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  • 51.
    Al-Ali, Ariana
    et al.
    University West, Department of Health Sciences.
    Ragnestål, Elin
    University West, Department of Health Sciences.
    Sjuksköterskans erfarenheter av att vårda personer som uppvisar beteendemässiga och psykologiska symtom vid demenssjukdom: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The world has an ever-increasing age of the population, something that will not change in the future. Therefore, the proportion of elderly people and dementia will continue to increase. Approximately 90 percent of people diagnosed with dementia exhibit behavioral and psychological symptoms of dementia (BPSD). These symptoms can be difficult for nurses to cope with. Nurses often meet these people in different care contexts and departments. Therefore, it is essential that nurse's experiences of caring for people with dementia come to light.

    Aim: The purpose was to describe the nurse's experiences of caring for people with BPSD. 

    Method: The study was based on a literature study of articles with qualitative methods. The articles were found through systematic literature searches in the databases Cinahl and Pubmed and were from 2013-2023, were peer reviewed and written in the English language. The articles underwent a quality assessment and were analyzed in a five-step process.

    Results: The results were presented in two main themes: Aspects that facilitate care for people with BPSD. Aspects that complicate the care of people with BPSD. This was followed by six subthemes: The importance of person-centeredness and environmental adaptation. The nurses' own emotional reactions. Early identification of symptoms. Difficulties in communicating with people with dementia. Lack of knowledge. Lack of time due to high workload.

    Conclusion: The findings of this study indicate that knowledge, education, the workplace organization, and training were fundamental parts in caring for persons with dementia.

  • 52.
    Alatalo, Ida
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Andersson, Karin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kampen mot barnlösheten: kvinnors upplevelser av infertilitet. En studie av självbiografier2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Fertility problems in women often cause mental stress. Feelings that women describe during the infertility investigation is jealousy, sorrow, guilt, pain, and anxiety. These women need support and encouragement from the nurse during the investigation. Therefore it is important that nurses understand the women's experiences. Previous studies on women's experiences of infertility are based on interviews. Therefore, this study will focus on women's own stories about their experiences during infertility investigation.

    Aim: The aim of the study was to describe women's experiences of infertility during the time the investigation is in progress.

    Method: The study was based on narratives, which in this case means an analysis of biographies. Three autobiographies were analyzed according to Dahlborg-Lyckhages (2006) description of analysis of narratives.

    Results: Four themes and seven subthemes emerged from the analysis. The results show that women's experiences are characterized by being inadequate, feeling guilt, envy, and the nurse's attitudes that can give sense of desperation or hope. The women's experiences affect their everyday lives and their emotions make them isolate themselves.

    Conclusion: Motherhood is a central part of the woman's life and identity, to be infertile is perceived as to major pressure that may result in mental stress. To reduce the infertile women´s suffering and mental stress it is important that the nurse shows empathy and understanding

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  • 53.
    Albihn, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Larsson, Sanna
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Kvinnors upplevelser av livskvalitet efter genomgången hjärtinfarkt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    To suffer a myocardial infarction is a dramatic even that might influence a human´s quality of life. Women and men´s symptoms may differ and this might delay treatment for women. This gives women a worse prognosis and also affects their quality of life.

    Aim

    The aim was to describe women´s experiences of quality of life after myocardial infarction.

    Method

    To study the selected area a literature review was used. It consists of five qualitative and four quantitative studies.

    Results

    Three themes and six sub-themes emerged. The themes were social well-being, a second chance and uncertainty for the future. The sub-themes were support from family and friends, support from health care, hope and meaning with life, a new start, fear and stress.

    Conclusion

    The social network increased quality of life in women as it gave feelings of security, love and belonging. The women discovered that life didn´t consist of work only but contained more meaningful things like helping others and do things they didn´t think they could manage anymore. Many of the women experienced decreased quality of life related to fear of suffering a new myocardial infarction. Information and education should be individualized relevant to the patient´s specific situation

  • 54.
    Albinsson, Birgitta
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Bergström, Lena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Närståendes upplevelser av mötet med personal i hemsjukvården i den palliativa vården2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Being cared for in your own homes by staff from the home health care the last days of your life has become more common and will probably be gradually expanded. When a person becomes seriously ill, they usually get support from their families.

    Purpose:

    The purpose of this study was to describe the relatives ' experiences of meeting with staff from home care in who is working with palliative care. Three women and two men were interviewed individually in their own homes.

    Method:

    The study was conducted with a qualitative approach, based on Graneheim and Lundman’s content analysis. The analysis resulted in four different conclusions: to feel secure, to feel involved, be able to be at home and to be I good hands.

    Results:

    The study showed that the families think that the attitude and the commitment from the staff to the family and the person being cared for was the most important. The families had a positive experience and felt secure when there was continuity in the home care staff group. Staff with sensitivity and competence for the task was desirable for the relatives. To personally be able to maintain the responsibility to look after the person in need of care, and being involved, was a high priority, this while the support from the home care continued.

    Conclusion:

    It is important that the staff in home health care reflects on their approach when care is provided in the home. Because the staffs are guests and the caretaker and the relatives are hosts. In This study we wanted to highlight the families point of view, which can lead to that the staff have a better attitude and that will give the relatives a higher sense of wellbeing

  • 55.
    Albinsson, Isac
    et al.
    University West, Department of Health Sciences.
    Heina, Malin
    University West, Department of Health Sciences.
    Ungdomars erfarenheter av att leva med diabetes mellitus typ 1: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes mellitus type 1 is a metabolic disease and an increasing health problem throughout the world. It’s extremely common among children and adolescents. It’s a complex diagnosis to deal with and treatment of diabetes mellitus type 1 involves daily blood sugar control and insulin injections. 

    Aim: The aim of this study was to describe adolescents’ experiences of living with type 1 diabetes.

    Method: A qualitative literature-based method with an analysis of qualitative research was selected . Nine articles from 2013- 2022 were analyzed and included in the result.

    Results: The analysis resulted in three themes and nine subthemes. The themes that emerged were: (1) A changed life situation that awakens emotions (2) The need for a functioning safety net in the encounter with the outside world (3) Dealing with a new everyday life.

    Conclusion: The results revealed that young people with diabetes mellitus type 1 had a feeling that they needed to adjust their lives to be able to live with the disease. The majority of the adolescents sought independence, as it was their main objective. It was evident that one of the biggest difficulties that the adolescents faced were the feeling of being the one to “stand out”. The surroundings impact on the everyday life were both positive and negative.

  • 56.
    Albinsson, Jenny
    et al.
    University West, Department of Health Sciences.
    Björn, Elin
    University West, Department of Health Sciences.
    Upplevelsen av att vara närstående under covidpandemin.: En litteraturbaserad studie2023Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The corona pandemic led to visiting restrictions which means that relatives were involuntarily separated from their loved ones, creating suffering for both parties. The nurse has an important social responsibility to see and include relatives in the person-centered care. Aim: To describe the relatives’ experience of being close during the corona pandemic. Method: A qualitative literature-based study. The articles were searched in the CINAHL and PubMed databases, which after analysis according to Friberg’s 5-step model resulted in tenselected articles which constitute the result. Results: The literature-based study resulted in 3 themes; Powerlessness and frustration during the corona pandemic, Loss and grief in time of COVID-19, Feeling of gratitude and dignity during the pandemic and 8 sub-themes; Fear of loved ones, Separation and bereavement, Lack of time affected the communication, Lost identity, Limited farewell, Lost time at the end of life, Having trust in care staff, Being confirmed as a relative. Relatives experienced a loss of contact with care during the corona pandemic. The nurse's empathic ability was important and made a difference, especially in cases of death. The next of kin wants to be recognized by the nurse as the significant part they are in their loved ones' lives and the person-centered care.Conclusion: The relatives' experience of being able to participate and be present in their loved one's care is something the nurse should consider and encourage as an important part of the person-centered care.

  • 57.
    Aldegren, Emelie
    et al.
    University West, Department of Health Sciences, Nursing Programme.
    Pettersson, Maria
    University West, Department of Health Sciences, Nursing Programme.
    Cancer förändrar allt!: Kvinnans upplevelse av bröstcancer2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One of ten women in Sweden will at some point in her life get breast cancer. In today's society, more women than ever before suffer from breast cancer, but the chance of survival increases. As a nurse, it is important to have knowledge about the woman's experiences of breast cancer in order to provide as optimal and individualized care possible.

