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  • 51.
    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)
  • 52.
    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.

  • 53.
    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.

  • 54.
    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.

  • 55.
    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

  • 56.
    Alverbratt, Catrin
    University West, Department of Health Sciences, Specialist Nursing programme.
    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

  • 57.
    Alverbratt, Catrin
    et al.
    University West, Department of Health Sciences, Specialist Nursing programme.
    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.
    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.

  • 58.
    Alverbratt, Catrin
    et al.
    University West, Department of Nursing, Health and Culture.
    Carlström, Eric
    Sahlgrenska Akademin, Göteborgs universitet.
    Åström, Sture
    University West, Department of Nursing, Health and Culture. Umeå universitet.
    Kauffeldt, Anders
    University West, Department of Nursing, Health and Culture.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies.
    The process of implementing a new working method - a project towards change in a Swedish psychiatric clinic2014In: Journal of Hospital Administration, ISSN 1927-6990, E-ISSN 1927-7008, Vol. 3, no 6, p. 174-189Article in journal (Refereed)
    Abstract [en]

    The implementation of evidence-based methods in hospital settings is difficult and complex. The aim of the present study was to highlight the implementation process concerning a new working method, i.e. a new assessment tool, based on the International Classification of Functioning Disability and Health (ICF), among psychiatric nursing staff on five participating wards at a Swedish county hospital. Descriptive, qualitative data were collected through focus group interviews pre- and post-implementation. Data were analysed using directed content analysis, guided by Normalization Process Theory (NPT). The results revealed that just one of the five participating wards met the criteria for a successful implementation process. The results confirm previous studies showing the difficulty of implementation. Although participants agreed with the intention of the model, they were reluctant to apply it in practice. The implementation process seemed to be influenced by factors such as: time pressure; heavy workload; stress; lack of routines in using the tool; lack of nursing staff; as well as cultural characteristics and resistance to change.

  • 59.
    Amini, Narges
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Dagliga utmaningar: patienters erfarenheter och hanterandet av knäartros2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Osteoarthrosis is considered the 11th most common disorder that causes the greatest disability and gradually decline the patient’s quality of life. Studies have shown that 80% of the patients have different types of disabilities and 25% can not perform their daily activities. Aim: The purpose of this study was to describe patients’ experiences of being stricken with knee osteoarthritis. Method: A literature-based study was chosen as the method that conduce to evidence-based nursing by analyzing qualitative research. The analysis resulted in three main themes and seven subthemes. Results: Three main themes were: “Daily challenges”, “To relieve symptoms” and “To be cared”. The main finding was that knee osteoarthritis considered to be the central focus in the patients’ lives which caused physical and socio-economies limitations. This worsened their quality of life and mental well-being. Although surgery considered to be the only solution, the expectations regarding the outcome differed. Conclusion: It is important to treat knee osteoarthritis in early course of the disease to prevent limitations and other diseases. The patient’s need information and support to manage their symptoms.

  • 60.
    Anberg Högeryd, Susanne M.
    et al.
    NU-sjukvården, Trollhättan.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Dahlborg Lyckhage, Elisabeth
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet2014In: International Journal of Nursing and Midwifery, E-ISSN 2141-2456, Vol. 6, no 2, p. 16-23Article in journal (Refereed)
    Abstract [en]

    Obstetric units have become larger, with patients being knowledgeable and demanding. Also, established team works at maternity wards require that midwives are secure in their role. A descriptive study with a phenomenological approach was used. A maternity unit in a hospital located in Western Sweden was chosen. Five expert midwives with vast experience of obstetric care who worked in a maternity unit were interviewed. Data were collected by audio-taped interviews. The data were analysed by means of Giorgi’s phenomenological method. The results showed that security was constituted by an inherent sense of security as well as confidence in self and in life. Education and practical group training in the workplace provided theoretical knowledge and practical experience. Support for others in the working team and open communication also constituted security. Also, clear leadership, guidelines and routines provided a framework and had a positive effect on expert midwives’ sense of security. When security was absent, midwife became worried, the joy and harmony diminished. In order to ensure midwife security and ultimately safe patient care, it was important to allow time for rest, to reflect on and evaluate their work. Expert midwives can create the prerequisites for their professional security. Several constituents combine to shape midwives’ sense of professional security; an inherent sense of security, own knowledge and experience, team collaboration, visible and clear leadership.

  • 61.
    Andelin, Mervi
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Uppfattningen av typ 2 diabetes hos personer från Mellanöstern som lever i Sverige: en beskrivande kvantitativ pilotstudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Research shows that persons from the Middle East are at higher risk to develop type 2 diabetes which increases the risk of diabetic complications and early death. Both illness perception and self care are significant factors for the disease process. The diabetes nurse needs to search for knowledge of illness perception thus they have a central role in strengthening the individuals' ability to handle treatment, symptoms, emotional, cognitive and physical consequences as well as lifestyle changes.

    Aim: The aim of this study was to investigate illness perception of type 2 diabetes among persons from The Middle East living in Sweden.

    Method: A descriptive analysis of a pilot study was conducted in the region of VästraGötaland during spring 2019. 27 individuals answered the Brief Illness Perception Questionnaire about their illness perception of type 2 diabetes.

    Results: The participants perceived type 2 diabetes to be a chronic disease and reported a very high degree of coherence of the disease. They also perceived that type 2 diabetes can be controlled by both treatment and themselves to a very high degree and to a relatively high degree. Trust in treatment was greater than in their own control. The study shows a significant difference in coherence of type 2 diabetes between women and men in the study, where women experienced a higher degree of coherence than men. Identity and consequences were the dimensions of illness perception with the lowest median.

    Conclusion: Illness perception affects the degree of self care and disease progress. The results can be used to give an increased understanding of illness perception of type 2 diabetes among persons from the Middle East living in Sweden.

  • 62.
    Andersen, Angelica
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Hultstrand Ahlin, Cecilia
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Trygghet som en dimension av social hållbarhet: En kvantitativ studie om ungdomars upplevelse om det offentliga rummet2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Social sustainability is a multidimensional concept in which safety is one of the dimensions, and is an important factor in creating a good quality of life. The public space is a key factor in a healthy and well-functioning city. A good environment is a source for motivating citizens to better health and wellness. Public space also has a great impact on safety, good urban planning is essential to create a good environment to live in. High level of safety also creates the conditions for achieving socially sustainable development.

    The driving forces behind this study is that the public space is an important place where everybody will be welcomed and feel safe. The public space creates the opportunity for social relations, exchange of knowledge and constitute an important function in society. The publicspace should protect and promote the citizen, and the citizen must take care and show respect for the public space. Thus, this study aims to investigate young people's experience of publicspace in relation to social sustainability and safety.

    The method used in the study is a quantitative approach, questionnaires have been distributed to high school students in Stenungssund. The survey ended with the possibility for respondents to mark on a map of Stenungsund the places they feel secure, insecure and like.

