nurse it is fundamental to see the heart transplant patient as a unity and a unique person. Thus it is important to notice the patients' psychological difficulties that can arise after heart transplantation and not only observe the physical problems. Communicate with the patients in a motivating and caring way and try to understand their individual experiences of the situation in order to promote their health. In that way we can lay a valuable foundation for nursing.

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  • 445.
    Sandberg, Frida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Svensson, Erika
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans värderingar påverkar mötet med patienter som inte tillhör sexualitetsnormen2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every day Lesbian, Gay, Bisexual and Transsexual (LGBT-persons [LGBT]) meet difficulties in life. Within healthcare they face discrimination and difficulties. The development of LGBT in society is on the rise, but still persons who don't fit the sexuality norm struggles to be accepted.

    Aim: The aim was to discover if nurses values effect on the meeting with persons who don't fit the sexuality norm.

    Method: This paper is a literature review which is based on nine quantitative articles. All the articles were analyzed by the authors looking for similarities and differences.

    Results: The result of the literature review was that the nurse's values do effect on their attitudes toward LGBT-persons. The result showed that nurses who had previous experience in LGBT-persons was more accepting in their meeting. It also shows that the nurse's ethnicity and religious values had effect on their attitude toward LGBT-persons. Overall majority weighs toward difficulties in the meeting with persons who don't fit the sexuality norm. Subcategories became accepting in the meeting, difficulties in the meeting, ethnicities and accepting and previous experience with LGBT-persons.

    Conclusion: Nurses today is more accepting in the meeting with LGBT-persons than they were 10 years ago. Still persons who don't fit the sexuality norm is feeling discriminated because of their sexuality. Nurses need more knowledge about how they can make LGBT-persons feel more accepted in their meeting. More research about LGBT-persons in healthcare is needed.

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  • 446.
    Sandbäck, My
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Råhnängen, Maja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    En förändrad vardag: Att leva med diabetes mellitus typ 2 : en litteraturstudie2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 2 diabetes is a disease that is becoming more common in Europe. The disease mainly affects people of middle age and older. Living with type 2 diabetes causes a lot of lifestyle changes such as increased physical activity and a healthier diet. In later stages of the disease, antidiabetic agents may also be relevant. As a nurse, it is important to understand the patient's experience of living with type 2 diabetes in order to provide the patient with a person-centered care with a holistic approach.

    Purpose: The purpose was to investigate patients' experiences of living with type 2 diabetes.

    Method: A qualitative literature study based on eight nursing science articles.

    Result: The result was presented in a main theme A changed life situation with five subcategories: Experiences of changes in diet and exercise, Experiences of motivation for lifestyle change, Experiences of knowledge and education in lifestyle changes, Experiences of guilt and shame and Acceptance. Patients experienced difficulty adjusting to living with type 2 diabetes. They experienced difficulties with changes in diet and exercise. Motivation was as an important factor for an increased quality of life. Many patients found it difficult to take in too much information at once and would rather have the information split up on several occasions. Accepting the disease increased the quality of life of the participants.

    Conclusion: Experiences of living with type 2 diabetes vary. Some patients see the disease as a problem while others see no obstacles in everyday life. Patients living with type 2 diabetes need to be cared for by a person-centered approach where the focus is on the patient behind the disease.

  • 447.
    Sandström, Frida
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cândida de Albuquerque Johansson, Jéssica
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    "När en del av mig är borta": Upplevelser av att leva med kvinnlig könsstympning2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: More than 200 million females worldwide live with some form of female genital mutilation [FGM]. While reinforcing social and cultural values for those, to whom the practice is normative, FGM also envelops psychological as well as physical lifelong consequences.

    Aim: This literature study aimed to describe women's experiences of living with female genital mutilation from a physical, psychological, social and cultural perspective.

    Method: A literature study was performed through collecting and analysing ten qualitative articles. The data consisted of narratives of migrant women that had undergone FGM and lived in Western societies. The analysis was performed according to Friberg's five-step-model.

    Results: Feelings of honour and shame were expressed in connection to FGM. FGM was understood to fortify belonging to cultural identities and establish social acceptance linked to cultural ideals of femininity. Emotional and physical pain made women feel incompleteness, challenging their social relationships, including sexual intimacy. Additionally, it was noted that healthcare professionals lack specific knowledge needed while caring for those women, leaving them hesitant in further seeking healthcare. Women's perception of FGM changed after migration. They experienced larger control over their lives but also insecurity towards the discontinuation of the practice.

    Conclusion: FGM and its implications were complex and resulted in consequences that affect women's life. Greater knowledge and understanding of FGM were identified as necessary on the healthcare system, strengthening and furthering the required support and information for women's health.