    Aim: The aim of the study was to elucidate how the woman experience the first time with breast cancer.

    Method: A literature-based method is used to bring out the woman´s experiences of getting breast cancer. The results of the studies were analyzed using a qualitative content analysis consists of five steps. The analysis resulted in four themes and twelve subthemes.

    Results: The results showed that the woman are in great need of support, feeling anxiety and fear, experiencing an altered self-image, and that treatment hinders.

    Conclusion: The conclusion showed that regardless of the situation, it was important for the woman that someone always was there for them as support. An important aspect was the need for information to reduce fear and anxiety. Breast cancer affecting the whole of the woman's lives and she strove to reclaim as much as possible of her previous life. This could be difficult because of fatigue and other major changes the woman experienced after the treatments, both physically and mentally.

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  • 58.
    Aldegren, Sandra
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Mäntylä, Nina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Icke-farmakologiska metoder för att lindra postoperativ och procedurrelaterad smärta hos små barn2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Non-pharmacological methods refer to a variety of methods that does not involve the use of drugs but makes the pain more tolerable and makes the child feel more in control. Children and pain has for long been diminished and not enough research has been conducted to find better methods to relieve the common postoperative and procedural pain among children. There is lacking knowledge among nurses about non-pharmacological methods that relieve pain in children. The child’s experience of health care and nurses can be negative by not relieving there pain.

    Aim:

    The aim was to explore the non-pharmacological methods used to relieve postoperative and procedural pain in children, aged 0-5 years.

    Method:

    A literature review was conducted, based on both qualitative and quantitative research. Eleven studies were analysed, critically reviewed and the results were compiled into five categories.

    Results:

    The five categories were distraction, breastfeeding and breast milk, sensory stimulation, pacifier and sucrose and water. The result shows that some non-pharmacological methods are effective in relieving postoperative and procedural pain. Breastfeeding and a combination of sucrose and pacifier were most effective on infants. Parental attendances were also important for the children, all ages to make them feel more secure and safe.

    Conclusion:

    The results showed that distraction methods used on children aged 4-5 years, studied in this literary review, were ineffective. The results showed that non-pharmacological methods such as breastfeeding and a combination of sucrose and pacifier are effective in relieving pain in infants and new-borns

  • 59.
    Aldenbratt, Annika
    et al.
    Department of Medical Sciences, Uppsala University, Uppsala,(SWE).
    Lindberg, Christopher
    Neuromuscular Center/Department of Neurology, Sahlgrenska University Hospital, Gothenburg, (SWE).
    Johannesson, Elias
    University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.
    Hammarsten, Ola
    Department of Clinical Chemistry, Sahlgrenska Academy, Gothenburg, (SWE).
    Svensson, Maria K.
    Department of Medical Sciences, Uppsala University, Uppsala, (SWE).
    Estimation of kidney function in patients with primary neuromuscular diseases: is serum cystatin C a better marker of kidney function than creatinine?2021In: JN. Journal of Nephrology, ISSN 1121-8428, E-ISSN 1724-6059, Vol. 35, no 2, p. 493-503Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Using serum creatinine leads to an overestimation of kidney function in patients with primary neuromuscular disorders, and reduced kidney function may remain undetected. Cystatin C (CysC) could provide a better estimation.

    AIM: To evaluate the precision, accuracy, and bias of two creatinine-, one cystatin C-based and one combined equation to estimate glomerular filtration rate (eGFR) in patients with primary neuromuscular disease.

    PATIENTS AND METHODS: Of the 418 patients initially identified at the out-patient clinic, data on kidney function was obtained for 145 adult patients (age 46 ± 14 years, BMI 26 ± 6 kg/m2) with primary neuromuscular disease. Kidney function was measured by iohexol clearance, and blood samples for serum creatinine and CysC were drawn simultaneously. Bias was defined as the mean difference between eGFR and measured iohexol clearance, and accuracy as the proportion of eGFRs within ± 10% (P10) of measured clearance.

    RESULTS: Kidney function (iohexol clearance) was 81 ± 19 (38-134) ml/min/1.73m2. All equations overestimated kidney function by 22-60 ml/min/1.73m2. eGFR CysC had the lowest bias overall 22 (95% CI 20-26) ml/min/1.73m2 also at all levels of kidney function we evaluated (at 30-59 ml/min/1.73m2 bias was 27 (95% CI 21-35), at 60-89 it was 25 (95% CI 20-28) and at ≥ 90 it was 12 (95% CI 7-22)). eGFR CysC also had the best accuracy in patients with reduced kidney function (P10 was 5.9% at 30-59 ml/min/1.73m2).

    CONCLUSIONS: Cystatin C-based estimations of kidney function performed better than creatinine-based ones in patients with primary neuromuscular disease, but most importantly, all evaluated equations overestimated kidney function, especially in patients with reduced kidney function. Therefore, kidney function should be measured by gold-standard methods when precision and accuracy are needed.

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  • 60.
    Alenklint, Johanna
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Wadstedt, Ann-Sofie
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans kunskapsbehov inför mötet med den palliativa patienten: En litteraturöversikt ur ett sjuksköterskeperspektiv2020Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Knowledge of how the nurse relates to the palliative patient and how the nurses hould respond to palliative care situations is the basis for equal and fair care. Attention was paid to the variation in the treatment of the nurses towards the patients. The observation raised the question of what is required for nurses to feel comfortable in their competence and treatment.

    Aim: The purpose is to describe the nurse's knowledge in palliative care for the patient to receive a dignified ending.

    Method: The method chosen is a literature review to describe the knowledge in the problem area. The motivation of the chosen method is governed by the purpose and issues we have chosen. Literature overview means creating an overview of a limited topic but also compiling existing knowledge within the subject. In our case, nurses need knowledge in palliative care. In a literature review both quantitative and qualitative articles are used.

    Results: The results are divided into categories and subcategories and highlight that there is a need for knowledge in the nurse to feel confident in her professional profession in the care of palliative patients. The nurse's shortcomings can lead to the patient being cared for in palliative care not receiving a dignified death. The results address the desire for a palliative care course in nursing education and that attitudes are affected by the nurse's own feeling of fear and ignorance.

    Conclusion: The results of the study show that the nurse does not have sufficient knowledge of palliative care, which affects the quality of nursing. Cooperation with colleagues and support for each other is important for care and for the nurse to feel secure in her professional role. There are negative feelings in the nurse with a lack of knowledge and experience, which can negatively affect the nursing, which can create suffering for the patient and affect the end of life. Attitudes are affected by lack of knowledge but can also affect the patient's suffering.

  • 61.
    Alexandersson, Caroline
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vince, Cassandra
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Våld i nära relation: En litteraturstudie om sjuksköterskans upplevelser av att bemöta utsatta kvinnor.2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: One third of all women in the world are exposed to violence, it is a global public health problem. Violence in a close relationship can be problematic to detect because signs of violence can appear in several different ways. The nurse area of expertise has a significant role when it comes to identifying women exposed to violence in order to be able to promote health. The nurse's response can be a crucial part of whether the woman dares to talk about her exposure to violence.

    Aim: The aim of the study was to describe the nurse's experiences of dealing with women who have been subjected to violence in a close relationship

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

    Results: The results of the literature study draw attention to factors that affect the nurse in the meeting with the woman exposed to violence in a close relationship. The results were divided into two main themes and five sub-themes 

    Conclusion: The meeting with the woman who is exposed to violence in a close relationship is experienced as complicated. Nurses need more knowledge, support and clear guidelines to feel confident in meeting the women. To be able to break preconceived notions and normsabout violence in close relationships, a broader awareness in society is needed.

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  • 62.
    Alfaro Guzman, Elaisis
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Prado Castro, Karen
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskans upplevelse av teamarbete på vårdcentralen2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background; The nurse often works in teams with other professional groups. Communication is a key factor for the collaboration in a well functioning team. The system theory is a useful to apply within teamwork at the health center, to better gain understanding of the roles and responsibilities of the team members. Studies show that there is a need to set aside time for team meetings and that the current lack of time in the health center has a negative impact on teamwork and patient safety. Therefore it is important to explore the nurse's experience of teamwork.