    The results of the study show that young people in Stenungsund generally feel safe in public spaces. However, there are differences between how girls and boys experience safety. Boys feel increasingly confident than girls do. Students in different grades also tend to experience safety differently. The markings on the map thus showed a common understanding of what places are experienced as both secure, insecure and liked.

  • 63.
    Andersen, Malin
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Pettersen, Camilla
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Ett liv i ensamhet: en litteraturöversikt om äldre hälsa2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Elderly are a heterogeneous and growing group and therefore they have to be seen as separate individuals with different needs. In Sweden the municipality has the overall responsibility of elderly care and the social welfare board has to make sure that the elderly get to live independently under safe conditions.

    Aim: The aim of this study is to describe different factors that affects social isolation and loneliness among elderly.

    Method: The method that was chosen for this study was a literature review. Systematic and unsystematic searches were conducted to find articles for the results. Eight articles were chosen for this study, four quantitative and four qualitative.

    Results: The result includes two themes and four subthemes. One factor that was found was the loss of earlier life with two subthemes the body that no longer works and when the significant other pass away. Another factor was the importance of context with two subthemes importance of family and friends and in the absence of social connection.

    Conclusion: Factors that were shown to have an impact on social isolation and loneliness were individual and could depend on body function, losses and personality. The elderly need to feel safe in their environment and that there is someone who can help them.

  • 64.
    Andersson, Angelica
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Olsson, Sara
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att leva med demenssjukdom: Diagnostiserade personers erfarenheter2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: As the population is getting older, the number of people with dementia is steadily increasing. This places great demands on nursing staff, both in the treatment and care of these persons. Instead of only focusing on the diagnosis and its symptoms, is important to ensure the individual needs. Aim: The aim of this study was to elucidate diagnosed person's experiences of living with dementia. Method: Ten qualitative articles were analyzed. The analysis resulted in four themes and twelve sub themes.

    Results: The result showed that family, relatives and friends are playing an important role in the quality of life for persons with dementia. Difficulties arose because of the symptoms of the disease, which could lead to social isolation. It was considered paramount to still be able to perform meaningful activities. On the other side the result showed, that both people and the environment were considered as impedimental factors, leading to feelings of lost dignity. The diagnosis could be met through acceptance or denial. This created different types of strategies in daily life. Many times fears arose about the future and the fear of getting worse was often greater than the fear of death.Conclusion: Dementia entails many difficulties and challenges, both for the person with dementia and the surrounding people. It's necessary to adapt both environment and treatment, so that person with dementia can continue to live a normal life as possible. We can achieve this by offer support and help, both physically and psychologically, without offend or cause distress.

  • 65.
    Andersson, Anna
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Källvik, Eva-lena
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    En vän men ändå inte en vän.: En grupp distriktssköterskors beskrivningar av innebörden av att vårda patienter med svårläkta bensår.2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background

    Working in primary care with chronic leg ulcers is both time-consuming and difficult. There is a large category of patients with leg ulcers, that is expected to increase in a number of years, and many of them will probably come to a district nurse for help.

    Aim

    The aim of this study was to describe the district nurses' experiences of caring for patients with chronic leg ulcers in primary care.

    Method

    The approach was qualitative. The study was done with a phenomenological life-world approach. Seven district nurses working in primary care were interviewed. The phenomenological perspective focuses on the respondents’ own life-world and has openness to the interviewee's own experiences. The phenomenon we wanted to study was the district nurses’ experiences of caring for patients with chronic leg ulcers.

    Results

    In the study it emerges that district nurses feel that it is fun to work with this patient category, although the workload can sometimes feel heavy. There are often many long meetings, for a long period of time, and a relationship evolves between the district nurse and the patient. The nurses feel they have a different and deeper relationship with these patients and they experience the emergence of an unusual friendship.

  • 66.
    Andersson, Anna-Sara
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Landberg, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Patientens upplevelse av att möta sjuksköterskor som vårdgivare inom primärvården.: en litteraturöversikt2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Considering the increasing requirements and needs facing primary health care, the aspiration to use nurses as care providers has increased. This is done to improve the availability, effectiveness, and to dispense the available resources.

    Aim: The purpose of this study is to illuminate the patient's experiences of meeting nurses as care providers in primary health care.

    Method: Six qualitative, three quantitative, and one mixed method articles were analyzed to create a literature review.

    Results: Generally, the patients were satisfied with meeting nurses as care providers in primary health care. The result showed that the patients described relationship, trust, participation, and communication with nurses as significant aspects to feel secure. That the nurses made time available, as well as were easy to contact, were also aspects that contributed to the patients feeling secure. Uncertainties regarding the nurse's role, competence, and not being able to choose level of care were aspects that affected the insecurity.

    Conclusion: Nurses in primary health care have big opportunities to develop the meeting in a way that the patient feels secure in health care. Most patients experience great satisfaction with care provided by nurses. Considering the above facts, it seems possible to develop health care led by nurses. 

  • 67.
    Andersson, Ann-Christine
    et al.
    Jönköping University,The Jönköping Academy for Improvement of Health and Welfare, Jönköping.
    Ainalem, Ingrid
    Centre for Innovation and Improvement (CII), Region Skane, Malmo.
    Berg, Agneta
    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. Kristianstad University, Kristianstad.
    Janlöv, Ann-Christin
    Kristianstad University, Kristianstad.
    Challenges to Improve Inter-Professional Care and Service Collaboration for People Living With Psychiatric Disabilities in Ordinary Housing.2016In: Quality Management in Health Care, ISSN 1063-8628, E-ISSN 1550-5154, Vol. 25, no 1, p. 44-52Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe health care- and social service professionals' experiences of a quality-improvement program implemented in the south of Sweden. The focus of the program was to develop inter-professional collaboration to improve care and service to people with psychiatric disabilities in ordinary housing. Focus group interviews and a thematic analysis were used. The result was captured as themes along steps in process. (I) Entering the quality-improvement program: Lack of information about the program, The challenge of getting started, and Approaching the resources reluctantly. (II) Doing the practice-based improvement work: Facing unprepared workplaces, and Doing twice the work. (III) Looking back-evaluation over 1 year: Balancing theoretical knowledge with practical training, and Considering profound knowledge as an integral part of work. The improvement process in clinical practice was found to be both time and energy consuming, yet worth the effort. The findings also indicate that collaboration across organizational boundaries was broadened, and the care and service delivery were improved.