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  • 448.
    Segerström, Ingela
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mötet med patient i telefon: Ett sjuksköterskeperspektiv på erfarenheter vid telefonrådgivning2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Telenursing is an expanding working area for nurses. Meeting the patient by the phone without seeing each other requires special skills by the nurse.

    Aim: The purpose of the study was to describe the nurse's experience by telephone advice.

    Method: The method used was literature review based on previous research. Seven articles with qualitative approach were selected and were analyzed by qualitative content analysis.

    Results: The study resulted in three main categories; Acquiring information from the patient which requires responsiveness, observance of non-verbal signals, listening to the voice, showing empathy and taking the time. Assessing and taking action through asking the right questions to be able to figure out the problem. Dilemmas in meetings due to limited resources in healthcare, being questioned by patients and finally different standards between the nurse and the patient.

    Conclusion: The conclusions of the study were that the nurse's work by the phone involves building a picture without any visual clues of the patients problem to be able to assess and take proper action. The nurse has to rely on her ears and be responsive to what the patient explains but must also be observant on what the patient is not telling her.

  • 449.
    Segersäll, Amanda
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Söderström, Åsa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskan och döden: En kvalitativ litteraturbaserad studie, om sjuksköterskors erfarenheter av att vårda i livets slutskede2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Nurses continuously meets and cares for dying patients, which can be perceived as both rewarding and stressful. To manage death and dying patients adequately, nurses need to reflect on what death means and her/his own perception of death and dying. Research showed that many nurses felt that they had a lack of knowledge and practical skills regarding end of life care. Objective: The purpose of this study was to illuminate nurses’ experiences of caring for patients in end-of-life care. Method: A literature-based study was used, based on analysis of qualitative data. Thirteen articles were analysed according to Friberg´s five-step model. The analysis resulted in four themes and eight subthemes. Results: Four main themes emerged from the analysis: 1) Deficient environment and organization 2) Deficient knowledge and practical skills 3) Support is an important factor 4) Response to end-of-life care. Conslusion: Education and training in end-of-life care was important. This should be implemented more, both in nursing education and in clinical practice. Support from management and colleagues was highly valued by nurses and should occur to a greater extent, as a way of preventing negative effects, such as burnout, and as a way of improving the care of dying patients and their relatives.

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  • 450.
    Severinsson, Elisabeth
    et al.
    Buskerud & Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
    Haruna, Megumi
    The University of Tokyo, Department of Midwifery and Women’s Health, Division of Health Sciences & Nursing, Graduate School of Medicine, Tokyo, Japan..
    Rönnerhag, Maria
    University West, Department of Health Sciences, Section for nursing - undergraduate level. Buskerud & Vestfold University College, Centre for Women’s, Family and Child Health, Faculty of Health Sciences, Kongsberg, Norway..
    Berggren, Ingela
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Patient Safety, Adverse Healthcare Events and Near-Misses in Obstetric Care: A Systematic Literature Review2015In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 12, p. 1110-1122Article in journal (Refereed)
    Abstract [en]

    Systematic development of a patient safety culture is necessary because lack of quality care leads to human suffering. The aim of this review was to identify evidence of obstetric adverse events (AEs) and near-misses in the context of patient safety. We conducted a search of the published literature from Europe, Australia and the USA in the following databases: Cinahl, Cochrane, Maternity and Infant Care, Ovid, Pro-quest and PubMed, guided by PRISMA procedures. A total of 427 studies were screened, 15 full papers retrieved and nine studies included in the final thematic analysis. The selected papers address a broad spectrum of adverse patient safety events in obstetric care. The themes that emerged were: type of AEs, near-misses and their consequences, strategies to support and improve Patient Safety (PS) and domains related to the WHO Patient Safety competence outcomes. The findings of the first theme were grouped into the following categories: healthcare professionals' perspectives on ethical conflicts, attributing blame and responsibility, and patients' perspectives on lack of trust and involvement, as well as medication errors. The second theme, strategies to support interventions to improve PS, was based on two sub-themes: communicating effectively and gaining competence by learning from adverse events, while the third theme was domains related to the WHO Patient Safety competence outcomes. In conclusion, few studies have examined strategies for managing AEs despite the existence of programmes that target the implementation of changes, such as improved teamwork training. In addition to exploring strategies to make safety a priority for patients and healthcare professionals, it is of the utmost importance to improve communication with patients and between professionals in order to maintain and enhance safety. Efforts by organizations and individuals to continuously develop knowledge about the risk of AEs and the use of best practice guidelines are also essential.

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