    Aim; Nurse's experience of teamwork in primary care.

    Method; A qualitative content analysis was used to analyse the data collection, where semi structured interviews were applied to elucidate the purpose of the study. The number of informants interviewed was 11 from four different health centers in four different municipalities.

    Result; Three categories emerged from the experience of teamwork at the health center. These were described as competence that provides security and that the work structure facilitates the team's workload and that there were impediments in the work. The result showed that the nurse felt that, with the right skills, the nurse could provide security to colleagues, patient and their relatives. An impediment was lack of time to conduct team meetings. This made it a challenge to plan for the patient's continued care. Despite this, the nurse did her best to prevent the patient from being adversely affected. It turned out that when the nurse structured up the day's work, the workload is facilitated and errands that arose got solved more quickly.

    Conclusions; The barriers in the development of the teamwork mentioned are lack of time and resources. In order to develop teamwork, additional communication tools are needed to facilitate communication within the team.

  • 63.
    Alfredsson, Anna
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Detta är en hård nöt att knäcka": Sexualupplysning till nyanlända ungdomar2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In this study, we explore more closely how different organizations in society work and do their business to learn about sex and social information for newly arrived young people. In the study, the participants' own stories will provide an insight into how it may appear to work with sex and social information for newly arrived young people. These organizations work to provide sex education to newly arrived young people in diverse ways, which made it interesting to rigorously compare the organizations work methods with each other and then highlight the forces in the diverse ways of working. The purpose of this study is to investigate how some organizations in society work with sex and social information aimed at newly arrived young people. Furthermore, an aim is to investigate these organizations own perceptions of this work and look at similarities and differences in their way of working. In this qualitative study, interviews have been chosen as data collection methods. Qualitative content analysis was used to analyze data for this study. The main result of the study was presented in the form of "Change". The theme Change shows the informants' desire for change in both working methods and perceptions. The theme consists of two domains. The first domain is "Way of working" and represents how the different organizations look at the work, and what are the shortcomings. For example, more resources and continuity at work are needed, and generally how the work on sex and cohabitation information looks. Under the domain of Work, there are four categories "more resources", "continuity", "grouping" and "participation and interaction". The second domain is "Knowledge Situation and Needs", which represent the actors' perceptions of how the knowledge situation among the youths. Under the Knowledge and Requirements domain, there are two categories, "ignorance" and "attitudes". In these categories, the group's attitudes towards sexual and social information and the meetings with the organizations, as well as the attitudes of the activities, are emphasized. An illumination of the lack of knowledge of the group is in the category of ignorance, deviant ignorance compared to young people in general. In conclusion, it is generally necessary to add more resources and the theme 'Change' summarizes the whole of how the organizations work with sex and social information or how they want to work with it. More resources should be invested in the field and they need to work continuously with this area for a lengthy period. A common picture and perception was established regarding that more involvement and cooperation between organizations. The organizations consider that diverse ways of grouping at the meeting with young people are needed and constructive work with the attitudes of young people and the ignorance that the organizations consider is associated with sex and cohabitation among young people.

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  • 64.
    Alfredsson, Erika
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Larsson, Frida
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att leva med Anorexia nervosa: En litterturbaserad studie2021Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Anorexia nervosa is a serious mental illness that mainly affects young people and is characterized by how the person thinks and feels in relation to food, eating and their own body. The disease has a major impact on the person's daily life and can adversely affect people around them. As a nurse, it is important to be able to understand, respond to and provide good care to someone with Anorexia nervosa. By gaining an increased understanding of what it means to live with the disease, the nurse can relieve the suffering and improve the health of the person who is ill.

    Aim The study aimed to illuminate experiences of living with Anorexia nervosa. 

    Method A qualitative study, based on the content of eleven scientific articles.

    Results The findings revealed three main themes: The feeling of an inner conflict, The importance of being part of care and Being part of a context. The results showed that the participants who suffered from Anorexia nervosa had a need for control and a perfectionist behavior that affected large parts of their life. Several participants in the study describe how relationships with family and friends are affected by the disease and how society's view of Anorexia nervosa leads to increased loneliness and isolation. The study also illuminates theparticipants ' view of nurses' role and the healthcare. 

    Conclusion The conclusion of the results from the reviewed articles shows that life is affected in many ways for those living with Anorexia nervosa. It became clear that the disease is characterized by suffering when it comes to understanding one's own self-image and that they experience an isolating loneliness. Several people also mention how guilt and shame over having the disease affected life. Then society has an image that Anorexia nervosa is only about achieving a perfect appearance. It was also shown that the nurse has a significant role in the person's recovery.

  • 65.
    Alfredsson, Johanna
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Andersson, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Föräldrars upplevelser av att leva med ett barn med självskadebeteende: en litteraturbaserad studie med grund i analys av kvalitativ forskning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Deliberate self-harm are a growing problem among young people in Sweden. It's not only the child that suffers from the behaviour, even the whole family. Parent´s need the right support from the healthcare staff for their own wellbeing, but also to be able to give good support for their child. Par-ent´s experiences are of importance for the nurse in the healthcare of the child and their families. The aim of this study was to describe parent´s experiences of living with a child with a deliberate self-harm behavior. In this literature study ten qualitative articles were analyzed using the method of Friberg (2012). Eight articles were found by a systematic search and two articles were found in an unsystematic search. This study showed four main themes and ten subthemes. Main themes were parent´s experience of support, parent´s experience of different feelings, parent´s experience of fam-ily relations and parent´s experience of parenting. Subthemes were to experience lack of support from healthcare staff, to need support from the environment, to feel guilt and shame, to feel concern and fear, to experience chock, to communicate with their child, to experience a different relation-ship in the family, to maintain trust in the relationship between parent and child, wanting to protect their child, to feel unsecure in their parenting. Conclusion were that parent´s need better support from the healthcare staff and from others in their environment. Nurses need more knowledge about parent´s experiences to be able to understand their needs and to be able to support them.

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  • 66.
    Algotsson, Jennie
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Bodin, Maja
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Vård med fokus att lindra: En litteraturbaserad studie om sjuksköterskors upplevelser i palliativ vård.2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: According to World Health Organization is palliative care a human right. The focus of palliative care is relieving suffering and having quality of life as the main goal. The nurse's role is to enable symptom control, to be a support for the patient and close relatives, as well as contributing to a good and worthy death. Although death is a part of life, strong feelings arise about death and the dying. Aim: The aim of this study was to describe nurse experiences of palliative care. Method: The method used was a literature study based on international qualitative research. Eleven articles were analyzed and resulted in four main themes and nine sub-themes. Results: The findings were four main themes; the profession, relationships, work environment and feelings as well as nine sub themes; experiences and knowledges, the patient, relatives, stress, support from colleagues, lack of support from colleagues, grief and impotency, satisfaction and mental strain. Conclusion: The nurse’s experience of palliative care is individual and varies depending on, experience, interaction with colleagues and self-perception regarding individual values and existential questions.

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  • 67.
    Ali, Ayan
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Cederrand, Robert
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Livet blir vad du gör det till: En litteraturstudie om att leva med hjärtsvikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Heart failure is one of the most common diagnoses in Swedish health care. Approximately 250 000 people in Sweden are estimated to have a heart failure and approximately 30 000 new patients are diagnosed every year. Heart failure is a serious illness with server symptoms and high mortality. The aim of this study was to illustrate patients with heart failures experiences of quality of life. The method that was used is a literature-based study of 12 qualitative articles that was based on their results. The included articles were published between 2003-2014. The majority of the participants were in the scale between NYHA-II-III. The result shows that patients with heart failure experienced symptom burden that limited their daily life. They described a constant struggle between the illness and the feeling of maintaining the roll they once had. The most important thing was to find strategies to maintain the quality in life and to have good spirit and positive thought. The result was presented in four themes: When the body sets limits, feelings taking over, captive in your own home and an uncertain future. The conclusion that can be drawn from the results of this study is that the experience of quality of life is highly individual and depends mostly on how the experience of the disease is being managed by the individual.