  • 68.
    Andersson, Annika
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Boundaries as mechanisms for learning in emergency exercises with students from emergency service organisations2016In: Journal of Vocational Education and Training, ISSN 1363-6820, E-ISSN 1747-5090, Vol. 68, no 2, p. 245-262Article in journal (Refereed)
    Abstract [en]

    To prepare emergency response organisations for collaborative work in unpredictable and dynamic situations, various types of exercises are widely used. Still, our knowledge of collaboration exercises with emergency response students is limited. This study aimed to contribute to this field by exploring boundaries that emerged between collaborating organisations in exercise activities and how these boundaries could be understood for learning. Drawing on the Akkerman and Bakker framework of boundaries as learning mechanisms, this study explored an exercise, including full-scale scenarios and seminars with students from the police, ambulance and rescue services education in Sweden. Thematic analysis of interviews and observations illustrated boundaries that emerged regarding vocabulary, prioritisation, roles, knowledge gaps and overlapping responsibilities across organisations. Rather than dissolving boundaries, this article suggests that boundaries can be utilised in exercises to support the students to contextualise their knowledge in relation to the demands of collaborative work. The concepts boundary work and boundary awareness were suggested to capture more generally the dynamics of learning in exercise contexts.

  • 69.
    Andersson, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Carlström, Eric D.
    University West, Department of Nursing, Health and Culture. Sahlgrenska Academy at University of Gothenburg.
    Åhgren, Bengt
    Nordic School of Public Health, Göteborg, Sweden.
    Berlin, Johan
    University West, Department of Social and Behavioural Studies, Division of Social Pedagogy and Sociology.
    Managing boundaries at the accident scene: a qualitative study of collaboration exercises2014In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 3, no 1, p. 77-94Article in journal (Refereed)
    Abstract [en]

    Purpose The purpose of this study is to identify what is practiced during collaboration exercises and possible facilitators for inter-organisational collaboration.

    Design/methodology/approach Interviews with 23 participants from four exercises in Sweden were carried out during autumn 2011. Interview data were subjected to qualitative content analysis.

    Findings Findings indicate that the exercises tend to focus on intra-organisational routines and skills, rather than developing collaboration capacities. What the participants practiced depended on roles and order of arrival at the exercise. Exercises contributed to practicing leadership roles, which was considered essential since crises are unpredictable and require inter-organisational decision-making.

    Originality/value The results of this study indicate that the ability to identify boundary objects, such as injured/patients, was found to be important in order for collaboration to occur. Furthermore, lessons learned from exercises could benefit from inter-organisational evaluation. By introducing and reinforcing certain elements and distinct aims of the exercise, the proactive function of collaboration exercises can be clarified.

  • 70.
    Andersson, Ann-Sofi
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Rydell, Annelie
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Strategier som personer använder för att förbättra sömnen efter genomgången sömnskola i primärvården: En kvalitativ intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Studies show that sleep problems are common and the prevalence is increasing. Early detection and adequate help is important. Sleep school with cognitive behavior therapy (CBT) demonstrates good long-term effect, but few people with sleep problems gain access to these sleep schools. District nurses in primary care have the opportunity to provide support for sleep problems. Through increased knowledge of strategies that promote good sleep gives the district nurse better opportunities to support people with sleep problems. Aim: To describe what strategies people use to improve sleep after completing the sleep school. Method: The study has a qualitative approach in which semi-structured interviews were conducted with ten informants. The interview material were analysed by using a qualitative content analysis. Results: The analysis revealed three categories and eight subcategories which form the result of this study. Manages thoughts in a new way included three subcategories: to reform negative thoughts, to accept ones sleep and to dare reduce the sedatives. Exercising activities that promote sleep included two subcategories: to increase their physical activity and to perform relaxation exercises. Adapts the environment to promote sleep included three subcategories: to reduce sleep disturbing items, to adapt bedroom environment and to reduce caffeine intake and alcohol. Conclusion: The study shows that sleep school with CBT, according to the informants, gave the knowledge and tools to find strategies that helped them sleep better and feel more satisfied with their sleep. Increased training for primary care district nurses in sleep knowledge and CBT, creates better conditions for early and effective intervention

  • 71.
    Andersson, Camilla
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Mujic Baghernezhad, Kata
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Upplevelser av Nordisk vård ur ett mångkulturellt perspektiv: en litteraturstudie2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The number of people with foreign background living in the Nordic countries has increased the last few years. This means that healthcare personnel meet more people with different languages, traditions and values.

    Aim: The aim of this study was to highlight experiences of encounters with Nordic health care among people with a foreign background.

    Method:

    The study was a literature study and based on 12 scientific articles, which were analyzed according to Friberg's model of qualitative analysis. The theoretical frame of reference that was used is Leininger's theory of nursing cultural care diversity.

    Result: The data analysis resulted in three themes that illustrated the experiences of Nordic healthcare and people with a foreign background. These themes were: receiving care on equal terms, to feel at home and to feel insecurity.

    Conclusion: Most of the people living in the Nordic countries with a foreign background were pleased with the healthcare, but a few areas were in need of improvement. Communication was always an issue for the individuals who did not speak the same language nor share the same traditions. It was therefore important that the caregivers were willing to be open-minded and work together to resolve cultural differences. It was also important to really observe the patient, to take into consideration the patients´ capacity and resources to help the patient.

  • 72.
    Andersson, Carolina
    et al.
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Johansson, Jennifer
    University West, Department of Nursing, Health and Culture, Divison for Health, Culture and Educational Sciences.
    Visionen om ledarskapet: Hur förverkligas ledarskapsvisionen i den vardagliga verksamheten?2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose with our qualitative study is to investigate the vision of leadership but how does one perfect visionary leadership in an everyday activity? To help us find out the purpose of this we have conducted semi structured interviews involving leadership in occupations. These interviews have provided phenomenal inspiration since our main focus is the experiences of leadership. In our analysis we have used the method of phenomenal analysis and as well as the process of the data. Our empiricist consists of ten interviews, eight of which are conducted with co-workers and two of which are conducted with team leaders.

    Our result shows that the activity doesn't have an outspoken vision between co-workers and leaders. However both the leaders have a vision about their leadership which doesn't appear literally. Our study shows that if a leaders visions appears in practice, it therefore doesn't have to be official since it is already clearly expressed. We find that through our case study that occupation can evolve their leadership as well as their employeeship with the help of our results

  • 73.
    Andersson, Charlotta
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Marcusson, Hampus
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Patienters upplevelser av att leva i sitt hem med hjärtsvikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden it is estimated that approximately 150 000 - 250 000 people suffer from heart failure. A better standard of living has made it possible for people to live longer with their health intact. Older age is associated with an increased risk of getting diagnosed with heart failure. It is estimated that some 30 000 people are diagnosed with heart failure each year

  • 74.
    Andersson, Ellen
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Jensen, Martina
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Det förändrade livet: den vuxna personens upplevelse av att leva med afasi till följd av stroke2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every year 25 000- 30 000 people strikes with stroke. Out of these, at least every fifth is affected with aphasia. Affected with aphasia may cause an essential impact and change in the everyday life. The changes may also result in a suffering for the adult with aphasia. Therefore it’s important that the nurse has adequate knowledge of what aphasia is and treats the person for whom it is, not for its illness. Aim: The aim of this study was to illuminate the adult’s experience of aphasia’s impact in the changed life after stroke. Method: A qualitative method to contribute to evidence-based nursing with a ground in analysis of qualitative research, was used to enable a deeper understanding of adult’s experiences of aphasia. Ten qualitative articles were analysed, four themes and eight subthemes emerged. Results: The results showed that the adult with aphasia experienced a loss of the identity, loved ones and work. Aphasia also caused a change in the language ability that affected participation in social activities. All resulting in a suffering. To cope with the aphasia’s difficulties, different strategies evolved. The adult with aphasia also described the social support to be important but also to accept what aphasia had contributed in the changed life. Conclusion: According to the results the language appeared to be a central part to whom we are. When the language ability no longer existed, a suffering emerged. Keywords: Aphasia, communication, patient’s perspective, stroke, suffering.

  • 75.
    Andersson, Emelie
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    "Jag är ingen psykolog, så det är som det är": En kvalitativ intervjustudie om förskolepersonals erfarenheter av att identifiera psykisk ohälsa hos barn i förskolan2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background According to the Public Health Agency of Sweden, mental ill-health is increasing in Sweden and the affected are becoming younger and younger. There is therefore an increasing need for more research on children and their mental ill-health. To be able to stop this negative development it is of foremost importance that children get help as early as possible. Preschool staff members play a vital role in the identification of mental ill-health among young children and making sure that the right help is given. Aim The aim of the study is to illustrate preschool staff member´s experience of identifying children with mental illhealth. Method The method used is qualitative interview study. Six female preschool staff members have been interviewed and a content analysis has been applied on the answers. Results Children´s mental ill-health is a very complex subject and something that is not included in the Swedish curriculum. Additionally, the education of preschool staff members does not include anything concerning children's mental ill-health. Consequently, preschool staff members battle with a situation where they play a crucial role in the identification of mental ill-health among the children however they do not possess neither the knowledge nor the skills to do so. Conclusion Mental ill-health among children in preschool is a very complex subject. Preschool staff members face a very tough responsibility in identifying the signs of mental ill-health among the children and the reasons for this are many.

  • 76.
    Andersson, Emelie
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Maria
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Se mig, hör mig, säg mig!: En litteraturstudie om barns upplevelse av att vara patient på sjukhus2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: For most children, being hospitalized is a whole new experience. The care should be safe and meet the children’s needs. In hospital care, children are a large group of patients. It’s important for them to be involved in decisions regarding their care and to get proper information. Working as a nurse, there’s a high possibility to meet with children being ill. In order to get more knowledge about how children experience their hospital stay this study was conducted.Aim: The aim of the study was to describe children’s experiences of being a patient in hospital.Method: The method used was a literature study, based on qualitative research. Eight articles from the databases Cinahl and PsycInfo read, reviewed and analyzed according to the model for analysis of qualitative studies made by Friberg.Results: Four themes and eleven sub themes were found. Children’s experiences of hospital care revolved around the hospital environment, their emotions, not being in control and the nursing staff.Conclusion: The result shows that children’s different experiences related to their hospital stay often is affected by the ability to have their parents close, to have the opportunity to play and to get the proper information from caring health professionals. Children describe both positive and negative experiences.

  • 77.
    Andersson, Emma
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Karlsson, Sofia
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Mötet med sjuksköterskan på akutmottagningen: en litteraturbaserad studie ur ett patientperspektiv2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is valuable that the patients experience a good encounter with the nurse at the emergency department. There are several factors that can influence the encounter and the patients' perception of the nurses and the surroundings at the emergency department. To not be seen as the person you are or not treated well, is a common reason why patients feel health suffering. It is the patients' experience of the circumstances which determines whether situations cause health suffering or not. Aim: The aim of this study was to describe patients' experiences of the encounter with the nurse at the emergency department.

    Method: The method used in this study was a literature review, based on qualitative studies. Ten articles were analyzed according to Friberg's (2012) qualitative content analyze in five steps. Results: The researchers found five themes that specifically stood out when studies were researched. The themes were feelings of: participation, being seen, abandonment, being dependent and vulnerability. Conclusion: The experience of the encounter with the nurse at the emergency department differ from each patient. All patients want to meet a nurse who characterises kindness and warmth. The nurses are the ones who can control the outcome of the encounter at the emergency department.

  • 78.
    Andersson, Erika
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Ett vårdverksamhetsperspektiv på samverkan i sjuksköterskeprogrammets verksamhetsförlagda utbildning2017Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Society is constantly evolving and changes are taking place, which creates the opportunity to collaborate around several different areas. Working for a work-integrated learning (WIL) could mean that you work structured together with healthcare and college with common goals and collaborative issues. The content of the study deals with healthcare representatives´ perceptions of the importance of collaboration, the possibility of nursing education's vocational education. Method used in the study is qualitative method with focus group interviews. In the study, three focus groups and one interview were interviewed. Interviewees consisted of managers, supervisors and supervisors. The care activities that the informants represented were somatic care in emergency medical care, psychiatric care and home care. A qualitative content analysis was made by the interviews that were themed by interpretation of the interviews. Healthcare representatives wanted a collaborative perspective in various areas, such as development and collaboration of teaching models, assessment and evaluation. Working together with work-integrated learning as a model can be a way of interacting. There is a hope that the healthcare and higher education institutions will find development pathways in the future to ensure the knowledge of nursing students and their future occupational role, as to ensure the quality of care.

  • 79.
    Andersson, Fredrik
    et al.
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Börjesson, Oliver
    University West, Department of Health Sciences, Section for health promotion and care sciences.
    Att identifiera resursfaktorer för arbetsnärvaro i en västsvensk kommun: En fenomenografisk ansats2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sickness absence in Swedish municipalities have increased during the past five years. This is a trend that follows all Swedish municipalities. A municipality in Western Sweden has worked much to prevent sickness absence through rehabilitation. However, the municipality now wants to shift focus and work more with those who are healthy by investigating what creates health among their employees.

    Purpose & Issue: This study aims to investigate which resource factors of health that contributes to the working presence in a municipality in Western Sweden. Method: A qualitative method with inspiration from phenomenography has been used for the study design, for gathering data and for the data analysis.

    Result – Outcome space & Conclusions: Four main categories emerged identifying The result shows four categories identified as the most important resource factors for health among for the informants. These four categories were: job satisfaction, morale, opportunity to influence and wholeness.

  • 80.
    Andersson Glemring, Annika
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Hurtig, Helena
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Motivationsfaktorer för fysisk aktivitet hos äldre2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund; antalet äldre i Sverige ökar och får en högre medellivslängd. En viktig förutsätt-ning för att bevara sin hälsa är att kunna röra på sig och att vara fysiskt aktiv. Distriktsskö-terskans förmåga att anpassa information, modeller och strategier till individens nivå och livs-värld har en avgörande betydelse för vårdarbetet.