  • 68.
    Ali, Hassan
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Andréasson, Mathilda
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Vilken inverkan har traumafokuserad kognitiv beteendeterapi och spelbaserad kognitiv beteendeterapi på barn som blivit utsatta för sexuella övergrepp?2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexual abuse of children is a serious restriction on the child's integrity and can cause serious psychological impacts in the form of trauma-related symptoms. It is important that the child then receives treatment to develop mental well-being.

    Aim: The purpose of this paper is to create an overview of the state of knowledge about the impact of trauma-focused cognitive behavioral therapy and game-based cognitive behavioral therapy in children who have been sexually abused.

    Method: This study is based on a literature review where data has been collected from existing information. Based on a three-step model, six scientific articles have been reviewed.

    Result: The results showed that trauma-focused cognitive behavioral therapy (TF-CBT) and game-based cognitive behavioral therapy (GB-CBT) have a positive impact in improving trauma-related symptoms in children between the ages of 4 - 18 who have been sexually abused. The results further showed that the child's knowledge area and safety thinking regarding sexual abuse increased after treatment.

    Conclusion: The present study shows that children who have been sexually abused are at risk of developing mental illness in the form of depression, PTSD, outgoing and introverted behavioral problems and sexual disorders. The result showed that cognitively behavioral treatments in the form of TF-CBT and GB-CBT have a positive effect on improving traumarelated symptoms because of sexual abuse. The result also showed that GB-CBT increases the child's safety thinking and other knowledge about sexual abuse. Because sexual abuse of children can have serious consequences for the child's future, it is important to highlight the positive impact treatments have and how the child's knowledge and safety mindset about sexual abuse can increase. The present study can thus be helpful for occupations that work with children.

  • 69.
    Ali, Ikra Abdullahi
    et al.
    University West, Department of Health Sciences.
    Guldbrandsen, Malin
    University West, Department of Health Sciences.
    BHV-Sjuksköterskors upplevelser av att arbeta med utökade hembesök: Att främja relationer genom utökade hembesök2022Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The child health care’s goal is to work with health promotion and preventing illness. Children who grow up in socio-economic vulnerability are at greater risk of developing illness. The extended home visiting program is for first time parents and includes six home visits under the child’s first 15 months. The project is performed by child health care nurses together with a parent counselor from the social service. 

    Aim: The purpose of the study was to describe Child Health Care nurses’ experiences of the extended home visiting program.

    Method: This study is a qualitative study with an inductive approach. Semi structured interviews were conducted with 8 informants from child health care in Sweden. Qualitative content analysis was used to analyze the interviews. 

    Results: Working in families home environment continuously is relationship-strengthening, provides increased opportunities for trust, and creates security. There is a risk with the extended home visit program that some families will feel treated differently. The child health care nurses feel that the fathers and siblings are more included. The collaboration with the social services is considered enriching for the families and the child health care nurses who are inspired and learn from the parental counselor from the social services. It is also a way to introduce the social services in a natural way for the family. The child health care nurses have different experiences regarding whether the work is time-consuming or not.

    Conclusion: The study shows that the extended home visit program is a good way to promote relationships with the family and the collaboration with social services. The extended home visits are a good investment to promote equal health and prevent ill health among children both in the short term but especially in the long term.

  • 70.
    Ali, L.
    et al.
    Gothenburg University, Psychiatric and Mental Health care, The Institute of Health and Care Science, Sahlgrenska Academy.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences.
    Skärsäter, Ingela
    Sahlgrenska University Hospital,Department of Psychiatry.
    Daily life for young adults who care for a person with mental illness: A qualitative study2012In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, no 7, p. 610-617Article in journal (Refereed)
    Abstract [en]

    This study describes the daily life and management strategies of young informal carers of family members or friends with mental illness. Twelve young adults (three men and nine women; 16-25 years old) in Sweden were voluntarily recruited between February and May 2008. Data collected through eight individual semi-structured interviews and one focus group interview were analysed using qualitative content analysis. The findings revealed nine subthemes that were further grouped into three main themes: showing concern, providing support and using management strategies. Participants lived in constant readiness for something unexpected to happen to the person they cared for, and their role in the relationship could change quickly from family member or friend to guardian or supervisor. Supporting a friend was considered as large a personal responsibility as supporting a family member. Their management strategies were based on individual capacities and their ability to step aside should the situation become too demanding. These young informal carers need support in caring for the mentally ill. As the internet becomes increasingly fundamental to daily life, support could be provided most effectively through person-centred web sites. © 2011 Blackwell Publishing.

  • 71.
    Ali, Leyla
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Ahmed, Yglan
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans upplevelse av att ge omvårdnad i palliativ vård: En litteraturbaserad studie2022Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Patients with life-threatening illnesses benefit from palliative care, which seeks to improve their quality of life. When a patient is diagnosed with a serious illness, it is the professional role of the nurse to contribute to supporting patients with safe and good palliative care, and to support individual to live with dignity in the face of incurable disease and the end of life.

    Aim: The aim of the study was to describe the nurse´s experiences providing good nursing in late palliative care. Method: Literature-based study was used with qualitative design since it was used addressing the study’s aim. Seven articles were included.

    Results: The result was compiled and from this emerged two main themes, Emotional impact and Organizational shortcomings. When nurses work in palliative care, they can face a variety of stresses. When caring for patients in their later stages of life, nurses often feel inadequate due to lack of time and resources. Nurses also suffer from a lack of organization, which means that they cannot provide the best possible treatment in palliative care.

    Conclusion: When nurses work in palliative care, they may face a variety of pressures. When caring for patients in their later phases of life, nurses often feel inadequate due to a lack of time and resources. Nurses also suffer from a lack of organization, which means that they lack organizational opportunities, because they cannot provide the best possible treatment in palliative care

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  • 72. Ali, Lilas
    et al.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Sjöström, Nils
    Skärsäter, Ingela
    Need and usage of support among young informal carers of persons with mental illness: a mixed method study2013In: Horatio, European Psychiatric Nursing Congress 2013. Stepped care provided by psychiatric nurses in different parts of the world. Abstract book. / [ed] Neslihan Keser Özcan & Hülya Bilgin, 2013, p. 94-Conference paper (Refereed)
  • 73.
    Ali, Lilas
    et al.
    Gothenburg University, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Ahlström, Britt Hedman
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Linköping University, Department of Medical and Health Sciences.
    Sjöström, Nils
    Sahlgrenska Academy, Institute of Health and Care Sciences.
    Skärsäter, Ingela
    Halmstad University, School of Social and Health Sciences.
    Support for young informal carers of persons with mental illness: A mixed-method study2013In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, no 8, p. 611-618Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to explore how young (16-25 year old) informal carers of a person with a mental illness experience and use support. In a mixed method approach, we interviewed 12 young carers, and 241 completed a self-administered questionnaire. While the young carers strive to maintain control, their main support seems to be others in their lives, who often define the situation differently. The carers said web-support, counseling, and group counseling might be helpful, yet very few had any professional support. Young carers are greatly in need of support and it should be provided.

  • 74.
    Ali, Lilas
    et al.
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Linköpings universitet.
    Elf, Michael
    Göteborgs universitet.
    Skärsäter, Ingela
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Young caregivers that support and care to people with mental illness2010In: Nordic Conference of Mental Health Nursing, 2010Conference paper (Refereed)
  • 75.
    Ali, Lilas
    et al.
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Hedman Ahlström, Britt
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Krevers, Barbro
    Linköpings universitet.
    Skärsäter, Ingela
    Institutionen för vårdvetenskap och hälsa, Göteborgs universitet.
    Unga vuxna som ger stöd till personer med psykisk ohälsa: hur påverkas de närståendes liv?2010In: Familjefokuserad omvårdnad.: Den tredje nordiska konferensen, Kalmar, Sverige 22-23 september 2010, 2010Conference paper (Refereed)
  • 76.
    Ali, Marian
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Drobic, Elma
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskor i en hotfull och våldsam miljö: En litteraturbaserad studie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Threats and violence against healthcare staff is an international concern worldwide. Specifically nurses are at high risk of experiencing threats and violence at their workplace. A threatening and violent work environment creates huge difficulties for the nurses involved. Aim: The purpose of the study was to describe nurse's experience of threats and violence in their workplace by patients and people that are related to the patient. Method: The method used was a literature study based on qualitative research. Ten articles were analyzed according to Friberg's five step model and resulted in two main themes and eight sub-themes. Results: The nurses experience were divided into two main categories; experience of feelings and the nurse's experience of consequences. Conclusion: The result showed that the nurses experience of threats and violence in the workplace affected their ability to work and their private life negatively. Consequently, having a negative influence on their patient care. Therefore, it is necessary to pay more attention to nurses working environment by applying different strategies to combat the threats and violence experienced by identifying the root cause and managing the problem.