    Syfte; syftet med arbetet var att identifiera faktorer som kan motivera den äldre människan till att vara fysiskt aktiv.

    Metod; en empirisk enkätstudie genomfördes på en motionsanläggning i en medelstor stad i västra Sverige. Studien riktade sig mot äldre personer fyllda 65 år och deltagandet var frivil-ligt. Enkäter placerades ut i styrketräningslokal och i badhus under fyra veckor. Datamateri-alet analyserades genom kvalitativ innehållsanalys.

    Resultat; enkäten besvarades av 73 personer mellan 65-97 år. Analysen resulterade i tre hu-vudkategorier och 16 underkategorier. Huvudkategorierna var; faktorer som motiverar den äldre till fysisk aktivitet, faktorer som motiverar den äldre till ökad fysisk aktivitet och hinder hos den äldre för fysisk aktivitet.

    Konklusion; i studien har vi funnit användbara motivationsfaktorer och även hinder för att den äldre människan ska vara fysiskt aktiv. Det visar på att det finns möjlighet att med enkla medel ge fysisk aktivitet en större plats i distriktssköterskans preventiva och behandlande arbete. Förslag på vidare forskning kan vara att driva projektarbete med de äldre på grupp-nivå.

  • 81.
    Andersson Hagiwara, Magnus
    et al.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Wireklint Sundström, B.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Brink, Peter
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Herlitz, J.
    University of Borås, PreHospen - Centre for Prehospital Research, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Hansson, P. -O
    University of Gothenburg, Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, Gothenburg, Sweden.
    A shorter system delay for haemorrhagic stroke than ischaemic stroke among patients who use emergency medical service2018In: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 137, no 5, p. 523-530Article in journal (Refereed)
    Abstract [en]

    Objectives We compare various aspects in the early chain of care among patients with haemorrhagic stroke and ischaemic stroke. Materials & methods The Emergency Medical Services (EMS) and nine emergency hospitals, each with a stroke unit, were included. All patients hospitalised with a first and a final diagnosis of stroke between 15 December 2010 and 15 April 2011 were included. The primary endpoint was the system delay (from call to the EMS until diagnosis). Secondary endpoints were: (i) use of the EMS, (ii) delay from symptom onset until call to the EMS; (iii) priority at the dispatch centre; (iv) priority by the EMS; and (v) suspicion of stroke by the EMS nurse and physician on admission to hospital. Results Of 1336 patients, 172 (13%) had a haemorrhagic stroke. The delay from call to the EMS until diagnosis was significantly shorter in haemorrhagic stroke. The patient’s decision time was significantly shorter in haemorrhagic stroke. The priority level at the dispatch centre did not differ between the two groups, whereas the EMS nurse gave a significantly higher priority to patients with haemorrhage. There was no significant difference between groups with regard to the suspicion of stroke either by the EMS nurse or by the physician on admission to hospital. Conclusions Patients with a haemorrhagic stroke differed from other stroke patients with a more frequent and rapid activation of EMS.

  • 82.
    Andersson, Heléne
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gisslén, Helena
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att närvara eller icke närvara, det är frågan...: en litteraturöversikt över närståendes upplevelser av att närvara vid hjärt- lungräddning2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Studies indicate that both patients and nurses are positive to have relatives present at the cardiopulmonary resuscitation (CPR) situation. They see relatives as a resource and support, and also that the afterward crisis management may be facilitated. Routine should be created for the nurse to offer the relatives to attend and that it will become a natural part of CPR situation.

    Aim: To illustrate the experiences of close relatives attending cardiopulmonary resuscitation.

    Method: A literature study with qualitative approach. Seven articles were reviewed and analyzed according to content analysis method.

    Results: We found that relatives appreciated and felt it was important to attend the CPR-situation. They found it easier to move on after the incident, especially if the patient died. They wanted to be sure that everything that could be done also was done. The feeling that their presence in some way protected their dear ones from danger and harm was also important. Honest information was considered essential and the relatives appreciated the efforts and care that the healthcare personal gave their relatives.

    Conclusions: The vast majority of relatives to patients undergoing CPR choose to feel that it's important to be present at the CPR. Based on this knowledge, further work can lead to create routines concerning relatives' wishes to attend CPR situations.

  • 83.
    Andersson, Henrik
    et al.
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Axelsson, Christer
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Larsson, Anna
    Ambulance Department, South Älvsborg's Hospital, Borås, Sweden.
    Bremer, Anders
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; Linnaeus University, Faculty of Health and Life Sciences, Växjö, Sweden.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT, Divison of Informatics.
    Bång, Angela
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg, Sweden.
    Herlitz, Johan
    University of Borås, PreHospen - Centre for Prehospital Researc Borås, Sweden; University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Borås, Sweden.
    Ljungström, Lars
    Skaraborg Hospital, Infection Disease Department, Skövde, Sweden.
    The early chain of care in bacteraemia patients: Early suspicion, treatment and survival in prehospital emergency care.2018In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 36, no 12, p. 2211-2218, article id S0735-6757(18)30279-1Article in journal (Refereed)
    Abstract [en]

    INTRODUCTION: Bacteraemia is a first stage for patients risking conditions such as septic shock. The primary aim of this study is to describe factors in the early chain of care in bacteraemia, factors associated with increased chance of survival during the subsequent 28days after admission to hospital. Furthermore, the long-term outcome was assessed.

    METHODS: This study has a quantitative design based on data from Emergency Medical Services (EMS) and hospital records.

    RESULTS: In all, 961 patients were included in the study. Of these patients, 13.5% died during the first 28days. The EMS was more frequently used by non-survivors. Among patients who used the EMS, the suspicion of sepsis already on scene was more frequent in survivors. Similarly, EMS personnel noted the ESS code "fever, infection" more frequently for survivors upon arriving on scene. The delay time from call to the EMS and admission to hospital until start of antibiotics was similar in survivors and non-survivors. The five-year mortality rate was 50.8%. Five-year mortality was 62.6% among those who used the EMS and 29.5% among those who did not (p<0.0001).

    CONCLUSION: This study shows that among patients with bacteraemia who used the EMS, an early suspicion of sepsis or fever/infection was associated with improved early survival whereas the delay time from call to the EMS and admission to hospital until start of treatment with antibiotics was not. 50.8% of all patients were dead after five years.