  • 77.
    Ali Omar, Sadiya
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av att leva med hemodialys: en systematisk litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    In Sweden there are almost 1100 people per year who suffer from chronic renal failure. Chronic kidney disease is a serious and progressive disease that causes uremic symptoms. Without proper treatment, the disease can lead to death. The goal of haemodialysis treatment is to improve the patient's quality of life by preventing or alleviating uremic symptoms, as well as slowing down the deterioration of kidney function and possible complications and consequences of kidney failure. Living with haemodialysis involves major physical, psychological and social changes in the patient's life which causes suffering

    Aim

    The aim of this study is to highlight patients' experiences of living with haemodialysis

    Method

    A literature review was performed, based on eight qualitative articles. A content analysis was made according to Friberg's four steps

    Results

    The results show three main themes and eight subthemes which describe the patient's experience of living with haemodialysis. Results show that patients experienced loss of freedom because of the bound and dependence they felt to haemodialysis and the competence of the hospital staff. The treatment also resulted in limitations on the patient's life, which resulted in changes in the physical, psychological and social aspects of the patient's life. To be able to handle the changes, the patients developed different strategies, such as finding strength and faith in religion and the family, and many patients hoped to get a kidney transplant.

    Conclusion

    Nurses have continuous contact with patients in haemodialysis. These patients need physical, psychological, social and existential/ spiritual support. By knowledge and increased understanding of the patient's individual experience of their illness and treatment, the nurses may more easily relieve the patient's suffering, promote health and increase their well-being and create a good healthcare relationship.

  • 78.
    Ali Omar, Sadiya
    et al.
    University West, Department of Health Sciences.
    Dunder, Ann-Catrin
    University West, Department of Health Sciences.
    Erfarenheter av fysisk aktivitet vid diabetes typ 2 ur ett patientperspektiv: En litteraturöversikt2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Diabetes type 2 is increasing globally, the most common underlying cause is physical inactivity. Increased physical activity can help lower blood sugar and prevent future complications. In diabetes care, it is important to work in a person-centered way and take advantage of the patient's experience and strengthen the patient for self-care treatment. Specialist nurses need to promote and prevent illness as well as support the patient to manage and control the risk factors for illness.

    Aim:

    To illuminate experiences of physical activity in type 2 diabetes from a patient perspective.

    Method:

    A literature review was made through a qualitative synthesis of nine already published research studies using Evans' (2002) method. 

    Results:

    Two main themes emerged, momentum and obstacles. What is emphasized in the results shows that patients have the motivation and the will, but the results showed that there were various factors that limit and prevent patients from practicing physical activity. The results also showed that patients have a need for knowledge from the nurse to manage their illness and receive guidance regarding lifestyle changes in the form of physical activity.

    Conclusion:

    The results show that physical activity in patients with type 2 diabetes has a positive impact on physical, mental, and social health. Further studies would be needed in what motivates patients to perform physical activity

  • 79.
    Ali, Shukri
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Aly, Carolina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Upplevelser av utbrändhet: En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Burnout due to work-related stress is increasing in the society. Many studies concern the causes and effects of burnout, but rarely concern the experiences of those who are living with burnout. The aim of this study was to examine the experience of living with burnout. The concepts of health, suffering, burnout, stress and coping are briefly described in the background. The method that was used is a literature-based study with the analysis of qualitative research. This study is based on eight qualitative articles. Six themes emerged; Physical experiences, Psychological experiences and Existential experiences, Work experiences, Experiences of relations in private life and Experiences of demands and expectations. The results shows that burnout affects a person on many different levels. Dealing with burnout involves a range of varieties of symtoms, physical as well as psychological and social. Physical symtoms that appeared among the participants were for instance fatigue, brain fog, headache and palpitations. Social and relational problems as bad conscience, low self- esteem and feelings of inadequacy were experienced. Emotional disturbances and existential reflections were common amongst those who were suffering from burnout.

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  • 80.
    Ali, Tara
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Gustavsson, Anna-Lena
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Distriktssköterskans erfarenhet av sin arbetssituation på vårdcentral2018Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The work done by the nurse at the primary health care center includes meeting with people of different ages and with different health problems and diseases. It is important that the work is carried out in a good environment. Former studies show that the workload for the district nurse has increased and become more stressful with threats and violence from patients who expect more treatment.

    Aim: To describe the district nurse's experiences of their work situation.

    Method: A qualitative interview study with eight district nurses working in primary health care in Sweden were interviewed. The data was analysed using a qualitative content analysis with an inductive approach.

    Results: Three main categories and nine subcategories were generated by the authors. The categories included: The content of a good day is when all the colleagues are present, and the timetable is good planned with enough work containing good meetings. When planning fails is the change of planning because of more patients and obstacles in communication skills. Experience of their environment is the impact of the physical environment such as good working environment and threatening environment.

    Conclusion: There was negative employment in the district nurses' work situation, but despite that, the experience was positive to work independently, make decisions and use their resources. They felt collegial support and it was important to know where to turn when things went wrong.

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  • 81.
    Alm, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Fager, Anette
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ett utmanande vårdande i en kaotisk situation: en intervjustudie om intensivvårdssjuksköterskors upplevelser av att vårda patienter med Covid-19 under en pandemi2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: At the end of 2019, a new type of coronavirus was detected, called SARS-coronavirus-2 (SARS-CoV-2). The virus can cause severe respiratory symptoms that may require intensive care. More than 5,600 people with Covid-19 have been treated in intensive care in Sweden during the pandemic. Previous research has shown that intensive care nurses find it very stressful to care for patients with Covid-19.

    Aim: The aim is to highlight how intensive care nurses experience caring for patients with Covid-19 in an intensive care unit during a pandemic.

    Method: Qualitative method. Data were collected through individual semi-structured interviews. A total of ten intensive care nurses participated in the study, eight women and two men. The interviews have been transcribed and analyzed according to qualitative content analysis.

    Results: The analysis gave two categories and six subcategories. The first category Feeling of inadequacy highlights how intensive care nurses experience a heavy overall responsibility, that patients' care suffers and it also points out that contact with loved ones is perceived as difficult. The second category Feeling of chaos highlights that intensive care nurses find it tough not to have knowledge of the disease and that work environment became more stressful and that there were shortcomings in management support.

    Conclusion: A stressful and unfavourable care environment affects intensive care nursesnegatively. When nursing and contact with loved ones are deficient, ethical stress can lead to burnout. With more knowledge and new guidelines for care, intensive care nurses can feel more satisfied, but management faces major challenges and needs to compensate their staff to stop them from leaving their work during the pandemic. 

  • 82.
    Alm, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Miller, Klara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det dagliga livet efter att ha drabbats av en stroke: en litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: People that suffer from stroke become a regular patient category in hospitals. A severe change in the patient's living situation occurs both physically, mentally and socially. A stroke can cause physical as well as cognitive impairments. When patients lose their physical ability it often leads to a sense of loss. The disability prevents the stroke survivors from living as before and they feel they are no longer in control of their lives.

    Aim: To describe patient's experiences of performing activities of daily living after a stroke.

    Method: Method of contributing to evidence-based nursing based on analysis of qualitative research.

    Results: The result is described in two main themes: being physically limited and being psychosocially limited. Patients described traumatic and emotional experiences when they were not able to control their body and suddenly became dependent on nursing. Nurses have an important role in making the patient involved in nursing care to facilitate the patient's sense of dignity. The patients had difficulty processing their feelings after the stroke and they felt worried about the future. Social relations could be adversely affected when cognitive impairments prevented the patients and they felt sorrow when their future plans changed dramatically.

    Conclusion: Patients affected by stroke were in an exposed situation. They perceived that their changed body affected them both emotionally and existentially and they had trouble accepting their functional difficulties. Everyday life became complex because of the complications after the stroke.

  • 83.
    Almqvist, Lina
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Lyckhage, Linda
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att skämmas över sitt barn: Föräldrars upplevelse av att leva med barn med självskadebeteende2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Mental illness is a growing problem in society and is increasingly seen in younger people. Deliberate self-harm is seen as a complication of mental illness. Self-harm means that people intentionally injure themselves as a habit and with more or less severe de-gree, but with no intention to take their own life. Aim: The aim of the study is to illustrate parents’ experiences of their child’s deliberate self-harm behavior. Method: A literature-based study based on analysis of ten qualitative articles. Results: The results are presented in three main themes and ten subthemes. The first main theme is "A roller coaster of feelings", with three subthemes "First battle", "Feelings of guilt and shame" and "Anxiety and fear". The second main theme is "Parenthood and family rela-tionship" with four subthemes "Changing positions of power", "Parents in conflict", "Not being enough as a parent" and "A changed relationship". The last main theme is "Parents ex-perience of support" with three subthemes "The insufficient support", "Feeling seen" and "To get support from the surroundings". Conclusion: Health care professionals need to create a good relationship with both parents and patients, which can be done by meeting the parents' feelings and being responsive.

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  • 84.
    Almtén, Christine
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hallberg, Sara
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Individers upplevelse av att leva med kolorektalcancer efter genomförd behandling2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background Colorectal cancer is the third most common form of cancer among men and women in Sweden. The disease is shown to have a higher incidence among older individuals. Recent studies showed that the individuals may ignore their symptoms. To make a choice in what treatment to go for individuals got support from family and friends. With the focus on getting through the treatment. Understanding the individual's experience of living with colorectal cancer is important for the nurse profession. The nurse roll is to inform, support, care for these individuals and give a person-centered care.

    Aim The aim of this study was to describe individual's experience of living with colorectal cancer after completed treatment.

    Method The method used in the study was designed by Friberg (2012) to contribute with evidenced based caring in qualitative science research. Eleven science articles were analyzed using Friberg (2012) five step method of analysis. The analysis resulted into three main themes and eight subthemes.

    Results The results were formed into three main themed named: the uncontrollable body, becoming depended on the environment and a new view of life after treatment.

    Conclusion To live with colorectal cancer after completed treatment, affects the individual life situation and quality of life. Therefore, it is important for the nurse to be aware of the disease and the effects of the trearment on the individual.

  • 85.
    Almén, Elina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Sjuksköterskors erfarenheter av att medverka vid fysiska tvångsåtgärder på barn och ungdomar som vårdas utifrån lagen om psykiatrisk tvångsvård (LPT)2020Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The use of physical restraint in Swedish psychiatric healthcare against children under the age of 18 years has been critized against the United Nations. The psychiatric compulsory care act is used when a patient is suffering from a serious mental illness, and it may mean that the patient receives physical coercive measures against his/her will. When a patient obtains a physical coercive measure, a registered nurse is involved in the procedure. For a nurse, being involved with the use of physical coercive measures against the patients will could be perceived as a violation against the patients autonomy and also going against the essence of caring. Research shows that registered nurses experiences of being involved in the usage of physical coercive measures can cause an ethical dilemma.

    Aim: To illustrate registered nurses' experiences of participating in the usage of physical coercive measures against children and teenagers that is hospitalized under the psychiatric compulsory care act.

    Method: An interview study was conducted with seven registered nurses from all over Sweden. The interview material was analyzed through a qualitative content analysis.

    Results: Three themes appeared during the analysis. The first main theme is Go against one's ethical beliefs with the subthemes experiencing ethical dilemmas, meeting the fragile child and to abandon one's professional assignment. The second theme is Questioning, with the subthemes questioning the benefit of coercive measures, to be questioned by other health care professionals and questioning one's own approach. The third theme that appeared was Change, with the subthemes to find alternative ways of dealing with the situation, a desire to contribute to a positive development of healthcare and to have contributed to a positive change for the patient.

    Conclusion: The registered nurses' experiences of participating in the usage of physical coercive measures against children under the age of 18 years is described as a feeling of going against one's ethical values. The nurses also describe a questioning against the actual benefit of physical coercive measures. However, there's a hope for a change in the form of finding other ways than using physical coercive measures.

  • 86.
    Alpsten, Kristina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Barn och ungdomars erfarenheter från vårdsituationer på sjukhus: En litteraturstudie2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background The UN Convention on the Rights of the Child, CRC, claims that children should be heard in decisions about themselves. Children also have the right to play. This need to be applied in healthcare environment. Swedish laws and guidelines for children's healthcare confirm this. What do children themselves propose as important support to participate? Aim The aim of this study was to describe children and young people's experience in healthcare environment. Method A literature-based study of nine qualitative academic articles was conducted. 556 children altogether were asked about their experience from healthcare environment. Results The result is presented by five themes: To be afraid and sad To feel comfort and safety To understand To be included in decisions To know the nurse Conclusion Children and young people in healthcare environment feel discomfort and insecurity. They need help with symptoms and fear. If the nurse is perceived as a "bad nurse", the child is exposed to feel helpless. A child need a certain amount of comfort, playing and contact with peers to be motivated to participate. When invited to ask questions and express their worries, they want to be involved. Children want to participate in decisions about themselves. The nurse has a key role to involve the child. Confidence is built through technical skills in achieving procedures, good communication and personal attributes, such as being helping, kind, friendly and humorous.

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  • 87.
    Alsterberg, Erika
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Berntsson, Theresia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskors erfarenheter och patienters upplevelse av motiverande samtal: En kvalitativ litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the nurse's profession, protecting health is an answer, some patients may need motivation and support in their lifestyle change. A method that can be used for lifestyle changes is Motivational Interviewing (MI). MI is a method who initially was intended to be used for patients with alcohol problems. However, it was seen that the method also worked to apply in other areas. The aim of this study was to explore nurses and patients´ experiences in MI. In this literature study a qualitative method was used. The result of this study was based on twelve articles. The nurses consider that MI has a person-centered approach where the patients came into focus. They felt that MI had a respectful and valuable approach towards the patient. It also appeared how important the nurses thought it was with training and practice of the method and that they felt support in using the method. The patients experienced that MI gave them the possibility to change their own thoughts instead of being forced to a change that they were not ready to do. MI is a method that can be used in various areas during lifestyle changes. The result of this study shows that if nurses are being trained, get the chance to develop their skills than their experienceis that MI is a good method to use. It is also important that nurses are given the opportunity to use the method. The patients' experience was that MI makes them involved and self-determined in their own care.

  • 88.
    Alsterberg, Erika
    et al.
    University West, Department of Health Sciences.
    Dahl, Inger Helén
    University West, Department of Health Sciences.
    Att vara en omvårdnadsutredare: Sjuksköterskors upplevelser av telefonrådgivning, en metasyntes2023Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Telephone calls are today an obvious part of our lives and for many patients telephone counseling may be the first contact with care. Telephone counseling is carried out within all activities within health care and constitutes a large part of the nurse's work. In order to cope with future challenges in healthcare, the development of digital solutions is seen as a necessity. "Vision e-Health 2025" has been added to develop digital health services with the goal that by 2025 Sweden will be the best in the world in using digital solutions. Telephone counseling is about nursing care over the phone, where the nurse cannot visually examine the problem. Communication is therefore an important part, where the nurse should use the conversation process to get structure in the conversation and at the same time have a basis in person-centered care.

    Aim: To identify and synthesize nurses experiences of telephone counseling.

    Method: Literature study based on qualitative research. For the study, the method metasynthesis was used, based on Noblit and Hare's description of meta-ethnography. Eight articles were included that responded to the study's purpose.

    Results: From the results, it emerged that telephone counseling is a complex job. Nurses feel that they are in a vulnerable position and carry a great deal of responsibility on their shoulders. By being a nursing investigator, nurses decides about care, advice or treatment that is best suited to the care seeker.

    Conclusion: Working with telephone counseling is a complex task that entails a range of different experiences. Nurses are in a vulnerable position and are expected to be able to give advice and have answers to questions that are asked despite limited knowledge. Being a counselor and making an assessment is difficult without seeing the patient.