  • 84. Andersson, J E
    et al.
    Hansson, T
    Samuelson, Gösta
    Invagination och salmonellos - epidemiologiska synpunkter: [Invagination and salmonella--epidemiological viewpoints].1978In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 75, no 32-33, article id 2797Article in journal (Refereed)
  • 85.
    Andersson, Jessica
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Gren, Ramona
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Sjuksköterskans erfarenheter av att möta patienter med självskadebeteende: en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Self harm has increased among adolescents during the last years. Studies reveal nurses' attitudes as an issue. The need to investigate nurses' experience of patients who self-harm is very important to see what is missing. Relation between nurses and patients is a vital part of caring and studies show that very little research is done in this area.

    Aim: The aim of this study is to overlook nurses' experience when they meet a patient that is self- harming.

    Metod: A literature study with a mixed approach. Articles where chosen, read, reviewed and analysed to find similarities and differences in their result.

    Results: The result came out with three main categories and seven sub categories. The first category is Difficult to understand self-injury which has two sub categories; Difficult to understand the behaviour and Difficult to understand the reason. The second category is Self- injury evokes emotions and has three sub categories; Anger, concern and anxiety, Empathy and conflicting emotions and Creates conflicts. The third category is The environmental impact on nursing care which has two sub categories; The meaning of time and Environmental influences and care.

    Conclusion: The results show that nurses felt that they needed further education about self- harm, that many of them were negative or insecure while meeting patients and did not know what to say in fear of making the behaviour worse. Many nurses also considered it hard to understand self-harm and why someone would like to harm themselves.

  • 86.
    Andersson, John
    et al.
    Göteborgs Universitet, Scandinavian Surgical Outcomes Research Group, Department of Surgery, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy.
    Abis, G
    Alingsås Hospital, Department of Surgery.
    Gellerstedt, Martin
    University West, School of Business, Economics and IT.
    Angenete, Eva
    Göteborgs Universitet, Scandinavian Surgical Outcomes Research Group, Department of Surgery, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy.
    Angerås, Ulf
    Göteborgs Universitet, Scandinavian Surgical Outcomes Research Group, Department of Surgery, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy.
    Cuesta, M A
    VU University Medical Centre, Department of Surgery, Amsterdam.
    Jess, P
    Roskilde Hospital, Department of Surgery, Roskilde, Denmark.
    Rosenberg, Jakob
    Copenhagen University, Department of Surgery, Herlev Hospital, Copenhagen, Denmark.
    Bonjer, H J
    VU University Medical Centre, Department of Surgery, Amsterdam.
    Haglind, Eva
    Göteborgs Universitet, Scandinavian Surgical Outcomes Research Group, Department of Surgery, Sahlgrenska University Hospital/Östra, Sahlgrenska Academy.
    Patient-reported genitourinary dysfunction after laparoscopic and open rectal cancer surgery in a randomized trial (COLOR II).2014In: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 101, no 10, p. 1272-1279Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: This article reports on patient-reported sexual dysfunction and micturition symptoms following a randomized trial of laparoscopic and open surgery for rectal cancer.

    METHODS: Patients in the COLOR II randomized trial, comparing laparoscopic and open surgery for rectal cancer, completed the European Organization for Research and Treatment of Cancer (EORTC) QLQ-CR38 questionnaire before surgery, and after 4 weeks, 6, 12 and 24 months. Adjusted mean differences on a 100-point scale were calculated using changes from baseline value at the various time points in the domains of sexual functioning, sexual enjoyment, male and female sexual problems, and micturition symptoms.

    RESULTS: Of 617 randomized patients, 385 completed this phase of the trial. Their mean age was 67·1 years. Surgery caused an anticipated reduction in genitourinary function after 4 weeks, with no significant differences between laparoscopic and open approaches. An improvement in sexual dysfunction was seen in the first year, but some male sexual problems persisted. Before operation 64·5 per cent of men in the laparoscopic group and 55·6 per cent in the open group reported some degree of erectile dysfunction. This increased to 81·1 and 80·5 per cent respectively 4 weeks after surgery, and 76·3 versus 75·5 per cent at 12 months, with no significant differences between groups. Micturition symptoms were less affected than sexual function and gradually improved to preoperative levels by 6 months. Adjusting for confounders, including radiotherapy, did not change these results.

    CONCLUSION: Sexual dysfunction is common in patients with rectal cancer, and treatment (including surgery) increases the proportion of patients affected. A laparoscopic approach does not change this.

  • 87.
    Andersson, John
    et al.
    Sahlgrenska University Hospital/Östra,Scandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, .
    Angenete, Eva
    Sahlgrenska University Hospital/Östra,Scandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, .
    Gellerstedt, Martin
    Angerås, Ulf
    Sahlgrenska University Hospital/Östra,Scandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery.
    Jess, Peter
    Roskilde Hospital, Department of Surgery, Roskilde.
    Rosenberg, Jacob
    Herlev Hospital, University of Copenhagen, Department of Surgery.
    Fürst, A
    Caritas Clinic St Josef, Department of Surgery, Regensburg, Germany,.
    Bonjer, J
    VUmc University Medical Center, Amsterdam.
    Haglind, Eva
    Sahlgrenska University Hospital/Östra,Scandinavian Surgical Outcomes Research Group (SSORG), Department of Surgery, .
    Health-related quality of life after laparoscopic and open surgery for rectal cancer in a randomized trial2013In: British Journal of Surgery, ISSN 0007-1323, E-ISSN 1365-2168, Vol. 100, no 07, p. 941-949Article in journal (Refereed)
  • 88.
    Andersson, Josefin
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Nyve, Petra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Möjligheter och begränsningar för att uppleva hälsa hos barn med övervikt eller fetma: - En litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    More people die from overweight or obesity today than people who die from underweight. It is one of the largest risks for the human health today. Overweight and obesity may lead to diseases such as depression, diabetes type 2, cancer, isolation and cardiovascular diseases. Overweight and obesity among children have increased over the past three decades, and follows often the child from childhood to adulthood. Aim: The aim of this study was to discover the limitations and possibilities to experience health among children with overweight or obesity. Method: A literature review based on ten articles was chosen as method for this study. Through the analysis of the authors, five themes were discovered and created. They included information about the well-being of children, age 4 to 17 years, with overweight or obesity. Results: The themes were; Being teased and exposed to bullying, Expression of thoughts and feelings, Importance of community, Children's views of themselves and The belief in and the ability to live a healthy life. Conclusion: Children with overweight or obesity, had difficulties to experience health. Higher rates of bullying, alienation, anxiety, poor self-image and fear of consequences were found in children with overweight or obesity.

  • 89.
    Andersson, Katarina
    et al.
    Sävelången Family Practitioner and Child Health Centre, Alingsås, Sweden.
    Shadloo, Mandana
    Rent-A-Nurse Centre, Uddevalla, Sweden.
    Rudolfsson, Gudrun
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Growing as a Human Being€”: Obese Adolescents' Experiences of the Changing Body2016In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 31, no 1, p. e53-e62Article in journal (Refereed)
    Abstract [en]

    The aim of the presented study was to describe how obese adolescents experience themselves and their bodies and how their views changed as a result of participation in a weight loss program. A total of five adolescents were interviewed in this qualitative study. Data were analyzed by means of content analysis. One main theme emerged, “Growing as a human being”, which comprised four themes based on 13 sub-themes. Being part of a weight loss program was a time of transition that led not only to weight reduction but also to a higher level of well-being and a feeling of dignity.