  • 89.
    Alsén, Pia
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Illness perception and fatigue after myocardial infarction2009Doctoral thesis, comprehensive summary (Other academic)
  • 90.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Fatigue after myocardial infarction - a two-year follow-up study2013In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, no 11-12, p. 1647-1652Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To investigate changes in self-reported fatigue and depression from four months to two years following a myocardial infarction, as well as to explore gender differences, identify the incidence of fatigue without coexisting depression and finally predict health-related quality of life at a two-year follow-up. Background: Depression and fatigue are associated with decreased health-related quality of life after myocardial infarction. Although there is a close relationship between fatigue and depression, it has been shown that symptoms of fatigue can occur without coexisting depression. Design: Quantitative and longitudinal design. Methods: Participants (n = 155) were asked to complete the following questionnaires: the Hospital Anxiety and Depression Scale, the Multidimensional Fatigue Inventory-20 (MFI-20) and the Short Form Survey (SF-36) following myocardial infarction (after four months and two years). Descriptive statistics, paired t-tests and multiple regressions were carried out. Results: In the entire group, self-reported fatigue had decreased from four months to two years after myocardial infarction. After two years, 18% of respondents reported depression together with fatigue and 30% reported fatigued without depression. Women scored higher than men on the fatigue dimensions reduced activity, reduced motivation and mental fatigue. Moreover, the physical dimension of health-related quality of life two years after myocardial infarction was predicted by experienced general fatigue at four months. Conclusion: Fatigue with or without coexisting possible/probable depression remains as a significant symptom two years after myocardial infarction in nearly half of the entire group. Relevance to clinical practice: Fatigue is a problem following myocardial infarction. Therefore, systematic screening and early identification of patients experiencing symptoms of depression and fatigue after myocardial infarction are important for suitable care planning. In contemporary coronary care, strategies aimed at relieving fatigue should be developed. ᅵ 2013 Blackwell Publishing Ltd.

  • 91.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Living with incomprehensible fatigue after recent myocardial infarction2008In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 64, no 5, p. 459-468Article in journal (Refereed)
  • 92.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brändström, Yvonne
    Uddevalla Hospital, NU Hospital Group, Department of Medicine.
    Karlsson, Björn
    AstraZeneca R&D, Mölndal.
    Persson, Lars-Olof
    University of Gothenburg, Sahlgrenska Academy, Institute of Health and Care Sciences.
    Fatigue after myocardial infarction: Relationships with indices of emotional distress, and sociodemographic and clinical variables2010In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 16, no 4, p. 326-334Article in journal (Refereed)
    Abstract [en]

    Fatigue and depressive symptoms are relatively common among patients recovering from myocardial infarction (MI). The symptoms of depression and fatigue overlap. The present study aimed at identifying patient fatigue and at examining the incidence of fatigue, particularly without coexisting depression, after MI. The sample comprised 204 consecutive patients who had completed the questionnaires Hospital Anxiety and Depression Scale and the Multidimensional Fatigue Inventory–20 after MI (1 week and 4 months). The results showed that fatigue had decreased after 4 months compared with the time of MI onset. Compared with the general population, patients reported significantly higher levels of fatigue. Furthermore, fatigue was associated with depression, but 33% of the sample reported fatigue without coexisting depression after 4 months. In order to prevent or treat patients' symptoms of fatigue after MI, the concepts of fatigue and depression should be assessed separately so as to exclude overlapping effects.

  • 93.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Brändström, Yvonne
    Uddevalla Hospital, NU Hospital Group, Department of Medicine.
    Karlsson, Björn W.
    AstraZeneca R and D, Mölndal.
    Persson, Lar-Olof
    Göteborg University, Sahlgrenska Academy, Institute of Health Care Sciences.
    Illness perceptions after myocardial infarction: relations to fatigue, emotional distress, and health-related quality of life2010In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 25, no 2, p. E1-E10Article in journal (Refereed)
    Abstract [en]

    Background and RESEARCH Objective: Health-related quality of life (HRQoL) is impaired in patients after a myocardial infarction (MI), and fatigue and depression are common health complaints among these patients. Patients' own beliefs about their illness (illness perceptions) influence health behavior and health outcomes. The aim of the present study was to examine illness perception and its association with self-reported HRQoL, fatigue, and emotional distress among patients with MI. Subjects and Methods: The sample consisted of 204 patients who had had MI and who completed the questionnaires during the first week in the hospital and 4 months after the MI. The questionnaires used were the Illness Perception Questionnaire, Multidimensional Fatigue Inventory, Hospital Anxiety and Depression Scale, and the Short Form Health Survey (SF-36). Results: Patient's illness perception changed over time from a more acute to a more chronic perception of illness, and beliefs in personal and treatment control of MI had decreased. Furthermore, these negative beliefs were associated with worse experiences of fatigue and lowered HRQoL. Conclusions: Patients' illness perceptions influence health outcomes after an MI. Supporting MI patients in increasing their perception of personal control could be a primary nursing strategy in rehabilitation programs aimed at facilitating health behavior, decreasing experiences of fatigue, and increasing HRQoL. Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.

  • 94.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Brink, Eva
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Persson, Lars-Olof
    Sahlgrenska Academy at Göteborg University, Institute of Health and Care Sciences.
    Patients' illness perception four months after a myocardial infarction.2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 5A, p. 25-33Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim of this study was to explore patients' illness perception of myocardial infarction four months after a myocardial infarction. BACKGROUND: An important task for research on recovery from myocardial infarction is to understand the factors that influence an individual's adherence to secondary preventive strategies. Perceptual, cognitive and motivational factors have been found to influence adherence to a secondary preventive regimen. METHOD: Twenty-five patients were interviewed four months after a myocardial infarction. In accordance with grounded theory methodology, data collection and analysis were carried out simultaneously. RESULTS: The findings can be understood in light of two core categories: 'trust in oneself ' vs. 'trust in others'; belief in one's own efforts to control the illness; and 'illness reasoning', lines of thought about illness identity. In searching for relationships, six categories describing variation in illness perceptions of a myocardial infarction emerged: (i) 'sign of a chronic condition - feasible to influence'; (ii) 'sign of a chronic condition - uncontrollable'; (iii) 'acute event that can recur - feasible to influence'; (iv) 'acute event that can recur - uncontrollable'; (v) 'unthinkable acute event'; and (vi) 'non-recurring acute event'. CONCLUSION: The more reflective patients perceived the heart attack as a sign of a chronic condition; they also devoted time for reasoning about the possible causes of their illness. This is in contrast to patients who were less reflective and viewed their myocardial infarction as an acute event, which they avoided thinking about. The findings contribute to our understanding of variation in illness perceptions. RELEVANCE TO CLINICAL PRACTICE: The examination of how individuals perceive myocardial infarction may help health-care professionals individualize secondary preventive strategies, thereby improving adherence to health-care regimens. Nurse-patient discussions could begin with identification of the patient's variations of reflectiveness concerning his/her illness.

  • 95.
    Alsén, Pia
    et al.
    University West, Department of Nursing, Health and Culture.
    Eriksson, Monica
    University West, Department of Nursing, Health and Culture, Division of Health and Culture.
    Illness perceptions of fatigue and the association with sense of coherence and stress in patients one year after myocardial infarction.2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 3-4, p. 525-533Article in journal (Refereed)
    Abstract [en]

    Aims and objectives. To explore the associations between illness perceptions offatigue, sense of coherence and stress in patients one year after myocardial infarc-tion.Background. Post-myocardial infarction fatigue is a stressful symptom that is dif-ficult to cope with. Patients' illness perceptions of fatigue guide professionals inpredicting how individuals will respond emotionally and cognitively to symptoms.Individuals' sense of coherence can be seen as a coping resource in managingstressors.Design. A cross-sectional study design was used.Method. One year post-myocardial infarction, a total of 74 patients still experi-encing fatigue completed four questionnaires: the Multidimensional Fatigue ScaleInventory -20, the Brief Illness Perception Questionnaire, the Sense of Coherencescale (sense of coherence-13) and a single-item measure of stress symptoms.Descriptive statistics, correlations and stepwise regression analysis were carriedout.Results. Strong negative associations were found between illness perceptions offatigue, sense of coherence and stress. Sense of coherence has an impact on illnessperceptions of fatigue. Of the dimensions of sense of coherence, comprehensibilityseemed to play the greatest role in explaining illness perceptions of fatigueone year after myocardial infarction.Conclusion. To strengthen patients' coping resources, health-care professionalsshould create opportunities for patients to gain individual-level knowledge thatallows them to distinguish between common fatigue symptoms and warning signsfor myocardial infarction.Relevance to clinical practice. There is a need to improve strategies for copingwith fatigue. It is also essential to identify patients with fatigue after myocardialinfarction, as they need explanations for their symptoms and extra support

  • 96.
    Alsén, Pia
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Thörn, Susanna
    Primary Health Care, Sollentuna, Sweden.
    Nordqvist, Linnea
    Primary Health Care, Munkedal, Sweden.
    Berndtsson, Ina
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Men’s Experience of Difficulties during First Year Following Myocardial Infarction: Not OnlyFatigue2016In: Health, ISSN 1949-4998, Vol. 8, p. 1654-1667Article in journal (Refereed)
    Abstract [en]

    Recovery from a myocardial infarction (MI) can be a very difficult process and some patients are also stricken by fatigue. The aim of the study was to describe the difficulties experienced by men with fatigue during the first year following their MI. The study was conducted using qualitative content analysis of semi-structured interviews with nine men in working age (mean age: 55 years) with verified fatigue (≥12 of 20 on the Multidimensional Fatigue Scale with a mean of 17) one year after their MI. During the first year after the MI the men suffering from fatigue experienced various difficulties in terms of both themselves and the care received. The analysis generated three themes with difficulties described by the interviewed men. 1) Going through involuntary change: not recognizing their body and the inability to recognize themselves. 2) Lacking individualized care: To be denied satisfactory health care treatment and to be denied respectful treatment. 3) Not being seen in the light of the social context: The MI affects the whole family and caregivers do not pay attention to the family. In order to make both the patient and relatives feel secure and cared for, it is essential that caregivers be aware of the importance of providing individualized care over time with particular attention for the patient’s social context.

  • 97.
    Alvehus, Johan
    et al.
    Lund University, Lund (SWE).
    Andersson, Thomas
    University of Skövde, Skövde (SWE).
    Gadolin, Christian
    University West, School of Business, Economics and IT, Division of Business Administration.
    Reconceptualizing the management–profession conflict: Occupational heuristics and multi-professional interrelations in health care2023Conference paper (Other academic)
  • 98.
    Alverbo, Ida
    et al.
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Jennerhed, Cecilia
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Upplevelser i mötet mellan personer med borderline personlighetssyndrom och hälso- och sjukvårdspersonal: Metaetnografisk studie2021Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    Mental illness is increasing in the society. People with borderline personality syndrome have difficulties with affect regulation, relationship to one self and others, and have a higher risk of suicide. Health care professionals find the work in psychiatric care rewarding, but also challenging and difficult. Nurses feel less empathy for patients with borderline personality disorder and perceive them as more dangerous than other patients. Patients with borderline personality disorder feel rejected by the health care.

    Aim

    To explore the experiences in the mutual meeting between people with borderline personality disorder and healthcare professionals.

    Method

    The study is conducted with the qualitative method of meta ethnography. Searches were made through seven databases which resulted in 24 included studies. The studies were synthesized which resulted in two main metaphors and two respectively three sub metaphors.

    Results

    The result consists of two main metaphors; What is hidden under the surface where staff and patients feel they have too little knowledge about the diagnosis, which gives negative feelings. The changing waves of the sea where it emerges that the meeting between patient and staff is complex. Lack of knowledge is seen as an obstacle, and trust and respect have been identified as decisive factors for a good meeting.

    Conclusion

    Both patients and health professionals experience suffering in the care meeting. Patients want to be helped at the same time as healthcare professionals experience obstacles along the way. In order for healthcare staff to be able to meet patients, knowledge is needed to be able to create trust.

  • 99.
    Alverbratt, Catrin
    University West, Department of Health Sciences, Specialist Nursing programme. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Implementation of a New Working Method in Psychiatric Care2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: The implementation of evidence-based methods in hospital settings is challenging and multifaceted. There are several different factors that may affect implementation processes, of which the organisational culture may be one. It is well known that conservative organisational culture can hinder implementations; accordingly, a mix of different organisational cultures is preferable. Aim: The aim of this thesis was to follow the implementation process of an ICF-based assessment tool regarding cultural differences associated with the implementation in a psychiatric clinic. As part of the project, an assessment tool based on the International classifi cation of functioning disability and health (ICF) was developed and implemented. Method: In Study I, three Swedish expert groups participated and analysis of inter-rater reliability was conducted through simulated patient cases. In Study II, data were collected through focus group interviews pre- and post-implementation of the ICF-based assessment tool; thereafter, data were analysed using directed content analysis guided by Normalization Process Theory (NPT). Data from 109 nursing staff who completed the organisational values questionnaire (OVQ) and resistance to change (RTC) were investigated, and the association between the OVQ and RTC was examined with regression analysis (Study III). Patients n=50 representing the intervention hospital and n=64 representing the control hospital answered the Empowerment scale (ES) and Quality in psychiatric care (QPC-IP) (n=45 from intervention hospital and n=64 from control hospital). Staff n=37 at the control hospital answered the OVQ which was presented as descriptive data (Study IV). Results: Inter-rater reliability of the ICF-based assessment tool (DLDA) displayed acceptable kappa values (Study I). The DLDA tool showed the potential for empowering patients. Furthermore, it was considered useful for dialogues, refl ection and for identifying patients’ strengths. Nonetheless, it was diffi cult to implement it in practice due to contributing factors such as time pressure, heavy workload, stress and lack of routine in using the tool (Study II). The intervention hospital was characterised by an organisational culture of trust, belongingness and fl exibility, i.e. a human relation culture. One ward (I.W.3), however, was not dominated by a human relation culture. This ward had an almost equal mix of different cultures (human relation, open system, internal processes and rational goal) (Study III). The results of Study IV were non-signifi cant; however, it indicated that intervention ward 3 proved to be the most prominent ward regarding patient participation and empowerment among the intervention group. The results suggest hospital wards with equal mix of different cultures is more successful than cultural polarisation. Conclusion: Only one of fi ve wards succeeded in implementing the DLDA successfully (ward 5). Ward number three was the most successful of the inpatient intervention wards. The intent of the DLDA method was considered to be good and its use in a psychiatric nursing context can provide structured support in order to improve the dialogue with the patient, but it was not used in practice in all the studied wards. The organisational culture of the intervention hospital was dominated by human relation properties, however with one exception, ward number three. The results tentatively show that organisational culture may affect outcomes of implementation processes. Consequently, it appears that an equal mix of different cultures are more auspicious than cultural polarisations. The results seems to confi rm previous research, where one ward with a balanced mix of different cultures succeeded best to implement DLDA, of the wards representing psychiatric inpatient care. Ward number three did also show the best results in terms of empowerment and patient participation of the intervention wards. Further research aims to continue developing and conducting psychometric testing of the DLDA tool. The DLDAs impact on patient assessed empowerment and patient participation requires studies on larger populations than the current study

  • 100.
    Alverbratt, Catrin
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme. University West, Department of Health Sciences, Section for health promotion and care sciences.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Åström, Sture
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level.
    Carlström, Eric
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    A New Working Method in Psychiatric Care: the impact of implementation2016In: International Journal of Public Administration, ISSN 0190-0692, E-ISSN 1532-4265, Vol. 40, no 3, p. 295-304Article in journal (Refereed)
    Abstract [en]

    An equal mix of organizational cultures is important for a successful implementation process. The aim of this study was to examine the implementation of a new working method in psychiatric hospital wards, representing different cultural characteristics. Descriptive quantitative data were collected at two hospitals (intervention and control). The results revealed one ward characterized by a mix of organizational cultures. This ward, compared with other intervention wards, showed the best results regarding patient assessed empowerment and participation. The result shows tentatively that organizational culture may have an impact on the implementation processes.

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