  • 90.
    Andersson, Lisa
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Borg, Simon
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hypertoni: Patienters upplevda möjligheter och hinder för livsstilsförändringar2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Hypertension is a common disease and over half of all deaths in cardiovascular disease are caused by complications of hypertension. The basis of the treatment is non-pharma-cological and includes lifestyle changes such as physical activity and diet change. Only few patients reach the treatment goal and are well treated, therefor it’s important for the health care service to have a greater understanding on how patients experience implementing lifestyle changes in hypertension.

    Aim: The aim of this study was to describe patient’s experience of implementing lifestyle changes in hypertension.

    Method: A qualitative-based literature study was used. Ten qualitative articles from PubMed, Cinahl and Proquest was analysed by the five-step method described by Friberg (2012).

    Results: Two main themes emerged under the analyse process. The two main themes were: opportunities and barriers, with the sub themes: knowledge, attitude, social, comorbidity, time, society and economy.

    Conclusion: Patients with hypertension experience opportunities and barriers to implement lifestyle changes in hypertension. Patients with good knowledge and a more positive attitude towards their disease had a greater opportunity to implement lifestyle changes in their life. The results also showed that patients had different recourses and assets that affect their possibility to follow and succeed with lifestyle changes. Therefore the nurse should work towards a person-centred care. This provided opportunities for each patient as an individual to obtain knowledge, motivation and good conditions to create and establish self-care.

  • 91.
    Andersson, Liselotte
    et al.
    University West, Department of Nursing, Health and Culture.
    Jakum, Päivi
    University West, Department of Nursing, Health and Culture.
    Inte som i Gökboet: sjuksköterskors beskrivningar av omvårdnadsprocessen inom den rättspsykiatriska vården : en kvalitativ studie2009Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Forensic psyhiatric care protects the society by giving patients care to diminish risks of serious crimes. In their work the nurses use different care methods to help and support the patient in managing his or her life situation. To clarify how a group of nurses describe the nursing process in forensic psychiatric care. A qualitative study based on interviews. Six nurses were interviewed about their work in four different forensic psychiatric care units. The nursing process in is divided into four categories: evaluation, planning, implementation and assessment. The results are based on the way the interviewed nurses described the essential roles of nurse-patient relationship and structured routines in nursing process. The study also shows some specific difficulties in nursing work, for example the mental dysfunctions of patients, the level of competence among staff and the patients need for social interaction and existence beyond their specific needs.

  • 92.
    Andersson, Liza
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Axelsson, Lovisa
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Att vara närstående till en äldre person med demenssjukdom: En litteraturstudie med kvalitativ ansats2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia not only affects the individual patient, but also healthcare professionals and the relatives. It is an increasing incurable disease that affects the mind of the afflicted person. He or she will experience difficulties with either expressing oneself, recognizing daily things, performing tasks that he or she previously were able to managed or the ability to plan, initiate or complete various tasks.

    Aim: The aim of this study was to illuminate experiences of being a relative of an older person afflicted of dementia.

    Method: A literature based study was performed, analyzing 10 qualitative articles.

    Results: The results consist of two main themes, relatives experiences of support, with two subthemes, support in the care relationship and support from others in the same situation. The second theme progression of the disease and its affects on relations and feelings, with three subthemes, the partners behavioral change, a new kind of relationship and impact of the disease on feelings. These highlight significant experiences the relatives go through in relation to the disease. Support was something that may be given in different ways and the need for support was necessary. The behavioral change that comes with the disease, results in a new form of relationship with the affected. Feelings of sadness, guilt and shame were constantly present.

    Conclusion: The results shows that the relatives need support through the entire disease progression when the behavior of the affected changes and a new relationship is formed. When accepting the disease, the relatives found it easier to deal with life in general. Nurses need to have the means to respond to these relatives and to know how they experience their situation, to be able to support them in the best possible way.

  • 93.
    Andersson, Louise
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Lindmark, Erica
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Vårdpersonals upplevelser och erfarenheter av att utföra tvångsåtgärder inom sluten psykiatrisk tvångsvård: En litteraturstudie2013Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The adult inpatient psychiatric care is regulated by law and allows certain amount of coercion, most commonly restraint, forced medication and seclusion. To be treated according to this law you need to suffer from a serious mental disorder, oppose to the care and have an indispensable need of care. Many studies describe patients experiences to be treated with coercion but few about health care workers experiences.

    Aim:

    To describe health care workers experiences of performing coercion in psychiatric compulsory care.

    Method:

    A literature review was made and eight articles is the basis for the result.

    Results:

    From the articles used inthis study four themes were created. These are coercions impact on relations, health care workers feelings during coercion, coercion as a necessary evil and health care workers need for reflection. The themes are presented as headlines in the result.

    Conclusion:

    To use coercive measures brings out many different feelings among health care workers. There are both positive and negative aspects about coercive measures, but not enough support and time for reflection for the health care workers that execute them. The health care workers needto be acknowledged and feel that they have made the right decision and that they used coercion as a last resort. The result shows that there is a need for reflection and support among health care workers.

  • 94.
    Andersson, Lovisa
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Olsson, Elvira
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att vara en annan människa: Upplevelsen av att överleva ett hjärtstopp utanför sjukhus2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Previous studies conducted on people surviving Out-of-Hospital Cardiac Arrest (OHCA) focus on measuring health and quality of life with instruments, while little is still known about the survivors' individual experiences. To survive an OHCA is a life changing event, affecting the survivors' physical as well as psychological well-being. Aim: The aim was to illuminate the experiences of surviving an OHCA. Method: The method used was a literature review, with searches performed in the database CINAHL. Eight articles were reviewed and analyzed with a qualitative content analysis. Result: The result shows that the physical changes that emerge after a cardiac arrest gives a feeling of not being the same person as before the event. The survivors express a need to fill in the memory gap that occurred during the arrest. There was a need to remain in contact with health care providers during the recovery phase, since the survivors experience loneliness and insecurity when the contact with the health care providers is ceased. To survive an OHCA leads to insight and a deepened reflection about life and death. Conclusion: In consensus with previous studies conducted on the subject, this literature review confirms that the expe-rience of surviving an OHCA is a life changing event. It includes physical and psychological changes as well as the awakening of existential questions. To survive an Out-of-Hospital cardiac arrest means to become another person and the survivors need to receive full support from the health care providers to retain security in a changed life situation

  • 95.
    Andersson, Madeleine
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Ståhl, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Att stödja patienter med diabetes typ II till egenvård2015Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type II is a chronic disease and the most common form of diabetes. It is a metabolic disease that involves chronic hyper glycemia. The disease is a global health concern given the risks of developing complications and high mortality. To understandthe disease andknow whatself-caremeans is important to be able to manage the disease in an independent way. To get a good self-care the patient needs to be motivated and have a willingness to take responsibility for their own self-care.

    Aim:

    The purpose of this study was to describe how the district nurses support patients with diabetes type II to get self-care.

    Method: An inductive and qualitative study was set up. Twelve districts nurses were interviewed and a qualitative content analysis was chosen as the method of analysis for this study.

    Results: The results of the study resulted in six main categories; listening to see the person, support for change, conditions for a good self-care, individualizing information and cooperate for good self-care. And one main theme: Self-care- take control over your own life.

    Conclusion: The conclusion of the study's results describe that: to promote a good self-care requires that the district nurses create a good relationship with patients by seeing the patient as a whole with a personal responsibility for their health.

  • 96.
    Andersson, Magdalena
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Franzén, Malin
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Föräldrars livsvärld vänds upp och ner: att vara förälder till ett barn med en cancersjukdom2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    About 300 children are diagnosed with cancer disease in Sweden every year. It's not only the child that suffers from the effects of cancer, it´s the whole family. The parents undergo a crisis process which is very important to know for the nurse to be able to understand the reactions that the parents may have and support the family.

    Aim:

    The aim of this study was to describe parents´ experiences of living with a child with a cancer diagnoses.

    Method:

    In this literature study ten qualitative articles were analyzed.

    Results:

    The results of this study showed four different themes, Losing their foothold, Emotionaly shattered, Parents' needs from the surroundings, New life-world.

    Conclusion:

    Parents described that it was an emotional roller coaster that they had to go through when their child was diagnosed with a cancer disease. This study can give a deeper understanding of parents' feelings and how the nurse can provide support, guidance and give a good quality nursing to parents and relatives.

  • 97.
    Andersson, Malin
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Nilsson, Jasmine
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    När livet vänder- att få en bröstcancerdiagnos2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common form of cancer among women in Sweden. The cancer diagnosis has under the past few years increased and are expected to increase even more in the future. As cancer diagnosis increases, the ability to survive a cancer disease becomes more apparent with the help of advanced treatments. Aim: The aim of this study was to describe women´s emotional reactions when receiving a breast cancer diagnosis. Metod: A literature-based study was performed in order to describe women´s experience about their emotional reactions towards a breast cancer diagnosis. To analyse the result of the 11 included articles, a five step qualitative analytical method was used. The analysis resulted in one major theme and five subthemes. Results: To receive a breast cancer diagnosis was a huge change in life that affected women´s emotional reactions in many different ways. The result showed that women was chocked, they denied the breast cancer diagnosis, felt anger and grief. The women also felt hopefulness to fight and conquer the breast cancer disease. Conclusion: According to the result this study showed that a breast cancer diagnosis transforms a women´s life, from a healthy life to a life in illness. A breast cancer diagnosis did not only bring out negative feelings like frustration and hopelessness. It´s also bring out positive feelings like relief and fighting spirit.

  • 98.
    Andersson, Marcus
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Wessman, Viktor
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Faktorer som påverkar följsamheten av egenvård hos personer med diabetes typ 2: Ett patientperspektiv2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diabetes type 2 is a global, growing chronic illness. The treatment primary involves lifestyle changes and self-care concerning food intake and exercise and requires compliance of the self-care treatment from the patient. Previous studies show that there is a lack of compliance from people in the self-care treatment of diabetes type 2.

    Aim: This study aims to explore people with diabetes type 2's perceived factors influencing the compliance of the self-care treatment of diabetes type 2.

    Method: A literature based study with a qualitative approach based on 11 science articles.

    Results: Two themes and four subthemes emerged from the study. The themes Lonely is not always strong and ability to new orientation was found and contained both possibilities and barriers of the compliance in the self-care treatment of diabetes type 2.

    Conclusion: This study shows that social factors and lack of knowledge is barriers of the compliance in the self-care treatment. Support from relatives, friends and nurses, and a feeling of belonging in a social context is important for compliance.

  • 99.
    Andersson, Maria
    et al.
    Uddevalla Hospital, Palliative Care Nurse.
    Gustafsson, Elisabeth
    Bengtsfors Community,Home Health Care,.
    Hansson, Kristina
    Dals Ed Community,Home Health Care.
    Karlsson, Margareta
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    External mirroring of inner chaos: Blogging as experienced by the relatives of people with cancer2013In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 19, no 1, p. 16-23Article in journal (Refereed)
    Abstract [en]

    Background: Relatives of a person suffering from cancer risk being affected both physically and psychologically. Blogging has become increasingly popular as a forum for communicating experiences, but few studies have focused on what blogging about a relative's cancer journey means to the author. Aim: To illuminate relatives' experiences of blogging when a family member is in the end-of-life phase of cancer. Method: Telephone interviews were conducted with 12 people about their experiences of blogging during and after their family member's illness. The data was analysed using qualitative content analysis. Findings: Blogging facilitated everyday life, introduced the relatives to new friends with similar experiences, helped them in their grief process, and helped them to preserve memories. The negative aspects were being misunderstood and publicly criticised as well as the feeling of providing readers with 'reality show' entertainment. Conclusion: Blogging was seen as a complement to professional care that contributed to the prevention of ill health.

  • 100.
    Andersson, Maria
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Inselberg, Katarina
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Att utgå från patienten som person i det hälsofrämjande arbetet: En grupp distriktssköterskors erfarenheter2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    Health promotion is part of the district nurse's duties and shall be based on an ethical and holistic approach. According to the WHO the focus of care is in favor of a more health-promoting direction and according to Swedish law, health care is based on respect for patient autonomy and strive for the patients to become involved in their care. Still, there is a paternalistic approach in health promotion, although social Board emphasizes that healthcare should be person-centered in order to make the patient more involved.

    Aim:

    To describe the district nurse experience of work in health promotion from the person seeking care in primary care.

    Method:

    The study is a qualitative study. Seven district nurses who worked in primary care for at least one year were interviewed, and the interview text was analyzed with focus on the texts manifest content.

    Results:

    The analysis resulted in an overall theme, To control with a gentle hand, and five main categories, Ensuring the individual, To motivate and reinforce, To work with the person, To know what is best, To feel conflicting emotions, and nine subcategories

    Conclusion:

    Health promotion having a person centered approach differed between the interviewed nurses. Everyone had a keen interest in health promotion but they focused on different aspects. Some nurses focused on their messages to the patients while the interest of the patient's personal wishes not got much room. Paternalist elements were seen in all the interviews. Studies are sought which explore how management in primary care are working to improve the participation of the person seeking care.

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